RESEARCH FORM

Please provide the following information:

First and Last name of requester:

Requester's physical address:

Requester's email address:

Requester's phone number:

The phone number which placed the 911 call:

Name of person who called 911:

Requester's relationship with the person who called 911:

City and State of 911 call:

County of 911 call:

The address where emergency personnel were dispatched:

The date of the 911 call:

Time of 911 call (Indicate AM or PM):

Name of victim/person who needed 911 assistance:

List any persons who are minors:

Describe the incident:
Was an arrest made?
Provide any incident report number:


I Agree to the following terms

  1. I agree to pay the $25 nonrefundable deposit fee.

  2. I acknowledge that, if a 911 call is available, I will be required to pay the $80 balance due prior to receiving the audio file.
  3. I acknowledge that it is possible that a 911 call file will not be available.
  4. I acknowledge that it may take at least 4-8 weeks or longer to receive the file, depending on the jurisdiction's retention period.