Please complete the form below to submit an online request.
If your agency is not in the Agency Location list or any of the information is incorrect, please contact the DPS Commissioner's Office.
The Department of Public Safety is asking that you provide data which may include private information, pursuant to Minnesota Statute 13.04. This information will be used to validate and process your claim for Vest Reimbursement. While you are not legally required to provide any of the requested data, failure to provide information may result in the delay or denial of the claim. Unless you consent to further releases of private information, access will be limited only to those individuals whose jobs reasonably require access to this data. In addition, you attest that: