Records Request Form

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 its website at https://adcom911.org; 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.

To request a copy of a 911 recording or associated transcript please complete the following:

  • Review the ADCOM Open Records Request Policy
  • Complete and submit the ADCOM Records Request Form
  • Submit a deposit of $7.50 with request 
    • Select 'Make Payment' at the bottom of the page to pay by credit/debit card
    • Other acceptable forms of payment are: checks (with ID) and exact change (cash for making change is not kept on premises)
    • If additional costs are incurred, notification will be made and payment is due prior to the report being picked up, faxed or emailed. Refunds for deposits collected for a report not available or not within ADCOM911 jurisdiction will be considered on a case-by-case basis

Please contact 303-289-2235 with any questions or for additional information.

NOTICE: By requesting a 911 record you must agree to the Statement Affirming No Pecuniary Gain.
Type 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 me by Adams County Communications Center (ADCOM) for the purpose of soliciting business for pecuniary gain.

Protected Health Information

Criminal Justice Records:

If any of the records you are requesting constitute Criminal Justice Records pursuant to the Colorado Criminal Justice Records Act, you must agree to the Statement Affirming No Pecuniary Gain found at the top of this form.

Signature

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.