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REQUEST FOR COPY OF PEACE OFFICER'S CRASH REPORT

  1. Please Select One or More of the Following*

  2. I

  3. (your first and last name) certify that I meet the requirements of Texas Transportation Code § 550.065 (c)(4) to obtain a copy of the requested crash report based on the above selected qualification(s).

  4. Providing false information on this governmental record is a violation of Texas Penal Code § 37.10 and could result in criminal penalties.

  5. If you did not indicate that you meet the qualifications of Texas Transportation Code § 550.65 (c)(4) by either checking a qualification listed above or providing sufficient justification for your qualification, then a redacted copy will be provided.

  6. T.C., § 550.065(c-1) the department or the governmental entity that receives the information shall create a redacted accident report that may be requested by any person.

  7. REQUEST FOR COPY OF PEACE OFFICER’S CRASH REPORT

  8. Mail To: Pilot Point City Hall 102 East Main Street Pilot Point, Texas 76258

  9. Make Check or Money Order To: City of Pilot Point

  10. Questions: Call (940) 686-2165

  11. CHECK TYPE OF SERVICE DESIRED*

  12. Please provide as accurate and complete information as possible:

  13. Was anyone killed in the crash?

  14. (Passenger, Owner/Lessee, Pedestrian. Pedalcyclist or Property Owner

  15. Important Information

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

  16. *Requests should not be submitted until at least 10 days after the crash date to allow time for receipt for the report.

  17. *The Law also provides that if an officer’s report is not on file when a request for a copy of such report is received, a certification to that effect will be provided in lieu of the copy and the will br retained for the certification.

  18. Acknoweledgement*

    I am requesting information pursuant to the Texas Public Information Act. I understand that the Pilot Point Police Department reserves the right to seek an Attorney General’s opinion regarding the disclosure of the records requested. I understand the failure to provide a detailed description of the specific information I am seeking may result in a delay in completing my request. I understand that there is a charge for the information that I am requesting. I understand that the City of Pilot Point has 10 business days to complete my request. By submitting this form you acknowledge the above statement.

  19. Date Request Received: ______________________________ Received By:_______________________________________________ ____Report Sent via___________________ Date Sent:_______________________ ____Date Picked Up:_______________________ ____Report Not On File Date Completed:________________________________ Comments:___________________________________________________________________________________________________

  20. Leave This Blank:

  21. This field is not part of the form submission.