This form is in Sandbox Mode. No payments will be made. Completed Report Request Form * Photo ID of Applicant *(Must be a proper party of interest - i.e. Driver, Passenger, Property Owner, Vehicle Owner, Parent of Minor, Legal Guardian) Incident Number * First Name * Last Name * Report Fee Traffic Collision Report Fee - $10.00 Terms I agree to abide by all provisions of the City Ordinance (Madera Municipal Code Chapter X) as that ordinance now exists or may hereafter be amended. * * indicates a required field.