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Verizon EDR Example

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0% found this document useful (0 votes)
93 views1 page

Verizon EDR Example

Uploaded by

coughing6156456
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMERGENCY SITUATION DISCLOSURE

Phone: (800) 451-5242 Option "9" Fax: (800) 345-6720


Upon receipt and review of this completed form, Verizon may divulge records or other information to
governmental entities in certain emergencies, pursuant to 18 U.S.C. §2702(b) (8) or §2702(c) (4) or an
equivalent state law. Please complete this form and immediately fax it back to Verizon at 800-345-6720.

Case #: 22412652
Analyst Name: This will be filled in for you by Verizon.

Date of Request: 09/12/2022


RE: Mobile Number, IP address or Subscriber: XXX-XXX-XXXX
Does this request relate to an emergency involving danger of death or serious physical injury to a person,
necessitating disclosure without delay of information relating to that emergency?
YES NO
Type of Records Being Requested:
Subscriber Information
Last Known Location Information
Periodic Location Updates (15 Minute Intervals) How long are you requesting location updates? 48 Hours
Email for Updates: YOUR EMAIL, [email protected]
Note: Location Updates will be provided at 15 minute intervals, but only during the emergency situation. You must notify Verizon
when the situation is no longer emergent. In any event, location updates will not be provided more than 48 hours without a warrant.

Additional Historical Records Requested:


Incoming and outgoing call detail to and from target phone. Includes time/date.
W/Cell Sites W/Out Cell Sites
SMS Detail - Incoming and outgoing text message detail to and from target phone. Includes time/date.
Time Frame For Additional Records Requested Above: 9/10/2022 0000 PDT - Present (last 48 hours)
Hotline Service (Suspend Service)
Options (check only one):
Deny outgoing
Deny incoming
Deny text messages
Deny all of the above
Hotline outgoing to and allow incoming
Hotline outgoing to and block incoming (NO incoming calls, including from LEA)
Additional Comments and/or Information/Service Change Requests:
All available raw RTT, including dropped call RTT, text message content, IP session reports with cell site, and device
information (IMEI/IMSI) from 9/10/2022 0000 PDT to present. Please add SA (assisting CAST agent's name),
(assisting CAST agent's email), to the CALEA request.

Name: Rank/Title:
Law Enforcement Agency: Phone:
Dispatcher/Badge Number/Government ID (if applicable): Fax:
Address:
Email Address:

I certify that the foregoing is true and correct and understand that Verizon may rely upon this form to make an emergency
disclosure to my law enforcement agency or governmental entity pursuant to 18 U.S.C. § 2702(b)(8) or § 2702(c)(4).

Requesting office/agent signature: Date: 9/12/2022


Verizon confidential and proprietary. All information contained herein should be considered confidential. If you have
received this, please do not disclose, copy, reproduce or distribute to anyone other than an authorized governmental or law
enforcement official. (6/2020)

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