Request for Merrimack College Police Report
Submission of this form is required for all requests for Merrimack College Police Reports. Requests will be processed and a determination regarding release will be made within 10 days of the request. To comply with FERPA, some requests will be reviewed by the Merrimack College Legal Department for release approval.
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Email *
Today's Date *
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Requestor's Name *
Home Address *
College Address
Resident students should provide their campus residence information
Phone *
Date of Incident *
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Incident or Log Number
If known
Type of Report
Examples: Accident, Arrest, Medical
Person(s) Involved in Report
Reason for Your Request *
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