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Police Report Request Form

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San Jose Police Department
Bureau of Administration

(408) 277-4141
https://www.sjpd.org

Records Division
Police Report Request Form

Complete the form below, then click Generate PDF to download a copy or Print Form to print directly.

Fees

Accident Reports: Please make your check payable to "City of San Jose" and in the dollar field write: "NOT TO EXCEED $16.00"

Crime Report Fees: Fees will be calculated based on the number of pages in the report.

Include a copy of your Photo I.D. AND your check made out to: "City of San Jose".

Fees change annually – For an updated Fee Schedule visit: https://www.sjpd.org/records/fees/

Important Notes

  • If you were cited or arrested in relation to the requested crime report, contact the District Attorney's office for the requested documents at (408) 299-7400.
  • Please complete all four sections below and sign. ONLY one report per request form.
  • Please provide as much information as possible. This form may be delivered in person or mailed to the police department.
  • Please include a self-addressed stamped envelope to ensure prompt delivery.
  • (Type out information or print out and fill in by hand.)

Request Form

First name is required.
Last name is required.
Street number is required.
Street name is required.
City is required.
State is required.
Zip code is required.
Telephone is required.

2. Check Applicable Type of Report

Case report number is required.
Date of incident is required in MM/DD/YYYY format.
Location of incident is required.

3. I Certify That I Am:

At least one certification option must be selected.
0/400 characters
Reason is required.
Signature is required.
Date is required in MM/DD/YYYY format.
Driver's license number is required.
State is required.

California Vehicle Code Section 20012 Declaration

California Vehicle Code Section 20012 makes all required accident reports and supplemental reports confidential except to the following persons. Please select the item that best describes your association with this accident or relationship with a person involved in this accident.

I have reviewed Section 20012 of the California Vehicle code and have accurately selected the most appropriate item that describes my association to the accident or relationship with the accident victim.

We will be unable to process any accident reports that occurred outside of San Jose. This includes interstate highways that pass through the city, unincorporated areas of the city, other surrounding cities and county locations.

By selecting the "Yes" check box below, you are confirming that the incident did occur within the boundaries of the city of San Jose and that you are entitled to a copy of the report.

You must confirm that the incident occurred within the city of San Jose.

Attorney Declaration

California Vehicle Code Section 20012 requires attorneys to declare under penalty of perjury that he or she represents any of the listed persons. Therefore, additional information is required before being allowed to obtain copies of CHP 555 (Accident Reports)

FOR ATTORNEYS ONLY: By checking "Yes," I declare under penalty of perjury under the laws of the state of California, that I represent a listed person and all other information contained herein is correct and true.

You must check "Yes" to confirm your declaration under penalty of perjury.
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