Town of Ashland

137 Main Street

Ashland, MA  01721

508-881-1212

 

REQUEST FOR POLICE RECORD

In order to process your request please provide as much information about the report you are requesting. There is a $5.00 charge due at the time of request . Please print out this request, enclose a check or money order payable to The Ashland Police Department, and a self addressed stamped envelope to:

The Ashland Police Department

Attention: Records

137 Main Street

Ashland, MA  01721   

Date: _____________

Name of requesting party: _________________________________________________________

Address: ______________________________________________________________________

              ______________________________________________________________________

Daytime Phone:_______________

Nature of your request / reason: ___________________________________________________

Your involvement: ______________________________________________________________

Nature of incident requesting: ______________________________________________________

Log call if known: __________________

Date of incident: _____________________ Time of incident: __________________

Location: ______________________________________________________________________

______________________________________________________________________________

If requesting a motor vehicle collision report:

Plate: ____________ State: ____________

Registered owner: ______________________________________________________________

Registered owner’s address: _______________________________________________________

______________________________                                                 ______________________

Signature                                                                                             Date

Unless notified, all requests will be processed within one week.

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