# Russellville Police Department Information Request Form > *Field-level extract of the official live form, independently inspected in the in-app browser on 2026-07-21. The original HTML is preserved alongside this file.* ## Source metadata - **Publisher:** Russellville Police Department - **URL:** https://russellvillearkansas.org/FormCenter/Police-Department-4/Information-Request-Form-44 - **Archived:** 2026-07-21, by direct unauthenticated download - **Wayback snapshot:** Save Page Now was rate-limiting requests on 2026-07-21; retry pending. ## Extract The form says it is for general comments or questions and asks requesters who want a reply to provide a phone number or email address. Live field inspection established: - **First Name** - required text field; - **Last Name** - required text field; - **Phone Number** - optional text field; - **Email Address** - optional text field; - **Question** - required textarea with no advertised character limit; - **Crime Tip or Comment** - required textarea with no advertised character limit; - a visually hidden anti-spam control labeled **Leave This Blank** - leave blank; - **Receive an email copy of this form** - checked by default; - a second **Email address** box below the copy checkbox, expressly marked "This field is not part of the form submission" - enter the delivery address for the emailed copy; this is separate from the earlier contact-email field; - Google reCAPTCHA and a Submit button. No upload control, account requirement, or records-type selector was visible. The form action resolves to the same official URL. ## Notes - Tier 2 - official police-department request form. - Joshua must enter private identity/contact fields, complete the reCAPTCHA, and submit. Codex does not submit public-records requests.