Get Mn Crash Record Request

Crash Records DPS CRASH FILE 445 Minnesota St. Ste. 161 St. Paul MN 55101-5161 Phone 651 215-1335 TTY 651 282-6555 FAX Web mndriveinfo. org CRASH RECORDS REQUEST For crashes occurring in Minnesota only INSTRUCTIONS Complete the crash information section and submit request form to the above address to obtain a copy of police report. Crash Records DPS CRASH FILE 445 Minnesota St* Ste. 161 St* Paul MN 55101-5161 Phone 651 215-1335 TTY 651 282-6555 FAX Web mndriveinfo. org CRASH RECORDS REQUEST For crashes occurring in Minnesota only INSTRUCTIONS Complete the crash information section and submit request form to the above address to obtain a copy of police report. Enclose 5. 00 fee. The fee covers the search and is retained whether or not a crash report is on file in this office. Make checks payable to Driver and Vehicle Services. Please do not submit requests until twenty working days after the crash date. Information may be disclosed to requester their legal counsel or a representative of the insurer only upon signed authorization of authorized requester. Authorized Requester is a person involved with the crash and driver passenger owner of damaged property owner of vehicle pedestrian recorded on the police report next of kin surviving spouse or legal representative of the estate. Disclosing information from crash reports except by the Highway Traffic Regulation Act is a misdemeanor. Request will not be processed without a valid signed authorization* CRASH INFORMATION Please Print OF DRIVERS INVOLVED Driver s Name s first middle last Date of Birth Driver License License plate number Without the license plate number of the vehicle s involved the report that is being requested may not be located Location of Crash Street or Highway Were any of the vehicles parked City / County Yes No Date of Crash Were there any fatalities Requester hereby authorizes the Department of Public Safety to disclose accident information in accordance with Minnesota Statute 169. 09 subd. 13. Check the appropriate box Driver Passenger Pedestrian Owner of Damaged Property Owner of Vehicle Next of Kin Surviving spouse Legal representative of the estate Trustee pursuant to M. S* 573. 02 Signature of authorized requester Printed Name Account Customers having pre-paid status Mail to To expedite service enclose a self addressed stamped envelope for the return of your request. org CRASH RECORDS REQUEST For crashes occurring in Minnesota only INSTRUCTIONS Complete the crash information section and submit request form to the above address to obtain a copy of police report. Enclose 5. 00 fee. The fee covers the search and is retained whether or not a crash report is on file in this office. Enclose 5. 00 fee. The fee covers the search and is retained whether or not a crash report is on file in this office. Make checks payable to Driver and Vehicle Services. Please do not submit requests until twenty working days after the crash date. Make checks payable to Driver and Vehicle Services. Please do not submit requests until twenty working days after the crash date. Information may be disclosed to requester their legal counsel or a representative of the insurer only upon signed authorization of authorized requester.