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Police Public Records Request

  1. REQUEST FOR INCIDENT REPORT/VERIFICATION

  2. Washington State Law (RCW 46.52.080) provides for the release of collision information only to certain persons.

  3. MY INVOLVEMENT IN THE CASE IS:

  4. Individual:

  5. Attorney representing the:

  6. Insurer of the:

  7. Parent or legal guardian of minor involved as:

  8. I REQUEST:*

  9. Please note there may be substantial delay in obtaining an incident report depending upon the case being active and/or approved for dissemination.

  10. I UNDERSTAND:*

  11. PERSONS INVOLVED IN CASE:

  12. I understand that Criminal History Information provided by the Mount Vernon Police Department and released to my custody will not be released to any UNAUTHORIZED persons pursuant to RCW 10.97, Washington State Criminal Records Privacy Act.*

  13. Thank you, please contact us if we can be of additional assistance or if circumstances in this case change.

  14. Leave This Blank:

  15. This field is not part of the form submission.