CITY OF EL PASO OPERATIONAL HOURS:
Mon-Thurs, 7:00 a.m. to 6:00 p.m. - Closed Fridays
Incident Report Request/Open Records Request

Incident Address or Information Requesting

**Medical patient care information will only be released in accordance with the Standards Relating to Privacy of Individually Identifiable Health Information, 45 CFR parts 160 and 164 under the Health Insurance Portability and Accountability Act (“HIPAA”)

Incident Address or Information Requesting

Incident Address*
Incident Date*
Calendar
Type of Incident*
Comments

The information below is to be filled out by the person requesting the incident

Person Requesting Report*
Address*
Zip Code*
Phone Number*
City*
Email*
State*