Request For Police Report printable pdf download

Request For Police Report

Newton Police Department

Policies & Procedures

Records (82)

Request for Police Report - Form

Introduction

• For records accountability, information accuracy and time management the

following form must be made out for all walk-in records requests.

• Accordingly, in order to receive copies of police reports all of the following

information must be completed and the appropriate fee paid.

• The fee for all report copies is five dollars ($ 5.) per page.

Information

DATE OF REQUEST: ___________ DATE OF INCIDENT: ___________

CHECK ONE OF THE FOLLOWING:

I wish the report mailed ( )

I will pick-up the report ( )

CHECK TYPE OF REPORT REQUESTED:

M/V Accident ( ) Arrest ( ) Incident ( ) Log Entry ( )

PERSON REQUESTING REPORT:

Last: ________________________ First: ____________________ MI: _________

Address: _____________________________________________________________

City/Town: ________________State: _____ Zip: _______ Phone: _____________

IDENTIFICATION OF PARTIES INVOLVED:

Last: ________________________ First: ____________________ MI: _________

Address: _____________________________________________________________

City/Town: ________________State: _____ Zip: _______ Phone: _____________

Last: ________________________ First: ____________________ MI: _________

Address: _____________________________________________________________

City/Town: ________________State: _____ Zip: _______ Phone: _____________

Unless there is an exigent situation, in which case we will try to accommodate

Conclusion

you, please allow for five (5) days for compliance with this request.

Requestor’s

Signature

____________________________________________________________

Request For Police Report