Records Requests

ADCOM Records Request

Request a copy of a 911 recording or its transcript. It takes about five minutes, then a $7.50 deposit.

Before You Start

Three steps to request a 911 record

1Review the PolicyEvery request must follow ADCOM's Policy Regarding Requests for Public and Criminal Justice Records. Read the Policy (PDF).
2Complete the form belowTell us who you are, what happened and how you want the records delivered.
3Pay the $7.50 depositSubmitting the form takes you straight to our secure payment page. Your request is processed once the deposit is received.

About the $7.50 deposit

Pay by credit or debit card on the payment page after you submit.
Checks (with ID) and exact cash are accepted in person. We do not keep change on the premises.
If additional costs are incurred, we will let you know, and payment is due before the records are picked up, faxed or emailed.
Deposits for records that are unavailable or outside ADCOM's jurisdiction may be refunded case by case.

Questions? Call the Records line at 303-289-2235.

NOTICE: A copy of ADCOM's Policy Regarding Requests for Public and Criminal Justice Records ("Policy") may be obtained from ADCOM's administrative offices at 7321 Birch St., Commerce City, CO 80022, or on this website. All records requests must comply with the Policy; the Colorado Public (Open) Records Act, C.R.S. § 24-72-201, et seq.; the Colorado Criminal Justice Records Act, C.R.S. § 24-72-301, et seq.; the Health Insurance Portability and Accountability Act of 1996, the 2009 Health Information Technology for Economic and Clinical Health Act, and their implementing regulations and applicable Court decisions (collectively, "HIPAA"); and all other applicable law. ADCOM will charge fees for its responses to a records request as provided in the Policy.

1Statement Affirming No Pecuniary Gain

By requesting a 911 record you must agree to this statement. Type your name below to affirm that, pursuant to C.R.S. 24-72-305.5, you will not use any Criminal Justice Records, or the names, addresses, telephone numbers, or other information in such records, released to you by Adams County Communications Center (ADCOM) for the purpose of soliciting business for pecuniary gain.

First name *

Last name *

Date of request

2Your contact information

Address line 1

Address line 2

City

State

Zip code

Email *

Phone

3The occurrence

Date of occurrence *

Time *

Responding agency *

Type of event *

Location of occurrence *

Additional information

4Protected Health Information

If any of the records you are requesting contain health information protected from disclosure under HIPAA, choose the option that applies and complete the additional form indicated. *

The records do not contain protected health information. The records contain my protected health information, or I am the personal representative of the individual to whom the protected health information relates. You must also submit the Patient Access Request form. I am directing that records containing my protected health information be sent to a third party. You must also submit the Authorization to Release Medical Information form. If you use your own form, it must contain all required information and authorizations, or it will be rejected.

Criminal Justice Records: if any of the records you are requesting are Criminal Justice Records under the Colorado Criminal Justice Records Act, you must agree to the Statement Affirming No Pecuniary Gain in step 1.

5Delivery method

How would you like to receive copies of the records? *

I wish to inspect the records at ADCOM's administrative offices at 7321 Birch St., Commerce City, CO 80022, and do not want any copies delivered to me. By pick-up at ADCOM's administrative offices at 7321 Birch St., Commerce City, CO 80022. Records not picked up within 30 days will be destroyed, without refund of any fees paid. By mail to an address I provide.

Mailing address line 1 *

Mailing address line 2

City *

State *

Zip code *

By unsecured fax to a number I provide.

Fax is not a secure channel, and there is a risk the records could be seen by a third party.

Fax number *

By unsecured email to an address I provide.

Email is not a secure channel, and there is a risk the records could be seen by a third party.

Email address for delivery *

6Signature

I certify that I am the person requesting the records identified above. I agree to pay all fees and costs incurred in responding to this request pursuant to ADCOM's Policy Regarding Requests for Public and Criminal Justice Records before the records are released to me.

Signature, type your full name *

Signature date

I have read and accepted the Policy Regarding Requests for Public and Criminal Justice Records. *

Submitting takes you to our secure payment page for the $7.50 deposit. You will also get an email confirming your request, with a copy attached.