Free Request for Copy of Crash Report - Massachusetts

The Commonwealth of Massachusetts

Executive Office of Transportation Registry of Motor Vehicles
Mail: Accident/Crash Records P.O. Box 55889 Boston, MA 02205-5889

Request for Copy of Crash Report For your request to be processed: · Completely fill out the form. · Please allow at least 4 weeks from the date of the accident before submitting your request. · Please allow 4 weeks for processing your request. · Submit a $20 search fee, for each request, payable to the RMV. (Search fee is non-refundable.)

Name of Requestor:___________________________________________________________________________ Requestor's Address:__________________________________________________________________________ Type of Report Being Requested: Police: _______ Operator:______

Date of Accident/Crash:____________________________________ City/Town where Accident/Crash occurred:_____________________

Please print the information for each driver involved in the accident: Driver 1 Name: ____________________________________________________________________________________________ Driver's License Number/State: ____________________________________________________________________________________________ Plate Number/State:

Driver 2 Name: ____________________________________________________________________________________________ Driver's License Number/State: ____________________________________________________________________________________________ Plate Number/State:

Please send a check made payable to the RMV and this completed form to: RMV Accident/Crash Records Department PO Box 55889 Boston, MA 02205-5889

21510-0309