RiskJockey: Request Evidence

Locate Reports, Video and other Law Enforcement Evidence

* denotes required field

Incident Information

Date of incident

Agency name*

Report #

Citation/Ticket #

Officer Last Name
(no badge numbers)

At-Fault/Cited Party

Full name

Date of birth

Reports/Evidence Requested

Your Information

Your involvement*
First name*
Last name*
Email*
Address*
Phone number	Required for Law Enforcement
Claim number	Required if Insurance Adjuster or Insurance Agent
Policy number	Required if Insurance Adjuster or Insurance Agent
File number	Required if Attorney or Paralegal/Legal Sec.
Representing	Required unless Driver, Passenger or Injured Party
	I authorize RiskJockey® to obtain all records and correspondence regarding this request on my behalf, and I agree to the Terms & Conditions below.
Statement of need*	I have a personal, professional, or business connection with a party to the accident/incident. I own or lease an interest in property allegedly or actually damaged in the accident/incident. I was allegedly or actually injured by the accident/incident. I was a witness to the accident/incident. I am the actual or alleged insurer of a party to the accident or property actually damaged by the accident/incident. I am alleged to be liable to another party as a result of the accident/incident. I am an attorney requesting reports/evidence as part of a criminal case, or an investigation of a potential claim involving contentions that a roadway, railroad crossing, or intersection is unsafe. I am conducting research in the public interest for such purposes as accident prevention, prevention of injuries or damages in accidents, determination of fault in an accident or accidents, or other similar purposes. I am a prosecutor or a publicly employed law enforcement officer, and/or, I am a governmental official, entity, or agency, or an authorized agent thereof, requesting reports for the purpose of carrying out governmental functions or legitimate governmental duties.

Notify Other Parties

Proactive Evidence Dissemination (PED) allows you to notify third parties about the accident/incident in question and the availablility of evidence.

Party type	E-mail	Claim #	Policy #	File #

Locate Reports, Video and other Law Enforcement Evidence

Incident Information

Reports/Evidence Requested

Audio, Video & Photographs

Estimates

Records Requests

Reports

RiskJockey® Analytics

Other

Your Information

Notify Other Parties