HomeMy Public PortalAboutIncident Request Form-RecordsWATERTOWN POLICE DEPARTMENT '630
Bureau of Administrative Services �y
552 Main Street, Watertown, MA. 02472
Records: (617) 972-6527 Fax: (617) 600-1381
REQUEST FOR AN INCIDENT REPORT
Please print neatly
REQUESTING PARTY
Today's Date
Name:
Telephone number(s) where you can be reached
Address :
Your involvement in the incident (victim, suspect, reporting person)
Okay to Photocopy ID or Driver's License : Yes No
How would you like the results? (see notes below) mailed _will pick up e-mail
INCIDENT INQUIRY
Full Name of individual(s) involved in incident:
Date of Birth: Social Security Number: Driver's License Number:
Incident Report Number (if known)
Date of the incident: Time of the incident:
Type of incident:
Address of the incident:
Signature :
Date :
NOTE : Release of any record is subject to the provisions and allowable fees of the Public Records Laws. All
estimated fees to be paid by Bank Check payable to the Town of Watertown. (no personal checks allowed, estimated
fees may apply in advance) If payment has not been received within ten days, we will close this request without any
action. TIME requirements: Generally notification is made within 10 business days of the date of the request. You
will be notified when the results are ready to be picked up or mailed upon prior agreement. Results will be held at the
records desk for 10 days after the date they are completed for agreed upon station pickup.
For your convenience, please do not come to the station for the results until you have been notified.
Form Date: July 09, 2018