REPORT
REQUEST
Note: Reports are not given out at the police
station. A written request must be
completed, and the report will then be mailed.
Date of Request: ______________________
Requested by (name):
__________________________________
Address:
_______________________________________________
City: ____________________________State:
_________________
Zip:____________________ Telephone: ______________
Type of Report (circle one) Motor Vehicle Accident Incident
Subject Involved name:___________________________________
Date/Time of Occurrence:__________________________________
Location of Occurrence:
___________________________________
Basic Fees:
(mail)
Checks payable to Town of
Motor Vehicle Accident
$5.00
Incident Report $1.00
Summons or Arrest $5.00
Massachusetts General Laws c. 66 s-10
allows ten (10) days to fulfill such request.
All reports shall be mailed as soon as possible. Any problems or unusual circumstances will be
communicated to you by phone.
Department use only:
Report Number:_______________________
Over counter by:___________________________
Fee:______________
Mailed by:________________________________
Date:_____________
Make checks payable to the Town of
Record Requests
Swansea Police Department,
Questions can be directed to Dispatcher Lori Jennings at 508-674-8464 or e-mail Disp. Lori Jennings