Pd 542 061 Form PDF Details

Facing the aftermath of a crime or the loss of personal property can be a trying time for anyone. In such situations, New York City residents have a structured process to follow, facilitated by the PD 542-061 form, also known as the Verification of Crime/Lost Property report. This form plays a crucial role for complainants or victims (or their authorized representatives) seeking to obtain official documentation from the New York City Police Department. The process, designed to be as accessible as possible, allows the submission of requests by mail or online—a boon for those unable to make in-person visits. The form requires specific details to process the request accurately, including the complaint number and the precinct where the event was reported. Without this crucial information, verifying the request becomes challenging. Furthermore, the form includes provisions for designating an authorized representative through a notarized Authorization Letter, ensuring the process is inclusive and considerate of the victim’s circumstances. Importantly, it underscores the NYPD's commitment to assistance and transparency, offering these services free of charge to the applicant. With a self-addressed stamped envelope, applicants can receive the much-needed report, facilitating possible insurance claims, emotional closure, or further legal actions. Understanding the importance and the process of the PD 542-061 form is essential for anyone navigating through the challenging times following a crime or loss.

QuestionAnswer
Form NamePd 542 061 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescrime lost property, form verification crime, how to form lost property, how to verification lost

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VERIFICATION OF CRIME/LOST PROPERTY

PD 542-061 (Rev. 05-19)

Requests for Verification of Crime/Lost Property reports from complainants/victims, their authorized representative, or an authorized third party will be completed free of charge. Complainants/Victims designating an authorized representative must also complete and submit a notarized AUTHORIZATION LETTER [page 2]. All applicants must enclose a stamped self-addressed envelope. Please mail requests to: New York City Police Department, Criminal Records Section (Verification Unit), 1 Police Plaza, Room 303, New York, NY 10038. Complainants/Victims can also request a copy of a Verification of Crime/Lost Property report by submitting their request online at https://www1.nyc.gov/site/nypd/services/law-enforcement/record-requests.page. In order to find this record you

MUST furnish all information requested below, particularly the complaint number and precinct of record (occurrence).

Verification of your request cannot be made without this information. The complaint number may be obtained by calling

the precinct or detective squad concerned during the hours of 7 a.m. to Midnight.

F O R U S E B Y N Y P D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Complaint Number

 

 

* Precinct of Report

 

Exact location where crime took place

 

 

 

 

 

 

 

Mail Record To:

 

 

 

 

 

Full name and address of complainant/victim as reported to Police Department

(Print or Type)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date reported to Police

 

Time (if known)

This report concerns: Crime

Lost Property

 

 

 

 

 

Other (describe)

 

 

 

 

 

 

 

 

Date and Time of Crime /

Date

 

 

Time

Name of officer who received your report, if known.

Loss of Property (if different

 

 

 

 

 

 

 

than date of report)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Any additional information which may aid in searching for your record

Applicant’s Name

Applicant’s Signature

Date

FOR POLICE DEPARTMENT USE ONLY – DO NOT WRITE BELOW THIS LINE

THE FOLLOWING IS A VERIFICATION OF THE ABOVE REQUEST INCLUDING PROPERTY INVOLVED

Raised seal required for validation

Alarm No.

Report verified by (print title, name/sign)

Date

PAGE 1

LETTER OF AUTHORIZATION FOR VERIFICATION OF CRIME/LOST PROPERTY REQUEST

(Only complete if designating an authorized representative)

Complainant/Victim’s Name: _______________________________________________

Address:

Date of Occurrence: __________________________

Precinct of Occurrence: _______________________

Location Crime/Loss Occurred: ____________________________________________________________

Name of Authorized Representative: _______________________________________________________

Authorized Representative’s Address:

To: New York City Police Department, Criminal Records Section (Verification Unit) 1 Police Plaza, Room 303, New York, NY 10038

This letter confirms my designation of the individual or firm listed above as my authorized representative to act on my behalf for the sole purpose of requesting crime/lost property information from the New York City Police Department in connection with the above-captioned occurrence and the accompanying completed Verification of Crime/Lost Property (PD 542-061) form. My authorized representative is hereby granted the right of access to information and the right to act as my agent regarding this request, and all communications sent by the New York City Police Department in regards to this request should be directed to the attention of the authorized representative. However, this does not preclude my intervention at a future date, and this authorization may be revoked, in writing, by me at any time.

I understand that when releasing information to the authorized representative, the New York City Police Department has no authority to control the future use or dissemination of this information. Therefore, I release the New York City Police Department, the City of New York and any officers, agents, or employees, thereof, from any and all liability that may arise out of the authorized representative’s possession and the use of the information and records.

This written authorization is effective the date signed and will remain in effect until the request has been completed or the authorization is revoked by me, in writing, whichever occurs first.

__________________________________

_________________

Complainant/Victim’s Name (Please Print)

Date

__________________________________

 

Complainant/Victim’s Signature

 

STATE OF NEW YORK

SS.:

COUNTY OF _______________________

On the ________ day of ____________________ in the year 20 _____ before me, the undersigned, personally

appeared ____________________________________________________________, personally known to me

or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual(s) acted, executed the instrument.

___________________________________________

[Affix Notary Stamp]

Notary Signature

 

PAGE 2

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