Research Request

Full Name(Required)

Postal address(Required)

(include Post Code)

Contact Telephone Number(Required)

Email(Required)

Subject of Request(Required)

Concisely state what is required (e.g. “I require information on my grandfather’s police service…explain what you already know example name date of birth etc.)

Type of request(Required)

Former member of Western Australia Police Force

Other (place, incident, etc.)

Full Name(Required)

Previous Name(s)(Required)

Date of Birth(Required)

Dates of Service with WA Police Force (if known)

Other detail

(e.g. rank achieved)

Describe the place/incident(Required)

Relationship of Person Making Request to the Subject(Required)

Purpose for Which Request Is Made(Required)

Is the information intended for publication (including the web)

IS intended for publication

IS NOT intended for publication

Signature(Required)

Date

NOTE

On receipt of this form preliminary research will be undertaken. An invoice will then be prepared identifying the fee to be paid. Further research will only be undertaken when payment is received.
The Society only holds records relating to Police and Policing. It does not hold Court or Correctional Service Records.
The Society will not release information relating to serving members.

Police and Nurses Bank BSB 806015 Account 01502352

Transfer $30.00 Research fee and put Name of Officer in the reference area.

Details Of Peron Requesting Research

Please provide information about the individual submitting the research request below.

This will help ensure the research can be processed accurately and efficiently.

Note

On receipt of this form preliminary research will be undertaken. An invoice will then be prepared identifying the fee to be paid. Further research will only be undertaken when payment is received.
The Society only holds records relating to Police and Policing. It does not hold Court or Correctional Service Records.
The Society will not release information relating to serving members.

Police and Nurses Bank BSB 806015 Account 01502352

Transfer $50.00 Research fee and put Name of Officer in the reference area.

Why Opting for Membership is more beneficial

Single research request cost $50.00 as the information often require a considerable amount of detailed research . The same $50.00 will provide three years membership.