LaGrange Police Department
410 West Jefferson Street
LaGrange, KY 40031

Phone: 502-225-0444
Fax: 502-225-9783

EMERGENCY
911

NOTE: WE ARE TEMPORARILY UNABLE TO EMAIL REPORTS
PLEASE CALL THE OFFICE

Request A Copy Of An Accident Report

**NOTE: $3.00 CHARGE FOR ALL REPORTS UNLESS EMAILED**

To request a copy of an accident report, please fill out the following form as completely as possible.
* are required fields

* Name of person requesting report:
 
* Street Address:
 
Address 2 (Apt #, Unit#):
* City:
 
* State:
 
* ZIP Code:
 
* Daytime Phone Number
(including area code)::
 
**Fax Number (for fax delivery ):
 
Email Address (for email delivery):
 
Report Number:
 
Report Date:
 
* Date of Accident:
 
Time of Accident:
 
* Location of Accident:
 
Name of Officer Filing Report:
 
Additional Information:
 
* Report Delivery Method
**For Standard Mail or Fax, please print this page and mail or bring to our office to purchase report for $3.00.  
(Hold CTRL Key for multiple select)
 
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one of the involved parties  
an insurance representative