Traffic Crash Report UD-10 Sheriffs Office FOIA Request

Freedom of Information Act Request

This form to be used for requests to the Allegan County Sheriff's Office only.

NOTE: Please allow up to 5 Business Days for response. You will be given the opportunity to download a PDF of your submission on the confirmation page.

1. Name of Person Making Request:

First Name *This question is required.

Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

2. Contact Phone or Email (must provide at least one):

Phone (###-###-####):

Email: This question requires a valid email address.

3. How do you want to receive this report:

4. Accident Information:

Complaint #:

Date of Accident (if known) (MM/DD/YYYY) This question requires a valid date format of MM/DD/YYYY.

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Location of Accident

5. Are you the driver? *This question is required.

Driver Information: *This question is required.

First Name *This question is required.

Last Name *This question is required.

Date of Birth (MM/DD/YYYY) This question requires a valid date format of MM/DD/YYYY.

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