Please complete the information below to request for an accident report. If you have additional questions please contact the Brookings Police Department at (605) 692-2113.

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Name:*

Street Address:*

City:*

State:*

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Zip Code:*

Phone #:*

Email:

Fax # (for person / company making request):

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Information for Accident Being Requested

Name of Driver:*

Date of Accident:*

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Accident Report Request

$5.00

Please note for the convenience of this service there is a $2.25 convenience fee added to this transaction.