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Request a crash report

2. Today's Date*
   Today's Date

4. First Name*

5. Last Name*

7. Company name (If applicable)

9. Date of crash*
   Date of crash

   Please submit the date the crash happened.

10. Crash Report Number

    Crash report number provided by officer on scene.

12. Location of crash (must be within Cleburne city limits)*

14. Your email address*

    Your crash report will be emailed to you at the email address you provide.

15. Your phone number*

    If we have any questions, please provide a phone number where you can be contacted.

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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

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