Henry County Sheriff's Office
Records Division
311 W. Center St.
Cambridge, Illinois 61238
(309) 937-3616
Request for Reports - Please Print and Complete as fully as possible
 
Note:  Reports cannot be picked up in person, they can only be mailed or faxed back to you.  Availability of reports may vary on a case by case basis.

Today's Date:   ________ / ______ / 200___      Type of Report Requested (Circle one):

  • Accident
  • Fatal Accident
  • Theft
  • Criminal Damage
  • Other (please explain)______________________
Date of Incident:_________________  Location of Incident:____________________________

Names of Drivers:____________________________________________

Names of Passengers: ____________________________________________

Names of Property Owners: ____________________________________________

Your Name: ____________________________________________

Your Address: _______________________________________________________

Your Phone/Fax Number: ____________________________________________

Your Relationship to incident (Circle one)

  • I was personally involved in above incident
  • I am a parent of a minor involved in above incident
  • I am the owner of property stolen or damaged in above incident
  • Insurance Company* (please attach the proper fee for type of report requested)
  • Other (please explain)_____________________________________________
(*All third parties are charged a handling fee of $5 for per report.  The fee for a motor vehicle accident report that involved reconstruction is $20.)  Please mail this completed form to the address at the top of this page.  All reports will be mailed/faxed back to you as soon as possible.  If we have any questions about your request we will call you.  Thank you for your cooperation.