Form DPS536 "Accident Report Release Form" - Georgia (United States)

What Is Form DPS536?

This is a legal form that was released by the Georgia Department of Public Safety - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 1999;
  • The latest edition provided by the Georgia Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DPS536 by clicking the link below or browse more documents and templates provided by the Georgia Department of Public Safety.

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Download Form DPS536 "Accident Report Release Form" - Georgia (United States)

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I __________________________________ request a copy of accident report
(print full name)
number _____________________________ for the reason listed (check below)
(
) I was in the accident
(
) My property was damaged in the accident
(
) I was injured in the accident
(
) My minor child was injured in the accident
(
) I witnessed the accident
(
) I am an attorney for one of the parties involved in the accident
(
) Other (explain) ___________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
________________________________
___________________
Signature of Recipient
Date
________________________________
___________________
Signature of Custodian Releasing Record
Date
_________________________________________
Troop
Post #
Unit
Location
DPS # 536 (7/99)
I __________________________________ request a copy of accident report
(print full name)
number _____________________________ for the reason listed (check below)
(
) I was in the accident
(
) My property was damaged in the accident
(
) I was injured in the accident
(
) My minor child was injured in the accident
(
) I witnessed the accident
(
) I am an attorney for one of the parties involved in the accident
(
) Other (explain) ___________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
________________________________
___________________
Signature of Recipient
Date
________________________________
___________________
Signature of Custodian Releasing Record
Date
_________________________________________
Troop
Post #
Unit
Location
DPS # 536 (7/99)