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2. There will be a $10 fee for each report requested. Payments accepted are cash, money order or check made Payable to:

   The City of St Charles 

   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.

   NOTE: Information on this form will assist the St. Charles City Police Department in providing the public records you are requesting. Some reports may not be available upon request due to ongoing investigation. Under Missouri law, some information not subject to release may be removed or redacted from records prior to release.

4. Date of Request:*
   Date of Request:
6. Name of Person Making Request*
8. Address1
10. Address2
12. City
13. State
14. ZIP
16. Phone Number*
17. Email:
19. Name of Individual Involved in Incident
21. Report Number
22. Date of Incident
    Date of Incident
23. Type of Incident
    -- Select One --IncidentAccident
25. Incident Location
27. The requestor is (choose one):
    -- Select One --Involved in the IncidentInsurer of involved partyAttorney of involved partyOther
29. Explain other selection:
31. Reason for Request:
33. Attach Photo ID*

    A photo ID is required for records requests.  Please upload a picture of you government issued ID.

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field