PD 542-061: NYPD Verification of Crime/Lost Property

Enter the Complaint Number, the Precinct of Report and the Exact location where the crime took place.

Print or type the Mail Record To box and the Full name and address of complainant/victim as reported to the Police Department.

Enter the Date reported to Police and the Time (if known).

Under This report concerns, check Crime, Lost Property or Other (describe).

Enter the Date and Time of Crime / Loss of Property (if different than date of report), and the Name of officer who received your report, if known.

Enter any additional information which may aid in searching for your record.

Enter the Applicant's Name, sign as the Applicant's Signature and enter the Date.

Only complete the Letter of Authorization if designating an authorized representative: enter the Complainant/Victim's Name, the Address, the Date of Occurrence, the Precinct of Occurrence and the Location Crime/Loss Occurred.

Only if designating an authorized representative, enter the Name of Authorized Representative and the Authorized Representative's Address.

Only if designating an authorized representative, enter the Complainant/Victim's Name (Please Print) and the Date, and the Complainant/Victim signs as the Complainant/Victim's Signature.

Only if designating an authorized representative, enter the COUNTY OF under STATE OF NEW YORK SS. The notary part of the page has Notary Signature and (Affix Notary Stamp).

Complainants/Victims designating an authorized representative must also complete and submit a notarized AUTHORIZATION LETTER (page 2).

The letter confirms the designation of the individual or firm listed as the authorized representative to act on behalf of the complainant/victim for the sole purpose of requesting crime/lost property information from the New York City Police Department in connection with the captioned occurrence and the accompanying completed Verification of Crime/Lost Property (PD 542-061) form.

The authorized representative is granted the right of access to information and the right to act as the complainant/victim's agent regarding this request, and all communications sent by the New York City Police Department regarding this request should be directed to the attention of the authorized representative.

This authorization does not preclude the complainant/victim's intervention at a future date, and the complainant/victim may revoke it, in writing, at any time.

The complainant/victim understands 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 the information.

The complainant/victim releases 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.

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

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.

Please mail requests to: New York City Police Department, Criminal Records Section (Verification Unit), 1 Police Plaza, Room 303, New York, NY 10038.

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.