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2. This form is to be used for all requests of audio and video media.  Due to provisions outlined in 2023 Wisconsin Act 253, this is the only avenue to submit an audio or video records request to the Whitefish Bay Police Department.

   Important Notes Before You Start:

   2023 Wisconsin Act 253 permits law enforcement agencies to require the requestor (you) to provide written certification confirming specific criteria related to the request.

   Pursuant to Wis. Stat. § 19.35(3)(h), law enforcement may charge reasonable fees for certain audio and video requests.  Charges depend on total footage duration and staff time for necessary redactions.

   Pursuant to Wis. State § 19.35(3)(h)a, agencies may charge a fee for audio and video footage in certain cases.  If your request does not qualify under one of the statutory exemptions, prepayment will be required.

   Warning: Providing False Information is Illegal:

   Pursuant to Wis. Stat. § 19.35(3)(h)a, knowingly misrepresenting your intended use of this footage may result in a $10,000 forfeiture per violation.  If it is suspected that false information is being provided, it is the policy of this agency to pursue the matter to it's logical conclusion.

   2023 Wisconsin Act 253 Certifications

   Responses to these questions may or may not result in a fee.  Please refer to 2023 Wisconsin Act 253 for further information.

   
   

4. 1. Are you directly involved in this incident, a legal representative, or otherwise specifically authorized by the courts to obtain this video?*

   1. Yes
   2. No
6. 2. Have you made ten or more public records requests to the Whitefish Bay Police Department this calendar year?*

   1. Yes
   2. No
8. 3. Do you certify that you will not use this video for financial gain?*

   1. Yes
   2. No

10. Your Contact Information (Optional but Recommended

    Note: Per 2023 Wisconsin Act 253, In order to qualify for exemptions from redaction costs, you must identify yourself.

12. First Name
13. Last Name
15. Email Address*
16. Phone Number

18. Incident Details

    Please provide as much information about the case/incident as possible, as this will help us locate and complete your request.

20. 7. Case Number
22. 8. Date of Incident*
    8. Date of Incident
24. 9. Location of Incident*
26. 10. Names of Subjects Involved
28. 11. What Type of Request Are You Making

30. Wisconsin Law on Releasing Body Camera Footage

    Videos may contain redactions or be entirely withheld if they contain information not subject to disclosure under Wisconsin Law.

    Estimated redaction time ratio: 30 minutes of work for every 10 minutes of video.

    Notice for Fee and Prepayment

    Should this agency require a fee, you will be notified prior to processing and redaction.  A prepayment for redactions will be required in accordance with Wis. Stat. § 19.35(3).

    Final Acknowledgment

32. 12. Fees*

    1. I understand that I may have to pay fees for this request prior to my request being completed.
34. 13. Redaction*

    1. I understand that some footage may be redacted, its release delayed, or its release denied based on applicable Wisconsin law.
36. 14. Accuracy*

    1. I certify that the information I have provided on this form is true and accurate.
38. 15. Type Your Name or Initials in the Box Below to Act as Electronic Signature on this Form.*
Leave This Blank:


40. Submit

* indicates a required field