• FIRST NAME *
  
  
  

• MIDDLE NAME
  
  
  

• LAST NAME *
  
  
  

• COMPANY NAME (if applicable)
  
  
  

• ADDRESS *
  
  
  

• CITY *
  
  
  

• STATE *
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• ZIP CODE *
  
  
  

• TELEPHONE NUMBER *
   (999-999-9999)
  
  

• E-MAIL ADDRESS
  
  
  

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.

• REASON FOR REQUEST *
  
  
  

• Highway Patrol 
  
  

• Water Patrol 
  
  

• Court Case Civil 
  
  

• Court Case Criminal 
  
  

• IF YOU ARE AN ATTORNEY, WHOM DO YOU REPRESENT?
  
  
  

• Court Case Number
  
  
  

• REPORT NUMBER
  
  
  

• DATE OF EVENT
   (mm/dd/yyyy)
  
  

• TIME OF EVENT
   (hh:mm)
  
  

• 
  AM  
  
  

• 
  PM  
  
  

• Event Location (City or County)
  
  
  

• VIN NUMBER
  
  
  

• LICENSE PLATE NUMBER
  
  
  

• INVESTIGATING OFFICER NAME
  
  
  

• BADGE NUMBER
  
  
  

• INVESTIGATING OFFICER NAME
  
  
  

• BADGE NUMBER
  
  
  

• DESCRIBE THE TYPE OF REPORT OR INFORMATION YOU ARE REQUESTING
  (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.