This service enables members of the public to submit video footage and photographic evidence relating to road traffic offences that they have witnessed.

Please read the frequently asked questions prior to your submission to ensure your submission meets requirements.

Please complete the form below and upload your footage to us. Footage may be disclosed as part of the Criminal Justice Process which includes disclosure to any suspects.

YOUR COURT DECLARATION

The Police cannot deal with your report unless you are willing to provide a statement and attent court IF required to do so by the Police or Crown Prosecution Service. Cases are normally heard within the county where the incident occured.

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Please check the below information is correct before it is submitted.

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Your Details

PLEASE NOTE : This service relates to Road Traffic offences only. It is NOT for submitting footage of Road Traffic Collisions or public order offences, any reports of parking offences should be referred to the relevant highway authority in the locality where it occurred. If you wish to report another matter please refer to the Humberside Police website for guidance. In emergency situations please call 999.

First name(Required)

Last name(Required)

Address Line 1(Required)

Address Line 2

Town/City(Required)

County(Required)

Post Code (no white space)(Required)

Email Address(Required)

Mobile telephone number(Required)

Home telephone number

Work telephone number

Preferred means of contact(Required)

Date of birth(Required)

Statement

I confirm this statement is true to the best of my knowledge and belief and I make it knowing that if it is tendered in evidence I shall be liable to prosecution if I have wilfully stated in it anything which I know to be false, or do not believe to be true.(Required)

Signed

Date

Location of incident – INCLUDING Road Name/number and Town/City(Required)

County of incident(Required)

Date of incident(Required)

Time of incident(Required)

What3words of the incident location

Do you know the offender?

Yes

Do you know the make and model of the offending vehicle?

Yes

Make of offending vehicle (if known)(Required)

Model of offending vehicle (if known)(Required)

Registration of offending vehicle (no white space) - this must be clearly visible on the footage(Required)

Colour of offending vehicle

You are the(Required)

Where were you travelling from?(Required)

Where were you travelling to?(Required)

Where was the offending vehicle in relation to you when the offence took place?(Required)

In your own words, describe what happened including as much detail as possible(Required)

Make/Model of device used to record footage(Required)

How is the device fitted/secured?(Required)

How does your device record and/or store footage?(Required)

I am willing to attend Court and give evidence in relation to this matter.(Required)

All statements associated with an offence or prosecution will be retained in line with the police forces retention policies.(Required)

I am happy for this statement and digital imagery/footage to be disclosed as part of the Criminal Justice process and for casualty prevention purposes.(Required)

Signed

Date

Upload your supporting files

DO NOT alter the footage before uploading, this includes adding voice overs or adding inline comments.

Footage uploaded MUST be raw original footage, with NO EDITING of any kind.

DO NOT post the footage on social media – if you have done so, please remove it.

DO NOT delete the footage from your device.

Please be aware that your device may have recorded you and that the actions of all parties will be reviewed and action taken as appropriate.

All files uploaded to this form are subject to an antivirus scan during processing, therefore, password protected files should not be uploaded as our antivirus software will incorrectly identify password protected files as potential threats and will remove all files from this submission.

Drop files here
or

Files uploaded

Maximum file size:

Maximum upload size:

Maximum file count:

Minimum file count:

Allowed types:

Is the date/time displayed on the footage the same as the time at which you stated the incident happened above?(Required)

Yes

Please explain in the box below why there is a difference in the time stated above on your statement and the timestamp on your video. This information is required for evidence continuity purposes(Required)

Is this submission linked to the PCC initiative with the DFT?(Required)

Yes