NOTE: Some reports may not be available upon request due to ongoing investigation. You will be contacted if a request cannot be filled at this time and your request will remain on file until it becomes available. For more information, please contact the Records Division of the Maryland Heights Police Department at (314) 298-8706. The Division's fax number is (314) 738-2294. 

1

Date of Request: 

 *

Date of Request:

2

Record Number

 *

Record Number

3

Name of Person Making Request: 

 *

Name of Person Making Request:

4

Address: 

 *

Address:

5

Phone Number:

 *

Phone Number:ext.

6

Business Phone Number:

Business Phone Number:ext.

7

Name of Individual(s) Involved in Incident: 

 *

Name of Individual(s) Involved in Incident:

8

Type of Incident: 

 *

Type of Incident:

9

Date of Incident: 

Date of Incident:

10

Location of Incident: 

 *

Location of Incident:

11

Choose one of the following: 

Choose one of the following:

Involved in incident

Insurer of person involved in incident

Attorney of person involved in incident

Other, explain If other, type text here.

12

Reason for request:

 *

Reason for request:

There will be a $6 fee for each report requested. Payments accepted are cash, money order or check made payable to the City of Maryland Heights.

Some requests may involve extensive and lengthy searches of police records. State statute allows for a reasonable length of time to gather the information. Additional fees may be required. You will be given an estimate before the request is processed. For more information, please contact the Records Division of the Maryland Heights Police Department at (314) 298-8706. The Division's fax number is (314) 738-2294. 

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