MVA Report Request

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MVA Report Request

This form can be used to request Motor Vehicle Accident (MVA) Reports that occurred on SUNY Geneseo property. There is a $15 charge for each report, which can be paid by check, money order or exact cash. You will be contacted by UPD to make arrangements for payment within seven (7) business days.

Last Name *

First Name *

Street Address *

City/Town *

State *

Zip Code *

Phone Number (xxx-xxx-xxxx) *

Email Address *

Reason for Request *

I am named in this accident report.

I am the authorized representative of a person named in this report.

I am, or may be, a party to a civil action arising out of the conduct described in this report.

Other:

License Plate Number *

Date of Accident *

YYYY

Location of Accident *

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