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2. Audio and Video Records Request Form

   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 South Milwaukee Police Department. 

4. Important Notes Before You Start:

   2023 Wisconsin Act 253 permits law enforcement agencies to require the requester (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. Stat. § 19.35(3)(h)a, agencies may charge a fee audio or video footage in certain cases. If your request does not qualify under one of the statutory exemptions, prepayment will be required.

6. 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 this matter to it’s logical conclusion.

8. 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.***

10. 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
12. 2. Have you made 10 or more public records requests to the South Milwaukee Police Department this calendar year?*

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

    1. Yes
    2. No
18. 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.

20. First Name
21. Last Name
23. Email Address*
24. Phone Number
28. Incident Details

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

30. 4. Case Number
32. 5. Date of Incident*
    5. Date of Incident
34. 6. Location of Incident*
36. 7. Name(s) of Subjects Involved
38. 8. What Type of Request Are You Making?
42. 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 ration: 30 minutes of work for every 10 minutes of video.

44. 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).

46. 9. Fees*

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

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

    1. I certify that the information I have provided on this form is true and accurate.
52. 12. Type your name or initials in the box below to act as electronic signature on this form.
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field