City of Coeur d'Alene - Accident Report Request

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Accident Report Request

Your full name:

Date(s) of records requested:

Records requested:

Location of Accident:

Driver’s Name Involved:

I would like copies of records provided to me in printed form:

I would like copies of records provided to me in electronic form if available:

Turn around for Public Records Request is 3 to 10 business days.

Phone:

Email Address:

Address (Mailing):

City (Mailing):

State (Mailing):

Zip (Mailing):

Under penalty of law, I hereby certify that I will not use, nor will I allow to be used in any form or manner, the information received as a mailing or telephone number list for the purposes such as soliciting, etc. I further certify such records requested will be used for information only and will not be sold or distributed in any manner that is unlawful. (I.C. 74-120)

I Agree: