Board of Police Commissioners - Minutes - 04/13/2026

MINUTES
BOARD OF POLICE COMMISSIONERS
April 13, 2026 at 5:00 p.m.
PRESENT: 
Commissioner M. Gelinas, Commissioner C. Brule, Commissioner J.
Dimmock, Commissioner T. Sheridan
ABSENT: 
Commissioner R. Gamble
DEPARTMENT: — Chief D. Ferland, LT N. VanOverloop, Traffic Officer M. Devine,
Training Officer M. Bellos
PLEDGE OF ALLEGIANCE
CALL TO ORDER AND ESTABLISH A QUORUM:
Commissioner Gelinas called the meeting to order at 5:00 p.m. in the Town Hall Auditorium. A
Quorum was established.
PUBLIC INPUT:
None.
ACCEPTANCE OF MINUTES:
MOTION: Made by Commissioner Dimmock and seconded by Commissioner Brule to accept
the March 9, 2026 Regular Meeting minutes. Motion passed.
MOTION: Made by Commissioner Dimmock and seconded by Commissioner Brule to accept
the April 8, 2026 Special Meeting minutes. Motion passed.

CORRESPONDENCE:
Correspondence was reviewed.
TRAFFIC COMMISSION REVIEW:
Traffic Report was received.
a. Traffic Officer Devine presented the Traffic Impact & Safety Assessment Report for the
intersection of Daniels Avenue and Spithead Road. Discussion followed regarding
limited sight distance at the intersection, which restricts the ability to safely enter
Spithead Road from Daniels Avenue, as well as anticipated increases in traffic with the
opening of the Friendship School in Fall 2027.
MOTION: Made by Commissioner Sheridan and Seconded by Commissioner Dimmock to
place stop signs on Spithead Road in both directions at the intersection of Daniels to create a
three-way stop, along with appropriate warning signage for the new stop signs. Motion passed
unanimously.
CHIEF’S REPORT:
a.
h.
K9 Reports for March
March report was received.
Youth Reports for March
March report was received.
Investigative Services for March
March report was received.
Training Report for March
March report was received.
Support Services Report for March
March report was received.
Patrol Report for March
March report was received.
Animal Control Report for March
March report was received.
Community Engagement Report for March
March report was received.

OLD BUSINESS:
Police Commissioner Association — Commissioner Gelinas requested this item to stay on the
agenda for the next meeting.
NEW BUSINESS:
RTM Moderator Sue Driscoll explained that, pursuant to a state mandate under the Trust Act,
legislative bodies are required to report data regarding ICE access to individuals in police
custody. She requested that the Board of Police Commissioners provide a formal letter twice per
year to ensure compliance with this requirement. The Board agreed to include this item on the
agenda during the appropriate months and to provide the requested information to the RTM.
MOTION: Made by Commissioner Sheridan and Seconded by Commissioner Dimmock to
adjourn the meeting at 5:28 p.m. Motion passed unanimously.
Respectfully submitted by:
Dit & Hrvalll
Diane E. Driscoll
Recording Secretary

Traffic Impact & Safety Assessment Report
Intersection of Daniels Avenue & Spithead Road
Purpose
This report evaluates existing and anticipated traffic conditions at the intersection of Daniels
Avenue and Spithead Road, with a focus on:
e 
Sight distance limitations
e 
Operational safety concerns
e 
Projected impacts from the opening of Friendship School (Fall 2027)
e 
Recommended mitigation measures
Existing Conditions Traffic Volumes (Observed: April 2-6)
Roadway Configuration
e 
Daniels Ave: Stop-controlled approach
e 
Spithead Road: Free-flow (no stop control)
e 
Intersection type: Three-way (T-intersection)
Daniels Ave (Exiting Traffic, five day high)
e 
9:00 AM Peak: 66 vehicles/hour
e 
4:00 PM Peak: 82 vehicles/hour
Spithead Road (five day high)
Northbound: 
Southbound:
e 
9:00 AM: 83 vehicles/hour 
e 
9:00 AM: 141 vehicles/hour
e 
4:00 PM: 245 vehicles/hour 
e 
4:00 PM: 171 vehicles/hour
Speed Data
Southbound (downhill 30mph zone) 
Northbound: (25 mph zone)
e 
Avg (9 AM): 33 mph 
e 
Avg (9 AM): 31 mph
e 
Max: 58 mph 
e 
Max: 44 mph
e 
Avg (4PM): 33 mph 
e 
Avg (4 PM): 30 mph
e 
Max: 55 mph 
e 
Max: 45 mph
Key Observation: Actual operating speeds exceed posted limits, especially southbound.
Sight Distance Evaluation
Observed Sight Distance
e 
From stop bar on Daniels Ave: Below acceptable standards
e 
Pulling forward onto crosswalk: ~300 feet visibility
Required Sight Distance
Based on American Association of State Highway and Transportation Officials:
e 
Stopping Sight Distance (SSD) for 30 mph:
o 
~200-250 ft (level)
o 
~250-300+ ft (downgrade)

e 
Intersection Sight Distance (ISD):
o 
~335-400 ft minimum
Deficiencies Identified
e 
Available sight distance is:
o 
Marginal to inadequate for SSD
o 
Below ISD requirements
e 
Southbound approach risks:
o 
Horizontal curve (right-hand curve)
o 
Downhill grade (increases stopping distance)
o 
Obstructions:
» 
High-tension utility structures
» 
Seasonal vegetation growth
School Traffic Impact (Projected 2027)
School Activity
e 
125+ vehicles/hour during drop-off & pickup
e 
100+ employees daily
e 
Bus traffic (multiple vehicles)
e 
Extended activity:
o 
Morning: 6:30 AM start
o 
Afternoon: Until 5:00 PM
Expected Effects
e 
Increased turning movements onto Spithead Rd
More frequent gap acceptance decisions
Increased queueing on Daniels Ave
Higher likelihood of:
o 
Driver hesitation
o 
Risk-taking behavior (forced merges)
o 
Rear-end collisions on Daniels Ave
o 
Angle collisions on Spithead Rd
Recommendations
1. Place stop signs on Spithead in both directions creating an intersection with a three way
stop, to allow for alternating traffic flow.
2. Utilize solar powered LED flashing lights on the newly implemented stop sign
3. Proper warning signage for the new stop signs, in accordance with MUCTD standards
and based up on the geometry of the roadway.
4. Optical Speed bars on the southbound lane approaching the intersection to assist with
speed concerns.
5. 
Place solar speed sign at top of hill for southbound traffic.

PHONE: 860-442-0553
wi 
water fordctorg
FIFTEEN ROPE 
FERRY ROAD
WATERFORD, CT 06385. 2886
April 13, 2026
Mark Gelinas, Chair
Board of Police Commissioners
41 Avery Lane
Waterford, CT 06385
Re: Mandatory Reporting of Certain Data Related to ICE Access Under CGS Section 54-192(h)(e)(3)
Dear Chairman Gelinas,
Last month, former WPD Chief Balestracci submitted a request to the Representative Town Meeting, seeking action related to
a statutory reporting requirement for municipalities’ legislative bodies. (See attached). Since the RTM, understandably, does
not have access to the pertinent information, it became clear that a formal system involving both the Board of Police
Commissioners and the RTM needed to be established.
After consulting with Town Attorney Kepple, and gaining invaluable insights and feedback from Chief Ferland, the solution was
the following action, approved unanimously on April 6:
4. To authorize the RTM Moderator to request that the Board of Police Commissioners provide the RTM each July and
February any biennial data related to ICE access granted by the Waterford Police Department, so that the RTM can
submit the pertinent information to the Office of Policy and Management as mandated by CGS Section 54-192h(e)(3).
In plain English, what we are hoping to establish is a biennial review of pertinent data, if any, by your Board, documented ina
letter sent to the RTM for consideration and action, if it turns out that there is data deemed reportable under state law. If
history holds, a simple letter stating that the Board has reviewed data for the previous six months and determined that there
were no incidents of reportable access. If, at some point, there is reportable activity we would ask that the pertinent
information (as specified by the law and the Office of Policy and Management) be provided as well so that the RTM can
submit the town’s report.
Thank you for your consideration of this matter, so that we can ensure compliance going forward as well as improve
transparency for concerned members of the public. And | welcome any suggestions from the Board as we break new ground.
Sincerely,
Suse Daset/
Susan Driscoll, RTM Moderator
encl: 
OPM directive w/PA 19-20

STATE OF CONNECTICUT
OFFICE OF POLICY 
AND MANAGEMENT
Criminal Justice Policy and Planning Division
Lg
25S 
Lei
January 24, 2022 
a
To: Municipal Chief Executive Officers 
oy
are
ta
From: Mare Pelka, Undersecretary, Criminal Justice Policy and Planning Division’i 
= 
ee)
Lo 
EF S
aa
|
AO
°° 
9
RE: Municipal Data Reporting Requirement Pursuant to Section 54-192h()(3) of the C.G.S,
I write as a reminder of 
a statutory data reporting requirement regarding civil immigration detainers
and to provide a simplified process for submitting this data to the Office of Policy and Management
(OPM). The reporting period covering July 1, 2021 —December 
31, 2021 is due by March 1, 2022.
Thank you for assistance with complying to this statutory requirement.
lL 
Statutory Requirement
An Act Concerning the Trust Act (Public Act 19-20), which is enclosed under Appendix A, requires
legislative bodies of municipalities with law enforcement agencies that provide U.S. Immigration
and Customs Enforcement (ICE) access to an individual during the prior six months to report data
to OPM. Section 54-192h(e)(3) of the C.G.S. appears below:
Beginning January 1, 2020, the legislative body of any municipality with a law enforcement
agency that has provided ICE access to an individual during the prior six months shall provide
to the Office of Policy and Management, on an ongoing basis every six months, data regarding
the number and demographic data of individuals to whom the law enforcement agency has
provided ICE access, the date ICE access was provided to an individual and whether the ICE
access was provided as part of compliance with a civil immigration detainer or through other
means. Data may be provided in the form of statistics or, if statistics are not maintained, as
individual records, provided personally identifiable information is redacted.
Il. 
Submission of information using a fillable form
Previous guidance, provided in a letter from OPM dated December 10, 2019, requested that
municipalities submit data via email to OPM. To simplify the process for future submissions,
please populate an online fillable using this link: https://forms.office.com/g/grM6PdkVQZ. Vor
reference, please see Appendix B for a copy of the form.
IIL. 
Information to be submitted
The fillable form asks respondents questions to generate the following data consistent with those
required by statute:
450 Capitol Avenue Hartford, Connecticut 06106-1379
ct.gov/opm

e 
The number and demographic data of individuals to whom the law enforcement agency
has provided ICE access,
e 
The date ICE access was provided to an individual, and
e 
Whether the ICE access was provided as part of compliance with a civil immigration
detainer or through other means.
Please submit one entry per individual to whom the law enforcement agency in your municipality
has provided access during the six-month period covered in your submission to OPM.
Municipalities with Resident State Troopers or that fall under Connecticut State Police (CSP)
jurisdiction are exempt from reporting data because this information is collected separately by
CSP.
Although not explicitly required by statute, but to aid data-collection efforts, municipalities that
have not granted ICE access to an individual during a six-month period are still asked to populate
the fillable form and indicate as such.
IV. 
Timeframe for submitting information
Please follow the reporting periods and deadlines in the table below, including submitting data
following reporting periods covering January 1 to June 30 and July 1 to December 31. Deadlines
are scheduled approximately two months following the end of each reporting period.
Therefore, the next reporting period deadline is March 1, 2022 and the following one is September
1, 2022.
Table 1 Timeframe for biannual reporting periods and deadlines for submitting data to OPM
Biannual Reporting Period 
_ Deadline for submitting information 
to OPM
January 1—June 30 — 
September |
July 1 — December 31 
March 1
V. 
Contact Information
If you have any questions, please contact TrustActData@ct.gov to receive assistance from a staff
person.
Thank you for assistance with this statutory requirement,

