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Safety Exemptions - Public Records Requests

File a safety exemption request with the City of Portland for public records requests

The form will take 10-20 minutes to complete. Reviews are typically completed within ten (10) business days.

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Review Exemption Qualifications and Fill out Exemption Form

In accordance with Oregon Public Records Law (ORS Chapter 192.368) the public can make individual requests for exemption from disclosing information when there are personal safety concerns.

You can make a request to exempt personal information from disclosure by providing satisfactory information for the City’s review. The law requires a written request for exemption. Please follow the instructions below and provide all information required that will provide evidence sufficient to constitute a danger to the personal safety of you or a Family Member.

Examples of Documents to Submit with a Request for Exemption under ORS 192.368 

Note: the term “Family Member” is a family member who resides with you

  • Documentary evidence, including a written statement, that establishes to the satisfaction of the public body that disclosure of your home address, personal telephone number or personal electronic mail address would constitute a danger to your personal safety or that of a Family Member.
  • A declaration, medical records, police reports, or court records showing that you or a Family Member has been a victim of domestic violence.
  • A criminal citation or an order issued under ORS 133.055 for your protection or the protection of a Family Member.
  • A declaration or police report showing that a law enforcement officer has been contacted concerning domestic violence, other physical abuse, or threatening or harassing letters or telephone calls directed at you or a Family Member.
  • A temporary restraining order or other no-contact order to protect you or a Family Member from future physical abuse.
  • Court records showing that criminal or civil legal proceedings have been filed regarding your physical protection or for a Family Member.
  •  A citation or a court's stalking protective order pursuant to ORS 163.735 or 163.738, issued or obtained for your protection or for a Family Member.
  • A declaration or police report showing that you or a Family Member has been a victim of a person convicted of the crime of stalking or of violating a court's stalking protective order.
  • A conditional release agreement issued under ORS 135.250-260 providing for your protection or for a Family Member.
  • A protective order issued pursuant to ORS 135.873 or 135.970 protecting your or a Family Member’s identity or place of residence.
  • A declaration from a district attorney or deputy district attorney stating that you or a Family Member is scheduled to testify or has testified as a witness at a criminal trial, grand jury hearing or preliminary hearing, and that such testimony places the personal safety of the witness in danger.
  • A court order stating that you or a Family Member is or has been a party, juror, judge, attorney or involved in some other capacity in a trial, grand jury proceeding or other court proceeding, and that such involvement places the personal safety of that individual in danger.

Online Exemption Request Form

Please be explicit about what records you want your information exemption from and what bureau(s). Please be sure to attach any of the following document with your form:

  • Evidence that releasing your personal information would constitute a danger to you or a family member. This evidence may include:
    • Affidavits
    • Court records
    • Police reports
    • Restraining orders
    • Stalking protective orders

Public Records Request Exemption Form for the City of Portland

Review and Follow Up

The City will make all efforts to review the request for exemption within ten (10) business days. The City may request additional information from you to complete review of the request.

If the exemption is granted, the exemption is effective for five years from the date the request was received. The exempt personal information will not be disclosed except in compliance with a court order, an order from the district attorney’s office, in response to a law enforcement agency request, or with your written consent. A new request for exemption may be made at the end of the five years.


COP Public Record Safety Exemption Requests

Mailing address

The Portland Building
1120 SW 5th Ave, Suite 987
Portland, OR 97204