Required fields are marked with asterisks (*)

Occurrence Report Request

This form is not to be used for Freedom of Information requests.

FEE: $56.50 PER REQUEST

You will be notified by email when your request is ready for pick up. IN PERSON pick up is required for identity verification and payment. Pick up is at 2485 North Service Road West, Oakville ONLY.

For questions about your request, contact records@haltonpolice.ca.

Occurrence Information

Occurrence Number

Occurrence Location

Occurrence Date

Licence Plate (if applicable)

Officer's Name

Badge Number (if known)

Type of Report

Motor Vehicle Collision (including damage to property caused by a vehicle)

Collision Report Statements

Please provide location or cross streets

If your request does not fall into one of the above categories, you need to complete a Freedom of Information Request.

If your passport is lost or stolen, you need to complete a Freedom of Information Request.

Description of Occurrence, Purpose of Request and Involvement

Personal Information

First Name

Requester's Last Name

Middle Name

Date of Birth

Home Address

City/Town

Postal Code

Phone Number

Email Address

Date

Signature

Clear

FEE: $56.50 PER REQUEST

You will be notified by email when your request is ready for pick up. IN PERSON pick up is required for identity verification and payment. Pick up is at 2485 North Service Road West, Oakville ONLY.

For questions about your request, contact records@haltonpolice.ca

Information on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used to process and respond to your request for information contained in our files. Questions about this collection should be directed to: Freedom of Information Coordinator, Halton Regional Police Service, 2485 North Service Road West, Oakville, On L6M 3H8, (905) 825-4710.

Form Builder

Occurrence Report Request

Occurrence Information

Personal Information

FEE: $56.50 PER REQUEST