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2. 

3. The City of Garfield Heights

   Police Department

5. POLICE INCIDENT REPORT REQUEST

   (PLEASE PRINT)
   

9. Requests not containing all of the correct information will not be processed.

   Requests containing all of the necessary information will be processed and returned within 3 business days.

13. Name*
15. Email Address*
17. Do you know the report number for the record you are requesting?
    -- Select One --YesNo
21. Date of Incident*
    Date of Incident
23. Details of Incident

    You must provide at least two of the three items below. If you don't know one of the items, please input "N/A".

25. Address of Incident*
27. Name of Person Involved*
29. Type of Report*

31. 5555 Turney Road Garfield Heights, OH 44125 / Phone 216-475-1234 / Fax 216-475-4472 / www.garfieldhts.org

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field