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Traffic Accident Report Request Form

First Name*
Last Name*
Address1*
Address2*
City*
State*
Zip*
Phone Number*
Email*
Name of Party Involved in Incident*
Report Number
If available.
Type of Incident*
If other, please specify:
Date, Time & Location of Incident*
Be prepared to show a valid ID upon pick-up of Accident Report.
Allow 7-10 business days for completion of the report after submission and payment are received.
Traffic Accident Report Administrative Fee
A $20.00 administrative fee is due prior to picking up your report. The fee can be paid online or in-person at City Hall in the form of cash, check, or money order made payable to The City of Byrnes Mill. If paying online, you will be directed to the online payment portal after submission.

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Email address

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