Pierce County Sheriff's Department Property Claim Form

2. First Name*

3. Middle Initial

4. Last Name*

6. Date of Birth*
   Date of Birth

8. Address1*

10. Address2

12. City*

13. State*

14. Zip*

16. Contact Phone Number*

17. Email Address

19. Are criminal charges pending regarding this incident?

    1. Yes
    2. No
21. Date property was taken
    Date property was taken

22. Police Incident Number *

24. Describe the charges that have been filed or are pending, and the corresponding cause numbers:

26. Describe the property sought to be released and your legal interest in it:*

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field