Record of Crime Incident

Applicant Involvement

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Victim Details

Incident Details

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Applicant Authorisation

Your application must be supported by the following documents:

- A copy of your photo identification (e.g. drivers licence, passport, photo card).
- If you are applying on behalf of your organisation, a letter of consent on your company letterhead authorising you to obtain the information.

- A signed letter of consent from the victim authorising you to obtain information on their behalf. N.B. Representatives acting on behalf of an insurer, who in turn is representing the victim, must provide signed consent from the victim authorising you to obtain the information.

- A copy of your photo identification (e.g. drivers licence, passport, photo card).
- Documentary proof of representation (e.g. relevant representation order or certificate).

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Disclaimer

The information contained in the publication is made available in good faith and is derived from sources believed to be reliable and accurate at the time of publication. However, the information is provided solely on the basis that readers will be responsible for making their own assessment of the matters contained therein and that readers will verify all relevant representations, statements, information and advice. Changes in circumstances after publication may affect the accuracy of the information. No assurance is given as to the accuracy or completeness of any representation, statement, information or advice contained in the publication.

Neither the WA Police Force nor the State of Western Australia nor any employee or agent of the WA Police Force or of the State shall be responsible or liable for any loss, damage, or injury (including death) howsoever caused (whether caused by the negligent or other unlawful act or omission of, by or on the part of the WA Police, the State, or any agent or employee of the WA Police Force or the State arising from the use or reliance on any information, data or advice (including incomplete, out of date, wrong, inaccurate or misleading information, data or advice) expressed or implied in, or coming from, the publication by any person.