MISSOURI STATE HIGHWAY PATROL
CUSTODIAN OF RECORDS
PUBLIC RECORDS REQUEST

SHP-804D 03/11



REQUESTOR'S INFORMATION (Fields with an (*) denotes a required field.)
























  •  (999-999-9999)




By law, certain records may be open upon request to certain individuals but closed to the general public. Please state your interest in the records requested (such as general public, party, or representative of a party to an accident, victim, etc.) so that we may determine whether those records, if closed to the public, may be available to you.


















RECORDS INFORMATION (Please fill in as much information as possible.)





  •  (mm/dd/yyyy)


  •  (hh:mm)


  • AM  


  • PM  

NAME(S) OF PERSON(S) INVOLVED DATE OF BIRTH
(mm/dd/yyyy)
SOCIAL SECURITY
NUMBER
(last four digits)




























































  • (1000 character limit so be as specific as possible)
    (characters remaining =  )

The Custodian of Records Section accepts electronic requests for records but does not respond to e-mail. Requests for records may take 20-30 business days to process due to the high volume of requests received. Please do not call to check the status of your request until 30 business days after your request was submitted.

Missouri State Highway Patrol
Custodian of Records Section
P.O. Box 9500
Jefferson City, MO 65102-9500
Phone: 573-526-6146 or 573-526-6167
Fax: 573-751-9382

  • Click submit to send this form electronically to the Missouri State Highway Patrol Custodian of Records. You will receive a confirmation email from the Custodian of Records once this form is received, if you provided an email address above. Included in the email will be a a copy of the completed form.

    Note: Once submitted the form will be cleared. Use the print option for a copy for your records or to send the request in via fax or USPS.