Appendix A
An Act Concerning The Trust Act (Public Act 19-20)
OF CONNEC,
gost 3 stun,
CH
Substitute Senate Bill No. 992
Public Act No. 19-20
AN ACT CONCERNING THE TRUST ACT.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 54-192h of the general statutes is repealed and the
following is substituted in lieu thereof (Effective October 1, 2019):
(a) For the purposes of this section:
(1) "Administrative warrant" means a warrant, notice to appear,
removal order or warrant of deportation issued by an agent of a
federal agency charged with the enforcement of immigration laws or
the security of the borders, including ICE and_the United States
Customs and Border Protection, but does not include a warrant issued
or signed by a judicial officer,
[()] (2) "Civil immigration detainer" means a [detainer request
issued pursuant to 8 CFR 287.7;] request from a federal immigration
authovity to_a local or state law enforcement agency for _a_purpose
including, but not limited to:
(A) Detaining an individual suspected of violating a federal
immigration law or who has been issued a final order of removal;
(B)_ Facilitating the (i) arrest _of an individual by a federal

Substitute Senate Bill No. 992
immigration authority, or (ii) transfer of an individual to the custody
of a federal immigration authority;
(C) Providing notification of the release date and time of an
individual in custody; and
(D) Notifying a law enforcement officer, through DHS Form J-247A,
or any other form used by the United States Department of Homeland
Security or any successor agency thereto, of the federal immigzation
authority's intent to take custody of an individual;
[(2) "Convicted of a felony" means that a person has been convicted
of a felony, as defined in section 53a-25, pursuant to a final judgment
of guilt entered by a court in this state or in a court of competent
jurisdiction within the United States upon a plea of guilty, a plea of
nolo contendere or a finding of guilty by a jury or the court
notwithstanding any pending appeal or habeas corpus proceeding
arising from such judgment]
(3) "Confidential information" means any information obtained and
maintained by a law enforcement agency relating to (A) an
individual's (i) sexual orientation, or (ii) status as a victim of domestic
violence or sexual assault, (B) whether such individual is a (i) crime
witness, ot (ii) recipient of public assistance, or (C) an individual's
income tax_or other financial records, including, but not limited _to,
Social Security numbers;
[(3)] (4) "Federal immigration authority" 
means any officer,
employee or other person otherwise paid by or acting as an agent of
[United States Immigration and Customs Enforcement] ICE or any
division thereof or any officer, employee or other person otherwise
paid by or acting as an agent of the United States Department of
Homeland Security or any successor agency thereto who is charged
with enforcement of the civil provisions of the Immigration and
Public Act No. 19-20 
20f8

Substitute Senate Bill No. 992
Nationality Act; [and]
(5) 
"ICE" 
means 
United 
States 
Immigration 
and_ 
Customs
Enforcement or any successor agency thereto;
(6) "ICE access" means any of the following actions taken by a Jaw
enforcement officer with respect to an individual who is stopped by a
law_enforcement_ officer with or without the individual's consent,
arrested, detained or otherwise under the control of a law enforcement
official or agency:
(A) Responding to_a_civil immigration detainer_or request for
notification pursuant 
to 
subparagraph 
(B) 
of this subdivision
concerning such individual;
(B) Providing notification to_a federal immigration authority that
such individual is being or will be released at a certain date and time
through data sharing or otherwise;
(C) Providing a federal immigration authority nonpublicly available
information concerning such individual regarding release date or time,
home address or work address, whether obtained through a computer
database or otherwise;
(D) Allowing a federal immigration authority to interview such
individual under the control of the law enforcement agency;
(E) Allowing a federal immigration authority to_use_a facility or
resources in the control of a law enforcement agency to conduct
interviews, 
administrative 
proceedings 
or__ 
other 
immigration
enforcement activities concerning such individual; or
(F)__ 
Providing 
a 
federal 
immigration 
authority 
information
regarding dates and times of probation or parole supervision or any
other information related _to such individual's compliance with the
Public Act No. 19-20 
3 of 8

