Department Forms

Below are some of the forms that the Fairfield Police Department utilizes. Choose the form that meets your needs and print a copy. Complete the form with all the required information and follow the instructions on how it needs to be submitted. Some completed forms must be brought to the Police Department while others could be mailed.

  • Accident Report (Late Reported)

    If you were involved in a motor vehicle accident in the Town of Fairfield (not including I-95 and Route 15) and failed to report the accident to the police when it occurred you can complete this form and bring it to the Fairfield Police Department to file the report. We do not investigate accidents that were not reported to us at the time they occurred but we will give you a file number for your insurance company.

    You may also file a Late Reported Accident online - Click here.

  • Bad Check Letter

    This form is a template letter that can be used by businesses when they receive a bad check. The letter should be mailed to the person who issued the check. For more information contact the Fairfield Police Detective Bureau at (203) 254-4840. Page one contains instructions for you.

  • Block Party Request Form

    All requests for block parties shall be submitted to the Fairfield Police Department, Support Services Bureau. All sections of this request shall be completed and the form signed by the applicant. Incomplete requests will not be approved.

  • Burglar Alarm Appeal

    If you believe that the burglar alarm at your residence or business the Fairfield Police responded to was not a "False Alarm" you may complete this form. The appeal must be received within 30 days of the alarm. You will be notified of the hearing date and time.

  • Business Contact Information Form

    The Fairfield Police Department maintains records on businesses located in the Town of Fairfield. The purpose of these records is to provide emergency personnel with contact information in case of an emergency (i.e. burglary, fire, open door) at the business after hours.  This information is kept confidential and secure in our Computer Aided Dispatch (CAD) system.

  • Cell Phone - Lost/Stolen

    Complete this form if your cell phone was lost or stolen within the Town of Fairfield. Bring the completed report to the Fairfield Police Department. You will be given a file number for your cellular provider.

    You may also file a Lost/Stolen Phone report online - Click here.

  • Identity Theft Documents

    Documents created to assist citizens in protecting their identity.

    You may file an Identity Theft Report online - Click here.

  • Injury Release

    This form is to be used by citizens participating in a Fairfield Police Department activity that would require a medical release form to be completed.

  • Officer Commendation Form

    Commend an officer for his/her actions.  Although officers do not expect to be thanked for everything they do, recognition for exceptional service is always appreciated. This kind of feedback lets us know we are doing a good job.

  • Officer Complaint Form

    The Fairfield Police Department is dedicated to providing the best police service possible to all Fairfield citizens.  However, you may have an occasion to lodge a complaint about the actions of a member of the Fairfield Police Department. It is the policy of the Fairfield Police Department to investigate all complaints.

  • Parking Ticket/Tag Appeal

    If you feel that you have been incorrectly issued a parking ticket by the Fairfield Police Department you may complete this form and mail it to the Fairfield Police Department. Give us as much information as possible. The Complaint form must be received at the Fairfield Police Department by the due date on the ticket (10 days after issuance). Hold onto your ticket and you will receive a written decision on your complaint.

    You may also submit a Parking Tag Appeal online - Click here.

  • Parking Ticket/Tag: Petition for Violation Hearing

    This form should be completed only after the Parking Tag Complaint form above has been submitted and you received a reply. You may appeal the decision made by the Fairfield Police parking tag review officer by completing the Request for Violation Hearing form. A hearing will be set up with an independent review officer who will make a decision regarding your appeal.

  • Pawn/Precious Metals Dealer Weekly Report

    This form is to be used by business who are required to complete pawn sheets and return them to the Fairfield Police Department. Follow your normal procedure for filing this form.

  • Pawn Broker/Precious Metal Dealer Application

    This form is to be used by business who are required to complete pawn sheets and return them to the Fairfield Police Department. Follow your normal procedure for filing this form.

  • Retired Officer H.R. 218 Application

    Any Fairfield Police Officer Retiree applying to carry a concealed weapon under authorization of the Law Enforcement Safety Act of 2004 (Title 18 USC 926(C)(a)) will be required to complete this form and attached procedure, as well as abide by all applicable sections of Title 18 USC 926(C)(a), State laws and applicable Fairfield Police Policies.

  • SafeReturn Network Registration

    The SafeReturn Network is a computer database developed to assist emergency personnel in locating community members who suffer from conditions which making them susceptible to “wandering” and safely returning them home.

  • Shoplifting Report - Long Version

    This forms are to be used by businesses in the Town of Fairfield that detain an individual for shoplifting. The person observing the violation should complete this form with all required information after calling the police. This version requires the complainant to write out a description of the events. Any questions should be directed to the responding police officer. The forms should be given to the police officer that responds to investigate the theft.

  • Shoplifting Report - Short Version

    These forms are to be used by businesses in the Town of Fairfield that detain an individual for shoplifting. The person observing the violation should complete this form with all required information after calling the police. This version of the form is fill in the blanks (this form should only be used if the circumstances of the theft match the pre-printed form). Any questions should be directed to the responding police officer. The forms should be given to the police officer that responds to investigate the theft.

  • Statement of Loss

    If you were the victim of a burglary or other theft and you found additional items missing that were not initially reported to the police you can complete this form and mail it or bring it to the Fairfield Police Department. Be sure your case number is on the form. The additional information will be added to your case file. Please be as specific as possible when recording stolen items.

  • Theft of Gasoline

    This form is to be used by businesses reporting a theft of gasoline from the business. Only those businesses that want an arrest made should use this form.

  • Transient Merchant Application

    This application must be completed and submitted to the Fairfield Police Detective Bureau by anyone who wants to sell merchandise door to door or at a roadside stand within the Town of Fairfield. Refer to the Town Ordinance on Transient Merchants for information.