Please complete this form in full to ensure your request can be completed in a timely manner. Allow a minimum of two (2) business days to complete your request. Records Bureau Hours Monday-Thursday 7am – 12pm and 1pm – 3pm Friday 7am – 12pm Records Bureau Phone # 973-890-4507 * indicates a required field Date of Request: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2023202420252026 Type of Report: - None -Incident ReportMotor Vehicle CrashMedical EmergencyTheftProperty DamageFraudOtherUnknown Incident #: First Name: * Last Name: * Home Address House/Apt#: * Street Name: * City * State * Zip Code * Phone#: Type Home Work Mobile E-Mail: * Fax# Additional notes regarding request