Substitute Senate Bill No, 992
terms of probation or parole;
"ICE access" does not include submission by a law enforcement officer
of fingerprints to the Automated Fingerprints Identification system of
an_arrested_ individual or the accessing of information from_the
National Crime Information Center by a law enforcement officer
concerning an arrested individual;
(7) "Judicial officer" means any judge of the state or federal judicial
branches and any federal magistrate judge. "Judicial officer" does not
mean an immigration judge;
(8)_"Law enforcement agency" means any agency for which a Jaw
enforcement officer is an employee of or otherwise paid by or acting as
an agent of;
[(4)] (9) "Law enforcement officer" means:
(A) Each officer, employee or other person otherwise paid by or
acting as an agent of the Department of Correction;
(B) Each officer, employee or other person otherwise paid by or
acting as an agent of a municipal police department;
(C) Each officer, employee or other person otherwise paid by or
acting as an agent of the Division of State Police within the
Department of Emergency Services and Public Protection; and
(D) Each judicial marshal, [and] state marshal, [.] bail commissioner
and adult probation officer; and
(10) "School police or security department" means any police or
security department of (A) the constituent units of the state system of
higher education, as defined in section 10a-1, (B) a public school, or (C)
a local or regional school district.
Public Act No. 19-20 
4 of 8

Substitute Senate Bill No. 992
(b) (1) No law enforcement officer [who receives a civil immigration
detainer with respect to an individual who is in the custody of the law
enforcement officer shall detain such] or employee of a school police or
security department shall:
(A)_Arrest_or detain _an individual pursuant to [such] a civil
immigration detainer unless the [law enforcement official determines
that the individual:] detainer is accompanied by a warrant issued or
signed by a judicial officer;
[(1) Has been convicted of a felony;
(2) Is subject to pending criminal charges in this state where bond
has not been posted;
(3) Has an outstanding arrest warrant in this state;
(4) Is identified as a known gang member in the database of the
National Crime Information Center or any similar database or is
designated as a Security Risk Group member or a Security Risk Group
Safety Threat member by the Department of Correction;
(5) Is identified as a possible match in the federal Terrorist Screening
Database or similar database;
(6) Is subject to a final order of deportation or removal issued by a
federal immigration authority; or
(7) Presents an unacceptable risk to public safety, as determined by
the law enforcement officer.]
(B) Expend or use time, money, facilities, property, equipment,
personnel or other _zesources 
to communicate with 
a_ 
federal
immigration authority regarding the custody status or release of an
individual targeted by a civil immigration detainer, except as provided
in subsection (e) of this section;
Public Act No. 19-20 
5 of 8

