EXETER POLICE DEPARTMENT
20 Court Street
Exeter, NH 03833
REQUEST FOR DISCOVERY
Today’s
Date:
Date of
ARREST:
Location of
ARREST:
NOTE: I understand that this is a formal request for discovery under District Court Rule 2.10
Full Name: DOB:
Address: City, State, Zip:
Work/Day
Phone #:
Evening
Phone:
Cell
Phone:
I hereby request a copy of a report relative to my arrest for the following charge(s):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Pick up at Exeter PD Send by Mail
_________________________________________________ _______________________________
Your Signature Date
OFFICIAL USE ONLY
Date Received:__________________ Date Released/Sent:__________________ Case #:__________________
Type of Request: Walk-In Request Mail-In Request
Type of Identification: Valid Photo Driver License State Issued Photo ID Valid Military ID
(Attach copy)
Valid Passport Other (specify)________________________
Request Completed By:___________________________________
Request Denied Reason:___________________________________________ Signature:____________________
