RiskJockey: Request Evidence

Enter Information to Locate Law Enforcement Audio, Video, and Reports

Agency Name
Date of Incident*
Report #
Citation/Ticket #
Street & Intersection*
Time*
County*
Officer Full Name
Troop / Post
Cited/At Fault Party**
DOB**
Involved Party

* Required for 911 recording
** Required for citation and disposition

Reports/Evidence Requested

Your Information


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

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.

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 Third Parties (Optional)

Party type	E-mail	Claim #	Policy #	File #

I authorize RiskJockey® to obtain all records and correspondence regarding this request on my behalf. I also agree not to disseminate any materials received from RiskJockey to any unauthorized third party. Furthermore, I agree to the Terms & Conditions below.

Enter Information to Locate Law Enforcement Audio, Video, and Reports

Reports/Evidence Requested

Audio

Estimates

Minimum Payment Required ($37.50 plus agency fees)

Record Requests

Reports

RiskJockey® Analytics - (minimum charges apply)

Video & Photographs

Other

Your Information

Statement of Need*

Notify Third Parties (Optional)