You must have JavaScript enabled to use this form. Eaton Police Records ~224 1st Street, Eaton, CO 80615 ~ (970) 454-2212 ~ FAX (970) 454-3648 Case Number Requester Information Person Requesting Date Requester's Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Phone Number Email Address Additional Information Date and Time of Incident Date and Time of Incident: Date Date and Time of Incident: Time Location of Incident Person the Report Involves DOB Other Remarks USE OF THIS INFORMATION IS REGULATED BY LAW—DO NOT DISSEMINATE Note: According to the Colorado Revised Statute 24-72-305.5, records of official action, criminal justice records, or the names, addresses, telephone numbers, and other information in such records shall not be used by any person for the purpose of directly soliciting business for pecuniary gain. A violation of this section subjects you to misdemeanor charges and upon conviction, a fine of $100 or 90 days in jail or both. I affirm that I will not use the records, or any portion of the records requested for the purpose of directly soliciting business for pecuniary gain. Signature Date Leave this field blank Print
