2. Today's Date:
   Today's Date:
3. Date and time (if known) of accident (Fecha y hora)
   Date and time (if known) of accident (Fecha y hora)

   Date and time (if known) of accident (Fecha y hora)
5. Location of accident (as specific as possible) (Direccion de accidente)
7. Name of any person involved: (Nombre de la persona involucrada)
9. Incident number: (if known) (Numero de incidentes)
11. Transportation Code Sec. 550.065 requires identification of the requestor:
13. Name of person requesting report: (Su nombre)
15. First Name
16. Last Name
18. Phone Number*
20. Check all that applies:

    1. Driver
    2. Passenger
    3. Owner of vehicle or property damaged
    4. Courier service for insurance company
    5. Legal representative of:
    6. Pedestrian
    7. Employer of driver
    8. Policyholder of vehicle
    9. Radio / television station (FCC licensed)
    10. Pedalcyclist
    11. Parent / legal guardian of driver involved in accident
    12. Insurance company of vehicle or person involved
    13. Newspaper (qualified to publish legal notices)
    14. Other (will receive redacted Report)
22. Legal representative of whom?
24. The Sherman Police Department adheres to the requirements of the Chapter 550 of the Texas Transportation Code regarding the release of crash report information and any fees charged.
26. WARNING: Under Section 730.015 of the Transportation Code, a person who requests the disclosure of personal information from an agency's records under this chapter and misrepresents the person's identity or who makes a false statement to the agency on an application required by the agency under this chapter commits a Class A misdemeanor.
28. Pursuant to Sec. 550.065 "Release of Certain Information Relating to Accidents:
30. To obtain a copy of a Crash Report:
32. 1. Request is made in writing
34. 2. The fee for a copy of an accident report is $6
36. How would you like to receive the crash report? *
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field