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Police Report Online Request Form

Fill out the information below, we will use this information to obtain your report. 

Blank fields may result in delay of obtaining the report.

( * = required informatiion)

Requestor's Name*        Claim Office*

  Phone *        Fax *       Email 

Claim Number  *       Name of Insured

Type of Report  (select a box)  *    Auto     Fire    Incident    Pedestrian    Theft     Other    

Police Department  *       County

Police Dept Case #      Date of Loss *      Time of Incident   

If requesting a DPS /Hwy Patrol report, give Trooper's name 

Location of Loss (address or hundred block) *

      Name of Person(s) Involved:  1)     2) 

Additional information 

SELECT ONE:  Type of service requested        REGULAR            RUSH  

For Rush service, an additional $5 surcharge is applied if the report is obtained within 2 business days. 

Our goal is to obtain this report quickly and every effort will be made to so.   Please note, Texas law allows  the reporting agency 7-10 business days to input a police report.    We will obtain this report quickly & efficiently for you. 

Press submit button below:


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