TUALATIN POLICE DEPARTMENT
Request For Case Report
$10.00 Fee
(Please allow 7-10 business days for processing)
DATE OF REQUEST: CASE NUMBER:
TYPE OF INCIDENT:
ACCIDENT THEFT BURGLARY CRIMINAL MISCHIEF OTHER
LOCATION OF INCIDENT:
REPORTED DATE AND TIME OF INCIDENT:
NAMES AND DATE OF BIRTH OF PERSON(S) INVOLVED:
PURPOSE OF REQUEST:
PRINT NAME OF PERSON REQUESTING COPY: SIGNATURE:
MAILING ADDRESS: PHONE NUMBER:
TUALATIN POLICE DEPARTMENT
8650 SW TUALATIN ROAD
TUALATIN, OREGON 97062
(503) 691-4800 (503) 692-9898 (FAX)
FOR DEPARTMENT USE ONLY
In the event a case report is not releasable, your draft will be returned to you.
Requests for open cases will be referred to one of the following:
District Attorney’s Office Juvenile Department Other _____________
Approved for Release Not Approved for Release
EMAIL ADDRESS:
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