Form Center

2. Use this form to request a public copy of an incident report from the Winston-Salem Police Department.

4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address*
10. Date of incident*
    Date of incident
11. Report number
13. Incident Address
15. City
16. State
17. ZIP Code
19. Method to receive report*
    -- Select One --Pick-upEmailFaxMail
21. For pick up:

    You will be notified at your provided contact when the report is ready. All reports should be picked up at the Vivian H. Burke Public Safety Center, 725 N. Cherry Street.

23. Address to receive report
25. City
26. State
27. ZIP Code
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field