Please provide the information below concerning who you are and the case you want a record/report for.

* Required Field

Incident Being Requested

Vermont State Police Case Number:	(Locate a State Police Case Number by contacting the state police barracks)
Please fill in as much information as possible. The information you provide is used to ensure you are provided with the CORRECT report. We do not provide refunds once a report has been shipped.
Date of Incident:	MM 01 02 03 04 05 06 07 08 09 10 11 12 / DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934
Name of Parties Involved: (Include any aliases)
Type of Incident:

Requestor Information

First Name: *
Last Name: *
Telephone: *	() - extension:
The mailing address you enter below will be the address your order is shipped to.
Mailing Address: *
Mailing Address (cont.):
Mailing City: *
Mailing State/Province: *	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Mailing Postal Code: *	-
Email Address: *
Relationship to Case: *	Select One Law Firm Insurance Victim Family Member Accused Involved Party Other
	If 'Other', Please Explain:
Reason for Request: *

Documents/Reports Being Requested

Document(s) being Requested: * (Check at least one)

Police Report ($20.00) Photo CD ($20.00) DUI Incident Video ($45.00) Non-DUI Incident Video ($45.00) Audio Recording ($45.00)