Western Australia Police Force
Application for Abridged Crash Report
For use by Involved Parties ONLY
Public Access
Office of Information Management
Level 5 Westralia Square, 141 St Georges Terrace
PERTH WA 6000
Enquiries: (08) 6229 5900 or [email protected]
CRASH FILE NUMBER OR INCIDENT REPORT NUMBER (IF KNOWN)
ONLINE CRASH REFERENCE NUMBER (IF REPORTED ONLINE)
Details of Involved Party
SURNAME / BUSINESS NAME
GIVEN NAME(S)
DATE OF BIRTH
INVOLVEMENT (E.G. DRIVER, PASSENGER, PROPERTY OWNER, ETC.)
POSTAL ADDRESS
SUBURB
STATE
POSTCODE
TELEPHONE NUMBER
EMAIL ADDRESS
Incident Information
DATE OF INCIDENT LOCATION OF INCIDENT
ADDITIONAL INFORMATION TO ASSIST SEARCH
FEE: $49.20
I have read, understood and agree to the terms under which the information is to be released.
SIGNATURE _____ ______________________________________________ DATE _____________________________________
Application Checklist (Applications must include the following to be accepted)
Completed application form.
A copy of your photo identification (e.g. driver’s licence, photo card, passport).
Payment. Cheques and Money Orders to be made payable to “The Commissioner of Police”. Money Order vouchers cannot be accepted
and will be returned.
Lodged in person at the Office of Information Management, or by post to LOCKED BAG 20, PERTH BUSINESS CENTRE WA 6849.
For more information about Abridged Crash Reports visit www.police.wa.gov.au/Police-Direct/Apply-for-Information
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 nor the State of Western Australia nor any employee or agent of the WA Police 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 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.
2022/23