OPEN RECORDS ACT PROCEDURES
Requestor Name: Date:
Address: Phone:
NOTICE TO REQUESTOR
Some information you are requesting may be considered confidential or otherwise exempt from the public disclosure requirements of the
Texas Public Information Act. We may be able to provide you with a redacted copy of the requested document/report, and, if so, we will
do so within ten (10) working days from the date of request. If you wish to have a report with no redactions, we will have to send your re-
quest to the Texas Attorney General’s Office for evaluation and decision as to what portions of the document/report must be released or
withheld. Reports submitted to the Texas Attorney General’s Office can take from forty-five (45) days to fifty-five (55) days from the date of
request for a decision. Information concerning the reasons for redacted information can be found in Section 552.130 (Motor Vehicles), Sec-
tion 552.024 (Home address, other info of a Public Official), Section 552.1175 (Personal information of City Personnel), Section 552.136 (Ac-
cess device numbers), 552.138 (Confidential Information of certain persons) of the Texas Government Code.
CRASH/ACCIDENT REPORT REQUESTOR Report #, If Known:
Driver
Pedestrian
Pedalcyclist
Passenger
Employer of driver
Parent/legal guardian of driver
Owner of vehicle or property dam-
aged
Policyholder /person with financial responsibility
for vehicle
Insurance company for vehicle or person
involved
Contracted claims underwriter for
insurer/financial responsibility holder
Radio/television station that holds FCC license
Newspaper (qualified under Section
2051.044, Government Code)
Legal Representative of:
Other person concerned or having proper in-
terest in accident
None of the above (will receive redacted
report only)
ALL OTHER REQUESTS Report #, If Known:
Detailed Information:
▬▬ CHOOSE ONLY ONE ▬▬
____ I want redacted copies of the documents/reports that I have requested.
____ I want all of the documents that I have requested and I understand that a decision of the Texas Attorney General will be requested.
I understand that this is an Official Government Document and subject to any criminal or civil penalties for providing false information or
documentation to obtain the requested item(s).
Requestor’s Signature:
For Administrative Purposes Only
Applicable Fees: Certified Document: $__________ Labor Fee: $ __________ CD Disk: $_________ Reproduction Fee: $_________
Date Record Completed:
Record(s) Released to:
Record(s) Released by:
Notes
DeSoto Police Department
_________________________
_____________
Number of Copies:___________________________
Receipt Number:_____________________________
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