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2. FOIL Request

   Application for Public Access to Records. Download a printable form (PDF).

   I hereby apply for a copy of the record/report.

4. First Name*
5. Last Name*
7. Date
   Date
9. Applicant Address
11. Country*
13. Address Line 1*
14. Address Line 2
16. City*
17. State*
18. Zip Code*
20. Applicant Represents
22. Check Either

    1. Motor vehicle accident report
    2. Other report/record
24. Description of report or record (other than MVA report)
26. Name of Driver
28. First Name
29. Last Name
31. Name of Victim
33. First Name
34. Last Name
36. Name of Complainant
38. First Name
39. Last Name
41. Complainant/Victim's Date of Birth (if known)
    Complainant/Victim's Date of Birth (if known)
43. Blotter / Case Number
45. Date of Occurrence
    Date of Occurrence
47. Location of Occurrence
49. If you want to receive a copy, please enter your e-mail
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field