Records Request Form

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Please complete this form when requesting a University of Tennessee at Chattanooga Police Department traffic accident reports and police reports. You may also fax it to us at 423-425-2308. These reports are free to faculty, staff, and students.

Name

Phone Number

Email

Report Number

Date of Incident

Requestor's Driver's License Number

Requestor's Driver's License State

Description or type of incident

Affiliation to the Incident

(victim, defendant, private investigator, attorney, etc.)

Additional Information We Need to Know

Method of Delivery for Requested Information

Pick up (We will call you when the material is available for pick up.)
Email (provide email address)
Fax (provide fax number)
Mail (provide full mailing address)

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Records Request Form

Police

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