Request For Vehicle Accident Report Form printable pdf download

GRIMES COUNTY SHERIFF’S OFFICE

REQUEST FOR VEHICLE ACCIDENT REPORT

Mail request to: Grimes County Sheriff’s Office Attn: RECORDS, 382 FM 149 West, Anderson Tx 77830

Make check or M.O. payable to: Grimes County Sheriff’s Office.

For Questions: 936-873-6442

Check report request:

( ) Copy of Peace Officers Crash Report $6.00 (ea)

( ) Certified Copy of Peace Officers Crash Report 8.00 (ea)

Date of Request ____________________________________

Transportation Code, Sec 550.065 RELEASE OF CRASH REPORTS. (b) Except as provided by Subsection (c),

a crash report held by the department is privileged and for the confidential use of: the department; and an agency

of the United States, this state, or a local government of this state having use for the report for crash prevention

purposes. (c) allows release of a crash report on written request and payment of required fee (4) a person who

provides the department or law enforcement agency with two or more of the following: date of the crash; the

name of the person involved; the specific location of the crash.

Please provide information:

Crash Date:

Month: ___________ Day: ________ Year: _________ Time: ________ am/pm

Case # ____________________ Crash Location:

Street or Highway _____________________________

Was anyone killed? ____________________

Officers name if known ____________________

Drivers Full Name

Date of Birth

Texas DL Number

Address (if available)

•

Texas Statute allows the investigating officer 10 days in which to submit his/her report.

•

Requests should not be submitted until at least 10 days after the crash date to allow time for

receipt of the report.

•

The Law also provides that if an officer’s report is not on file when a request for a copy of crash

report is received, a certification to that effect will be provided in lieu of the copy and the fee will

be retained for the certification.

Request By:

Name:

___________________________________________________________________________________________

Mailing address:

___________________________________________________________________________________

E-Mail:

__________________________________________________________________________________________

Phone #

FOR OFFICE USE ONLY: Date received_________________ Employee:___________________________

Report sent: ( ) Date: _____________ Report not on file ( ) Date searched: _____________

Report Blue Formed ( )

Request For Vehicle Accident Report Form

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