Request for Public Records (Revised 2/18) - Washington State Patrol
Washington State Patrol
REQUEST FOR PUBLIC RECORDS
TRACKING NUMBER
Name of Requestor: Address:
REQUESTED BY
City, State, ZIP:
Phone No.:
E-Mail Address:
Your Relationship to Incident:
I prefer to receive these records in the following format:
Electronic (Charges may apply) Paper Copy (Charges may apply)
View by appointment (No charge for viewing records by appointment).
RECORDS REQUESTED
DATE OF REQUEST
DATE OF INCIDENT
TIME OF INCIDENT
INCIDENT INFORMATION
LOCATION (INCLUDE COUNTY)
PARTIES INVOLVED #1 INVESTIGATING OFFICER
BADGE NUMBER
PARTIES INVOLVED #2 CASE NUMBER
RCW 42.56.070(9) prohibits the use of lists of individuals provided by the Washington State Patrol for commercial purposes.
Requested records may be redacted in accordance with Chapter 42.56 RCW or other statutes as applicable.
ALTERNATE CASE NUMBER
OFFICE USE ONLY
3000-372-002 (R 2/18)
FOR A COPY OF A POLICE TRAFFIC COLLISION REPORT, PLEASE SEND A $10.50 FEE AND A REQUEST TO: Washington State Patrol Collision Records Section PO Box 42628 Olympia WA 98504-2628
Or request a collision report online at (the $10.50 fee still applies).
REQUESTS FOR ADDITIONAL COLLISION, ARREST, OR TRAFFIC INCIDENT INFORMATION Please send your request to the office in the county where the incident occurred.
Pierce and Thurston Counties
District Public Records Coordinator Washington State Patrol 2502 112th Street E Tacoma WA 98445-5104 (253) 538-3110 FAX (253) 538-3272
King County
District Public Records Coordinator Washington State Patrol 2803 156th Avenue SE Bellevue WA 98007-6599 (425) 401-7714 FAX (425) 401-7842
Asotin, Benton, Columbia, Franklin, Garfield, Walla Walla, and Yakima Counties
District Public Records Coordinator Washington State Patrol 2715 Rudkin Road Union Gap WA 98903-1795 (509) 575-2320 FAX (509) 249-6769
Adams, Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman Counties
Clark, Cowlitz, Lewis, Klickitat, and Skamania Counties
District Public Records Coordinator Washington State Patrol PO Box 19130 Spokane WA 99219-9130
(509) 227-6609
District Public Records Coordinator Washington State Patrol 11018 NE 51st Circle Vancouver WA 98682-6686 (360) 449-7909
FAX (360) 449-7995
Chelan, Douglas, Grant, Kittitas, and Okanogan Counties
District Public Records Coordinator Washington State Patrol 2822 Euclid Avenue Wenatchee WA 98801-5916 (509) 682-8109 FAX (509) 682-8170
Island, San Juan, Skagit, Snohomish, and Whatcom Counties
District Public Records Coordinator Washington State Patrol 2700 116th NE Marysville WA 98271-9425 (360) 654-1107 FAX (360) 654-1210
Clallam, Grays Harbor, Jefferson, Kitsap, Mason, Pacific, and Wahkiakum Counties
District Public Records Coordinator Washington State Patrol 4811 W Werner Road Bremerton WA 98312-3333 (360) 473-0172 FAX (360) 473-0123
FOR TRAINING RECORDS, PLEASE SEND THIS FORM TO: Washington State Patrol Training Division 631 W Dayton-Airport Road Shelton WA 98584-8945
FOR TOXICOLOGY LABORATORY REPORTS AND RECORDS, PLEASE SEND THIS FORM TO: Toxicology Laboratory Washington State Patrol
2203 Airport Way S Ste 360 Seattle WA 98134-2027
Phone (206) 262-6100 FAX (206) 262-6145 E-mail: toxlab@wsp.
FOR RECORDS NOT INVOLVING A COLLISION, ARREST, OR TRAFFIC INCIDENT, PLEASE SEND THIS FORM TO: Washington State Patrol Public Records Officer PO Box 42631 Olympia WA 98504-2631 Phone - (360) 596-4137
E-mail: Pubrecs@wsp.
3000-372-002 (R 2/18)
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