NEW LEBANON POLICE DEPARTMENT 198 South Clayton Road New Lebanon OH 45345-9636

Phone: 937-687-1341 Fax: 937-687-9006

Police Report Request

Type of Report:

                              Vehicle Crash                     Date of Report:______________________

                              Criminal  Offense               Report Number (If Know):_____________

                              Officer’s Daily                    Officer (If Known):__________________                    

FOR OFFICERS DAILY LOG YOU NEED TO HAVE THE DATE AS THEY ARE ONLY TRACKED BY DATE

 Name of Person on Report:__________________________________________________

Address on Report:________________________________________________________

 Any information that will help in locating reports requested:_______________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 Name of Person Requesting Report: __________________________________________

 Telephone Number of Person Requesting Report:________________________________

 Fax Number of Person Requesting Report:_____________________________________

 NOTE: The report may not be available for at least 24 hours. There is a $2.00 charge for each report, payable at the time of the request.

 PRINT AND TURN IN AT VILLAGE OFFICES

New Lebanon Police DepartmentEmergency Call 9-1-1

198 S. Clayton Road
New Lebanon Ohio 45345

Dispatch 687-3080 
Village Office 687-1341
Montgomery County Municipal Court Western Division 
687-9099
 
Please record your serial numbers help us be able to help you.