Special request for information documents from ACT Policing

This form should ONLY be used to request special information documents, where ACT Policing has provided you a quote.

Step 1 - Please complete the below, then submit the form.

Applicant/client/victim contact details
(type unknown if unknown)
(street number and name, suburb, state, postcode)
(reason why documents are sought and in the case of accidents also include driver & vehicle details and insurance ref/claim number)
(street number & name, suburb, state & postcode)
A payment receipt will be sent here
Declaration *
False or misleading information is an offence *
Undertaking *
Special report request cost
This is based on figures that you have been quoted by ACT Policing