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Tell City PD Records Request Form
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Your Name:
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Your answer
Current Date:
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MM
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DD
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YYYY
Your address:
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Your answer
Your telephone number:
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Your answer
Your email address:
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Check applicable type of report:
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Choose
Traffic Accident
Crime/Incident Report
CAD Report
Crime or Incident Data
Other (explain below)
If "other" was selected, please explain:
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Case Report Number (if available):
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Date of Incident:
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MM
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DD
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YYYY
Location of Incident:
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Your answer
Please provide the name(s) of any other parties involved in the incident:
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Please select the option that best describes your involvement in the incident:
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Named in the Report
A Government Agency
An Authorized Representative of a Person Named in the Report
Insurance Agent
Other
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