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Records Requests

Anyone interested in obtaining copies of police reports, accident reports, squad video, or other public records are asked to either call our main line at 608-786-0407 during normal business hours or e-mail your request.

In order to efficiently process your request, please have as much information available as possible. Items that are helpful may include victim’s name, suspect’s name, case #, date of incident, and type of report you are requesting.

A Driver Privacy Protection Act (DPPA) form will be required for most open records requests. Either complete the online version below or download the PDF version to print and fill-out, then either drop it off or mail it to us. The information you provide is for Police use only. 

Download Driver Privacy Protection Act Form PDF

Public Records Request Fee Schedule

“An authority may impose a fee upon the requester of a copy of a record which may not exceed the actual, necessary and direct cost of reproduction and transcription of the record, unless a fee is otherwise specifically established or authorized to be established by law.” Wis. Stat. § 19.35(3)(a).

An authority may require prepayment of any fee imposed if the total amount exceeds $5.”

Driver Privacy Protection Act (DPPA) Permissible Use Form

Fill out the form below to request information. You may also download the PDF version to print and fill-out, then either drop it off or mail it to us. The information you provide is for Police use only. 

Step 1 of 2

Required for Disclosure of Documents Containing Personal Information or Highly Restricted Information

The Federal Driver’s Privacy Protection Act (DPPA) (18 U.S.C. § 2721) prohibits the disclosure of certain “personal information” or “highly restricted personal information” which originates from a State motor vehicle record. Such information shall not knowingly be disclosed or otherwise made available without the express consent of the person to whom the information pertains or unless specifically permitted by the DPPA. For purposes of determining whether such information should be released or redacted, PLEASE COMPLETE ALL FOUR ITEMS. Incomplete forms will result in request not being fulfilled.

1. Requester Information

Date of Request(Required)
Requester Address(Required)

2. Requested Information

3. Authorization

I/We are authorized under the Driver’s Privacy Protection Act to obtain the identified records containing personal information without redaction based upon the following:(Required)
Select all that apply.

4. Certification

I/We certify that the information and statements on this request are true and correct and understand that the unauthorized disclosure of information obtained from these records for a purpose other than stated on this request form, or the sale or other distribution of the information to a person or organization not disclosed in this request, may result in civil and criminal penalties imposed under Title 18 U.S.C. Section 2724.

I/We further understand that this request is governed by the Driver’s Privacy Protection Act as well as Wisconsin’s Open Records Law. This means that a response to this request may include withholding/redaction of personal/highly restricted information as regulated by the DPPA and/or Wisconsin’s Open Records Law.

I/We further understand that we have the right to request a mandamus review of the responses provided to this request under Wisconsin Statute Section 19.37(1).

By entering your name above, you are signing this request form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this request form. By entering your name above you consent to be legally bound by this request forms terms and conditions.

Date Signed(Required)

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Village of West Salem

175 Leonard St S., West Salem WI 54669
Phone: 608-786-1858
Fax: 608-786-1988
Office Hours: Monday – Friday 8:00 am – 4:45 pm
(Outside drop box available 24 / 7)

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