JCPD Report Request Form

POLICE INCIDENT REPORT REQUEST FORM

MAY TAKE UP TO 5 BUSINESS DAYS
NEW YORK STATE

Fees:

$0.25 per page | $5 per CD/DVD (media files)

Reports that can be emailed are sent at no cost.

All applicable fees must be collected before any record(s) are provided.

*NOTE: this form venue does not serve as our FOIL request process. This request form serves as an alternative simplified forum for persons related to an incident to obtain a copy of a police report. If you are unrelated to an incident or have a broader request for records, please follow our FOIL process by sending your request in writing to:

Johnson City Records Access Officer

243 Main St, Johnson City NY 13790

If you are seeking a motor vehicle crash report, they can be obtained instantly online at crashdocs.org or by following the link at jcnypd.org/records.
Requester Information
Date of Request

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPre-populated with today's date, cannot be changed.
Requester Name

First NameLast Name
Requester Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate of Birth
Requester Address

Street Address

Street Address Line 2

CityState

Zip Code
Requester Phone Number

Area CodePhone Number
Incident Information

Information in this section is used to help locate the requested report(s). Please provide as much information as possible.
JCPD Incident #
##-#### or "Unknown"
Date(s) of Incident
Please enter the date or dates when the incident occurred. If the exact date is unknown, provide an approximate day, month, or time range. Include as much information as possible.
Location of Incident
Please enter the address, intersection, business name, or general location where the incident occurred. Be as specific as possible.
Nature of Incident
In a few words, please provide a brief summary of the type of incident (e.g., “Dispute,” “Domestic,” “Civil Matter,” “Theft,” “Vandalism,” etc.).
Your involvement or reason for request
Please briefly describe your involvement in the incident, or explain your reason for requesting this report—especially if you are not named in the report. This information is helpful during the review process if have a reasonable interest that may outweigh other privacy interests.
Persons Involved

Names of persons involved in the incident or named in the report:
Person 1

First NameLast NameDate of Birth
Person 2

First NameLast NameDate of Birth
Person 3

First NameLast NameDate of Birth
Preferred method of delivery
E-mail record(s) to:
Mail record(s) to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
All applicable fees must be collected before any record(s) are provided.

You will be provided with an estimated cost and payment options before the record(s) are prepared.
Pick up is available at the Records Window located in the lobby of the Justice Building, 31 Avenue C, Johnson City NY 13790. Valid ID may be required.

Window hours are Monday-Friday 8:00 AM - 4:00 PM; closed on Holidays.
Within five business days of the receipt of this request, we will make such report available, deny such request in writing, or furnish an approximate date when such request will be granted or denied.

Police reports may contain personal or sensitive information. Requests for records are reviewed in accordance with the New York Freedom of Information Law (Public Officers Law § 84–90) to determine what information can be lawfully disclosed.

Under FOIL § 87(2)(b), access may be denied if disclosure would constitute an unwarranted invasion of personal privacy. Additionally, records compiled for law enforcement purposes may be withheld under § 87(2)(e) if disclosure would interfere with investigations, judicial proceedings, identify confidential sources, or endanger life or safety.

Submitting this form does not guarantee access to the full report. Information may be redacted or withheld in accordance with state law and department policy.

⚠️ Please check your junk folder and/or spam filter for any email responses from us. Emails will be sent from a "@jcpolice.com" domain.
Should be Empty:

POLICE INCIDENT REPORT REQUEST FORM

Requester Information

Incident Information

Persons Involved