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I, ____________________________________(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).
Providing false information on this governmental record is a violation of Texas Penal Code § 37.10 and could result in criminal penalties.
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.
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.
REQUEST FOR COPY OF PEACE OFFICER’S CRASH REPORT
Mail To: Pilot Point City Hall 102 East Main Street Pilot Point, Texas 76258
Make Check or Money Order To: City of Pilot Point
Questions: Call (940) 686-2165
Please provide as accurate and complete information as possible:
(Passenger, Owner/Lessee, Pedestrian. Pedalcyclist or Property Owner
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.
Date Request Received: ______________________________ Received By:_______________________________________________
____Report Sent via___________________ Date Sent:_______________________
____Date Picked Up:_______________________
____Report Not On File Date Completed:________________________________ Comments:___________________________________________________________________________________________________
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