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Request an Arkansas State Accident Report

  1. Arkansas State Accident Report Request Form
    It is helpful to have the exact date address or location of the Accident and the name of at least one driver involved. This does not include Accidents that occur on private property such as store parking lots
  2. Date the Accident occurred
  3. Enter the Accident Number provided to you at the scene
  4. Please enter the Receipt Number you were provided by the City Collectors office for proof of payment
  5. Please enter the Name of one of the drivers involved
  6. Address or Location Accident occurred.
  7. The Address you want your report mailed to
  8. Please enter the Email Address you want the report sent to.
  9. Leave This Blank:

  10. This field is not part of the form submission.