Substitute Senate Bill No. 992
(C) Arrest_or detain an individual based _on an administrative
warrant;
(D) Give a federal immigration authority access to_interview_an
individual who is in the custody of a law enforcement agency; or
(E) Perform any function of a federal immigration authority,
whether pursuant _to 8 USC 1357(g) or any other law, regulation,
agreement, contract or policy, whether formal or informal.
(2) The provisions of this subsection shall not prohibit submission
by_a_law_enforcement_officer_of fingerprints to the Automated
Fingerprints Identification system _of an arrested individual or the
accessing of information from the National Crime Information Center
by a law enforcement officer concerning an arrested individual.
[() Upon determination by the law enforcement officer that such
individual is to be detained or released, the Jaw enforcement officer
shall immediately notify United States Immigration and Customs
Enforcement. If the individual is to be detained, the law enforcement
officer 
shall 
inform 
United States 
Immigration and Customs
Enforcement that the individual will be held for a maximum of forty-
eight hours, excluding Saturdays, Sundays and federal holidays. If
United States Immigration and Customs Enforcement fails to take
custody of the individual within such forty-eight-hour period, the law
enforcement officer shall release the individual. In no event shall an
individual be detained for longer than such forty-eight-hour period 
©
solely on the basis of a civil immigration detainer.]
(c) Prior to responding to a request for notification of an individual's
release date and time from custody of a Jaw enforcement agency, the
law enforcement officer shall forward the request to the head of the
law enforcement agency for review.
(d) Any confidential information of an individual who comes into
Public Act No. 19-20 
6 of 8

Substitute Senate Bill No. 992
contact with a law enforcement officer may be disclosed to a federal
immigration authority only if such disclosure is:
(1) Authorized 
_in writing by the individual to whom 
_the
information pertains, or by the parent or guardian of such individual if
the individual is a minor or not Jegally competent to consent to such
disclosure;
(2) Necessary in furtherance of a criminal investigation of terrorism;
or
(8) Otherwise required by law.
(e)_ 
(1) Upon receiving a_civil immigration detainer, a_law
enforcement agency shall provide a copy of the detainer to the affected
individual who is the subject of the detainer and inform the individual
whether the law enforcement agency intends to comply with the
detainer. If a law enforcement agency provides ICE with notification
that_an individual is being, or will be released on a certain date, the
law enforcement agency shall promptly provide to the individual and
to the individual's attorney or one other individual who the individual
may designate, a copy _of such notification as well as the reason, in
writing, that such law enforcement agency is complying with the
detainer.
(2) All records relating to ICE access maintained by law enforcement
agencies shall be deemed public records under the Freedom _of
Information Act, as defined in section 1-200. Records relating to ICE
access include, but_are not limited to, data maintained by the law
enforcement agency regarding the number and demographic data of
individuals to whom the agency has provided ICE access, the date ICE
access was provided to an individual, the type of ICE access provided
to an individual, the amount of resources expended_on providing ICE
access and any communication between the law enforcement agency
Public Act No. 19-20 
7 of 8

Substitute Senate Bill No, 992
and any federal immigration authority.
(3) Beginning January 1, 2020, 
the legislative body of any
municipality with a law enforcement agency that has provided ICE
access to an individual during the prior month shall provide to the
Office of Policy and Management, on an ongoing monthly basis, data
regarding the number and demographic data of individuals to whom
the law enforcement agency has provided ICE access, the date ICE
access was provided to an individual and whether the ICE access was
provided as part of compliance with a civil immigration detainer or
through other means, Data may be provided in the form of statistics or,
if statistics are not maintained, as individual records, provided
personally identifiable information is redacted.
(f) The Office of Policy and Management shall ensure that the
requirements of this section are disseminated to, and appropriate
training is provided for, all affected Jaw enforcement agencies and
school police or security departments and employees and agents of
such law enforcement agencies and_ school police 
_or_ 
security
departments. Such training may entail how law enforcement officers
and _ other officials performing similar duties will adhere to the
provisions of this section and how they will interact with crime
victims, criminal suspects and individuals cooperating with law
enforcement officers.
(z) No provision of this section shall be construed_to provide,
expand or ratify the legal authority of any law enforcement agency to
detain an individual based on a civil immigration detainer request.
Approved June 18, 2019
Public Act No. 19-20 
8 of 8

