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DPSS - Request Incident Report
DPSS - Request Incident Report
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First Name
Please provide your first name
Last Name
Please provide your last name.
Address
Please provide your mailing address
City
Please provide your mailing city.
State
Please provide your mailing state
Michigan
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
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
Other/Not Applicable
Zip/Postal Code
Please provide your mailing zip code
Email
Please provide your preferred email
Phone
Preferred phone number - please include the full 10 Digits
Report Number
A report number or reference number should have been provided by the officer on the scene. Please provide that here.
Date of Report
(mm/dd/yyyy)
University Affiliation
What is your affiliation with the University of Michigan?
Student
Faculty/Staff
Alumnus
Non-Affiliate
Type of Report
What type of report was written.
Crime Report
Crash Report
Location of Incident
What was the location of the incident?
Name of Person on Report (if different)
If requesting a report for someone else, who was the named person on the report?
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code