2. 
3. 
5. Copies of accident reports generated after July 1, 2008 may be obtained online. Not all information is releasable, for more information visit our website or contact the Records Department.
7. Note: All applicable fees must be paid prior to the distribution of records.
9. 1. Accident reports - $6.00 (flat fee)
11. 2. Charge for standard copies: a. No charges for 10 or fewer pages (office policy) b. 10 cents per page (TBPC*)
13. 3. CDs - $5.50 a. Diskette - $1.00 (TBPC) b. Personnel - $3.75 (15 minutes - TBPC personnel rate of $15.00 per hour) c. Overhead - $0.75 (TBPC rate of 20% of the personnel amount)
15. 4. DVD - $7.50 a. DVD - $3.00 (TBPC) b. Personnel - $3.75 (15 minutes - TBPC personnel rate of $15.00 per hour) c. Overhead - $0.75 (TBPC rate of 20% of the personnel amount)
17. *Texas Building and Procurement Commission
19. Please submit this completed form and mail applicable fees to: DPS Records c/o Southlake Department of Public Safety 600 State Street Southlake, TX 76092
21. I hereby request the following information from the Southlake Department of Public Safety. I understand that the information will be provided under the Texas Public Information Act and that a fee may be charged for the requested information.
23. First Name*
24. Last Name*
26. Address 1*
28. Address 2
30. City*
31. State*
32. Zip*
34. Phone Number*
35. Email*
37. If requesting an accident report, two of the following must be provided:
39. Date of accident
40. Name of any person involved in accident
42. Specific location of accident
44. If requesting other records, please provide the following:
46. Date of incident
47. Location of incident
49. Case number/brief description of incident
51. Note: All applicable fees must be paid prior to the distribution of records.
53. For questions, please contact City of Southlake Public Safety at: 817-748-8359.
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

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