Appendix B
Fillable Form Example
Section 54-192h(e)(3) of the Connecticut General Statutes requires legislative bodies of municipalities
with law enforcement agencies that provide U.S. Immigration and Customs Enforcement (ICE) access to
an individual during the prior six months to report data to the Office of Policy and Management
(OPM). An Act Concerning the Trust Act (Public Act 19-20) amended Section 54-192h(e)(3), a portion of
which appears below:
Beginning January 1, 2020, the legislative body of any municipality with a law enforcement agency that
has provided ICE access to an individual during the prior six months shall provide to the Office of Policy
and Management, on an ongoing basis every six months, data regarding the number and demographic
data of individuals to whom the law enforcement agency has provided ICE access, the date ICE access
was provided to an individual and whether the ICE access was provided as part of compliance with a civil
immigration detainer or through other means. Data may be provided in the form of statistics or, if
statistics are not maintained, as individual records, provided personally identifiable information is
redacted.
This fillable form asks respondents questions to generate the following data consistent with those
required by statute:
e The number and demographic data of individuals to whom the law enforcement agency has
provided ICE access,
e The date ICE access was provided to an individual, and
« Whether the ICE access was provided as part of compliance with a civil immigration detainer or
through other means.
Please submit one entry per individual to whom the law enforcement agency in your municipality has
provided access during the six-month period covered in your submission to OPM.
Municipalities with Resident State Troopers or that fall under Connecticut State Police (CSP) jurisdiction
are exempt from reporting data because this information is collected separately by CSP.
Although not explicitly required by statute, but to aid data-collection efforts, municipalities that have
not granted ICE access to an individual during a six-month period are still asked to populate the
fillable form and indicate as such.
Please submit data following reporting periods covering January 1 to June 30 and July 1 to December
31. Deadlines are scheduled approximately two months following the end of each reporting period.
¢ January 1— June 30: Please submit information by September 1. 
11
1/24/2022, July 
1 - December 31: Please submit information by March 1.

If you have any questions, please contact TrustActData@ct.gov (mailto:TrustActData@ct.gov) to receive
assistance from a staff person within our division. Thank you for assistance with this statutory
requirement.
A copy of An Act Concerning the Trust Act can be found by following this link:
https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?
selBillType=Public+Act&which year=2019&bill num=20
(https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?,
selBillType=Public+Act&which year=2019&bill num=20),
*All information collected herein will be conferred to the State of Connecticut Office of Policy and
Management.
* Required
Basic Request Information
1.Reporting Agency Name: *
2. Reporting Period Start Date: *
©) January 1st
© July ist
3.Reporting Period End Date: *
Must be six months from the start date entered above.
O June 30th
© December 31st
1/24/2022

4. Reporting Period Year: *
5.
© 2021
© 2022
©. 2023
© 2024
O
Other
Did your agency grant the Department of Homeland Security, Immigration and Customs
Enforcement (ICE) access to any individual in your custody during the reporting period
entered above? *
O Yes
O No
6. Was the person detained held in Connecticut State Police barracks? *
ls
1/24/2022
O Yes
O No
What was the basis for providing the Department of Homeland Security, Immigration
and Customs Enforcement (ICE) access to the individual? *
"Civil immigration detainer” defined as a detainer request issued pursuant to 8 CFR 287.7
If you select the “Other” option, please explain.
O Compliance with civil immigration detainer
O
Other
13

Information on Individual to Whom Access Was Provided
8. Age of individual: *
Enter “unknown” if not known.
9, Gender of Individual: *
O Male
O Female
O Other
10. Ethnicity of Individual: *
O Hispanic
O Not Hispanic
O Unknown
11, Race of Individual: *
O Black or African American
O White or Caucasian
O Asian
©) ‘wo or More Races
O Other
O Unknown
1/24/2022

Request Details
12. If applicable, date that ICE made contact with the requested individual:
Format: M/d/yyyy
This content is neither created nor endorsed by Microsoft. The data you submit will be sent to the form owner
ij Microsoft Forms
1/24/2022
15