LAS VEGAS METROPOLITAN POLICE DEPARTMENT
REQUEST FOR REPORT/BACKGROUND CHECK VIA MAIL
LVMPD 548 (Rev. 6/21)
Date:
I, , with date of birth as , SSN (last 4 digits)
am requesting a copy of my:
Background Check (Select One)
Adoption Immigration Missions Sealing Other
Police Report
Crime Report Trafc Accident Report Declaration of Arrest Other
Please enter as much information as possible to assist in research.
Event Number:
Date of Occurrence or Report Filed date:
Location Incident:
ForTrafcAccident:
License Plate Number:
Location of Accident:
Pleasemailmycopyto:
Name:
Address:
City: State: Zip:
Daytime Phone: Email Address:
I have also enclosed a notarized photocopy of my valid (not expired) government issued photo identification.
I have also enclosed my $11 payment (per report requested) made payable to the Las Vegas Metropolitan Police Department in
the form of: Money Order Cashier’s Check
I acknowledge that I am entitled to make this request as a person named in the report under the given event number.
(Printed Name of Requestor)
(Signature of Requestor) (Must be Notorized)
State of
County of
This instrument was acknowledged before me on
by
Remitpayment,photocopyofIDandrequestto:
Las Vegas Metropolitan Police Department
Attn: Correspondence Section
400 S. Martin Luther King Boulevard
Building C
Las Vegas, NV 89106
(Date) (Printed Name of Signer)
click to sign
signature
click to edit
![]()
