Free West Virginia Police Report Template

Free West Virginia Police Report Template

The West Virginia Police Report form is an essential document used to request copies of criminal and crash reports from the West Virginia State Police. This form ensures that individuals can access important information related to incidents that may affect them or their community. If you need to fill out this form, click the button below to get started!

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The West Virginia Police Report form, designated as WVSP 141 and revised in October 2017, serves as a crucial tool for individuals seeking access to police reports related to criminal incidents and vehicle crashes. This form is governed by the West Virginia Freedom of Information Act, which ensures transparency and public access to governmental records. When filling out the form, requesters must provide essential information, including their name, contact details, and the specific nature of their request, whether it pertains to a criminal report or a vehicle crash report. Key details such as the dates of the crime or crash, locations, and involved parties, including victims and drivers, must be accurately documented. The form also outlines a fee schedule for obtaining various types of reports, including reconstructed reports and certified copies, which can vary based on the length and complexity of the documents. Additionally, it specifies acceptable payment methods and provides guidance on where to send the completed form, including the necessary self-addressed envelope for return mail. Understanding the structure and requirements of this form is essential for anyone seeking to obtain police documentation in West Virginia, as it helps streamline the request process and ensures compliance with state regulations.

West Virginia Police Report Example

WVSP 141

(Revised 10/17

Crash Report

Criminal Report

WEST VIRGINIA STATE POLICE

Criminal and Crash Report Request Form

OFFICE USE ONLY

Report #

Check #

(Pursuant to the West Virginia Freedom of Information Act §29B- 1 et seq.)

Requester Information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone:

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

Fax:

(

 

)

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

 

 

 

 

 

Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRIMINAL REPORT

 

 

 

VEHICLE CRASH REPORT

 

Date of Crime:

/

/

 

 

 

 

 

 

 

Date of Crash:

 

/

 

/

 

 

 

 

 

 

 

 

Location of Crime:

 

 

 

 

 

 

 

 

Location or Crash: ____________________________

 

Victim(s):

 

 

 

 

 

 

 

 

 

 

 

Driver/Owner #1

__________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CI Report #

 

 

 

 

 

 

 

 

 

 

 

 

Driver/Owner #2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pedestrian:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Crime:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Passenger:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE SCHEDULE for Reconstructed Reports

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconstructed Report _ _ _ _ _ _ $500.00 x

 

 

 

Date of Original Crash

 

 

 

 

 

 

 

 

Reconstructed Report Certified _ $505.00 x

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Crash Report Number_________________

 

Reconstructed Report Fax _ _ _ _ $505.00 x

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE SCHEDULE

Crime/Vehicle Crash Report

$20.00 x

Certify Above Copy (Crash Report) ... $25.00 x Fax Above Copy (Crash Report Only) $25.00 x

Video/Audio Tapes

$50.00 x

Set of Photos (up to 12)

$25.00 x

Each Add. Set of Photos (up to 12)

$25.00 x

These fees are for reports of 50 pages or less in length. An additional copy fee of $1.00 per sheet will apply after 50 pages.

Total Submitted: $

DO NOT SEND CASH/NO PERSONAL CHECKS OR BUSINESS STARTER CHECKS

 

 

NON REFUNDABLE FEE FOR ACTUAL REPORT

Make Certified Check, Business Check or Money Order payable to: Superintendent, West Virginia State Police

Credit Card Visa

Master Card

Credit Card Number

 

Exp. Date

Authorizing Signature ________________________________________/3 Digit Code:_____________

Mail to the appropriate address listed below including payment and a self-addressed envelope:

For Crash Report:

For Criminal Investigation Reports:

 

West Virginia State Police

 

 

West Virginia State Police

 

Traffic Records Section

 

 

Criminal Investigation Reports

 

701 Jefferson Road

 

 

701 Jefferson Road

 

South Charleston, W 25309-1698

 

 

South Charleston, W 25309-1698

 

Information: (304) 746-2128

 

 

Information: (304) 746-2499

 

Fax:

(304) 746-2206

 

 

Fax:

(304) 746-2403

 

 

 

 

 

 

 

 

 

Your request could not be processed due to the following:

 

 

 

No Fee/Incorrect fee enclosed (See fee schedule above)

 

 

 

 

Check or Money Order is incomplete. Please correct and resubmit.

 

 

 

 

Incomplete information submitted. Please include highlighted items upon resubmission.

 

 

 

No Report could be found based upon information provided.

 

 

 

 

Incident investigated by another agency. Report must be requested

from that agency

 

 

 

NO Photo(s) available

 

 

No video/audio tape available

 

 

 

 

 

 

 

 

Document Specs

Fact Name Details
Form Identification The West Virginia Police Report form is officially known as WVSP 141.
Governing Law This form is governed by the West Virginia Freedom of Information Act, §29B-1 et seq.
Purpose It is used to request criminal and crash reports from the West Virginia State Police.
Requester Information Individuals must provide their name, telephone number, address, and fax number when submitting the form.
Fee Schedule Fees vary based on the type of report requested, with basic reports costing $20.00.
Payment Methods Payments can be made via certified checks, business checks, money orders, or credit cards.
Submission Instructions Requests must be mailed to the appropriate address along with payment and a self-addressed envelope.
Contact Information For inquiries, individuals can call (304) 746-2128 for crash reports or (304) 746-2499 for criminal reports.
Common Issues Requests may be denied due to incorrect fees, incomplete information, or if the report is not available.
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