You are (check one or more):
Owner of Property Damaged due to the Crash. Identify the property
Send the report to:
Officer's name
County ______________________
Date
Crash #
DAYTIME PHONE
Send report to (print legibly):
FAX
Would you like the report emailed? Print address legibly.
f. Any insurance carrier for categories a. and b. Insurance carrier includes, life, health, auto and workers compensation carriers.
Last
Which person or company named on the report are you representing?
Near City
Crash Location (highway, street, milepost, etc.)
e. Anyone designated in writing by persons in categories a. and b.
Read & complete this form to request a copy of a crash report & photos (you must meet the following criteria).
Reports by Individuals - Individual/ White Form-completed by the parties involved only when not investigated by law enforcement
writing.
d. If the person is deceased, his executor or administrator or the attorney representing his executive or administrator designated in
If you fall into one of the above categories, complete this form and mail it with a $2.00 non-refundable search fee.
If you want to request photos as well, include an additional $10.00. Photos are sent by mail on a cd.
Requests are generally processed within 10 to 14 days from the date of the crash.
c. A party to a civil action arising from the crash.
Reports by an officer - completed by a law enforcement agency
Who may receive a copy of a crash report as per 61-7-114 MCA:
b. Any driver, passenger or pedestrian involved in the crash, or any person whose property was damaged in the crash.
a. Any person named on the report (including companies, businesses, etc.)
Montana Highway Patrol
CRASH RELEASE FORM
2550 Prospect Avenue, Helena MT 59620 - (406) 444-3278
Types of reports:
Names of Drivers Involved (please print or type)
First
Search Made _____________________________________________________________
No fee enclosed with request, please enclose fee and return.
No report located with given information. Additional information needed.
2
Owner of Vehicle - Not a Driver
Name
*Please be sure to enclose the appropriate fees as stated in the top portion.*
Address
Search results (for records bureau use only):
HQ 1511 2019
No officers report available, contact officer at scene.
Must obtain signature from individual named on report and return.
Need a signature from person ordering report and return.
Signature/Date
Passenger
3
Authorization: I certify that I am an appropriate recipient of the report being requested as per 61-7-114 MCA.
Crash Identification:
Fatality Involved: Yes No
Pedestrian
Driver
1
click to sign
signature
click to edit