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2. Report copies cannot be processed immediately. We require 10 business days to complete your request. Please note that traffic collision reports can take up to 30 days to complete. We appreciate your patience.

   An email copy of the form submission will be sent as confirmation that our office received the request.

4. Case Number OR Incident Number:
6. Incident Date:*
   Incident Date:
7. Incident Address:*
9. Your case relationship:*

   1. Victim

   1. Suspect or Arrested Person

   1. Other
11. If other, please explain:
13. Daytime phone number in case we have a question:*
17. Name:*
19. Address:*
21. City:*
22. State:*
23. Zip:*
25. Email:*
27. Method of Delivery:*

    1. Email

    1. USPS
28. Attach Photo ID:*
32. Third Party Request:
    If you are a third party requesting a client's report, please attach a Client Authorization Waiver with their signature.
33. Attach Client Authorization Waiver:
37. I declare under penalty of perjury that the above is true and correct.
39. Initial below:*
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field