Request for Incident Report for Family Code § 6228

(Domestic Violence, Sexual Assault, Stalking, Human Trafficking, or Abuse of an Elder or Dependent Adult)

Request:
San Francisco Police Department
Records Management Section
1245 3rd Street, San Francisco, CA 94158-2102
[email protected]

Under CA Family Code § 6228, incident reports requested by a victim or his or her representative for the alleged crimes of domestic violence, sexual assault, stalking, human trafficking, and abuse of an elder or dependent adult are entitled to receive copies within five working days of the request, unless good cause for delay exists. If good cause exists, reports shall be released no later than ten working days after request is made.

Internal Use Only:

Date request received:

Date provided/mailed:

Date person notified if extension needed:

ID/DL for pick-up:

RMS staff ID#:

Request for Incident Report

Mail request to:	San Francisco Police Department Report Management Section 1245 3^rd Street, San Francisco, CA 94158-2102
Or email to:	[email protected]

There is no legal requirement to fill out this form in its entirety. However, certain individuals are entitled to receive more information pursuant to California Government Code § 6254 (f). The more information you provide may help the Department determine the amount of information provided to you.

Your name:

Address:

City, State, Zip:

Contact Phone:

Email:

S.F. Police Report #:

Name of Party Listed in Report, if not requestor:

Date of Birth:

Month

Day

Year

Your interest in this incident:

Type of Incident:

Date/Time of Occurrence:

Location of Occurrence:

Vehicle Involved (License plate number/state/year, make, model and color):

Please indicate how you would like to receive the requested incident report. (Allow 10 business days from the date of your request for processing):

U.S. Mail

Email:

Pick-up from 1245 3rd Street, 1st Floor, San Francisco, CA 94158, Monday-Friday (8:00am – 5:00pm), closed on weekends and holidays. Please call 415-575-7232 to confirm your report is ready for pick-up.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct:

Signature

Date

Note: TRAFFIC COLLISION REPORTS ARE ONLY PREPARED FOR HIT & RUN, DRUNK DRIVING AND PERSONAL INJURY CASES. Some reports are restricted and/or inaccessible.

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Request for Incident Report for Family Code § 6228

(Domestic Violence, Sexual Assault, Stalking, Human Trafficking, or Abuse of an Elder or Dependent Adult)

Request for Incident Report