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