Chelsea Police Department - Request For Copies Of Police Reports

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CHELSEA POLICE DEPARTMENT
19 Park St. Chelsea, Mass. 02150
(617) 466-4802 or (617)466-4801 (FAX) (617) 466-4851
REQUEST FOR COPIES OF POLICE REPORTS
This form is to be filled out for all requests to receive copies of police reports from the Chelsea Police
Department. No reports will be released until full payment in the form of either cash or money order
has been made, and “No copies of accident reports are to be released until all parties involved in
the accident have filed their accident report with this department.”
IF THE REPORT IS TO BE MAILED TO YOU:
Copies for Accident Reports are $5.00 for the first six (6) pages. All other reports cost $1.00 per page.
Submit the completed form to the department with the appropriate fee and the copy will be prepared
and mailed to you. This is usually done within five (5) days of the receipt of the form.
IF YOU PICK UP THE REPORT AT THE STATION:
Reports picked up at the station, including accident reports are $.50 per one (1) sided page. Either mail
or Submit the completed form in person to the Central Records Bureau during regular business hours
(Mon, Wed, Thurs, 8:30 -4:00 Tues 8:30 – 7:00 Fri 8:30 – 12:00) with the appropriate fee and the copy
can be picked up at the Central Records Bureau, ten (10) business days from receipt of the form.
1.
WILL YOU PICK UP THE REPORT OR DO YOU WANT IT MAILED?________________
2.
WHAT TYPE OF REPORT ARE YOU REQUESTING?______________________________
(Accident – Incident – Offense – Log Entry)
3.
DATE INCIDENT OCCURRED:__________________ LOCATION:____________________
4.
REQUESTERS INFORMATION:
LAST NAME:__________________________________ FIRST:________________________
ADDRESS:___________________________________________________________________
CITY/TOWN:___________________________ STATE:_____________ ZIP:_____________
DATE OF BIRTH:_____________________________________________________________
5.
SUBJECT INVOLVED IN INCIDENT:
LAST NAME:__________________________________ FIRST:________________________
ADDRESS:___________________________________________________________________
CITY/TOWN:___________________________ STATE:_____________ ZIP:_____________
DATE OF BIRTH:_____________________________________________________________
CENTRAL RECORDS PERSONNEL USE ONLY
FEE PAID $__________ DATE:__________ RECEIVED BY:_________________________
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