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Crash Record Request

MINNESOTA DEPARTMENT OF PUBLIC SAFETY. Print Form DRIVER AND VEHICLE SERVICES. Visit us: (651) 296-2940 or (651) 282-6555 TTY. MINNESOTA Crash Record Request . Reports can be obtained in person or by mail at: Please complete form with all required areas, or it will be returned Driver and Vehicle Services $ fee is due for each requested copy or search (when not found). 445 Minnesota St. Suite 161 Checks/ Money Orders should be made payable to: Driver and Vehicle Services St. Paul, MN 55101-5161 Requests will not be processed without a signature from an authorized requestor By Mail: Requester must include a legible copy of driver license, government issued identification card, or notarized signature.

How would you like to receive the report: Address City State Zip Code Name of Authorized Requestor Company Name . Tennessen Warning What is the purpose of supplying the requested information? • The information collected on this form is to process your request for a copy of a crash record pursuant to 18 U.S.C. § 2721 and Minn. Stat. §169.09.

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dps.mn.gov

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