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FOIA Records Request Form (Police Department Only)

  1. Note:

    To request a report involving a traffic crash please click HERE.

    This form is for Non-Traffic Crash reports only.


  2. REQUESTOR DETAILS
  3. Verification

    Please choose one of the following ways to verify your identity.

  4. DMV Customer ID number listed on Driver's license or DMV ID card

  5. If you are requesting this information as a member of the media please indicate which organization you are representing.

  6. If you are representing a person involved in the incident please list their name.
  7. If you have an insurance claim number related to this incident please list it here.

  8. Please attach a letter of representation along with your request.

  9. Please attach a signed release from your client indicating the Roanoke Police Department is authorized to release records to your company.

  10. Do you have the Incident Number(s)?*
  11. Please include street address if known
  12. If known
  13. If known
  14. DELIVERY & BILLING ADDRESS

    Please let us know where you would like the requested information sent to if approved by the City Attorney. 

    This is also the address that will be billed for the associated costs. Please click here for additional information concerning related costs.

  15. Instructions
    Please describe below the information you are requesting with as much detail as possible to ensure we provide you the correct information. If there is additional information not captured in the choices above (multiple dates, times, etc) please indicate that here.
  16. Please be as specific as possible
  17. Please enter your PO# (4 digits only)
  18. Leave This Blank:

  19. This field is not part of the form submission.