Oregon Dmv Accident Report Template

Oregon Dmv Accident Report Template

The Oregon DMV Accident Report form is a document that drivers must submit following a traffic crash under certain conditions, such as when damage to a vehicle or property exceeds $2500, injury is involved, death occurs, or a vehicle is towed due to damage. It's essential to complete and file this report within 72 hours of the accident to comply with Oregon law and avoid possible suspension of driving privileges. Providing detailed information is crucial for insurance verification and to keep driving records updated.

Prepare Form Here

In the wake of an automotive mishap within Oregon's jurisdiction, the procedural requisites encapsulated in the Oregon Traffic Crash and Insurance Report form stand as a critical step for those involved. This comprehensive form serves a dual purpose: it is not only instrumental in documenting the incident for the Department of Motor Vehicles (DMV) but also plays a pivotal role in the insurance claim process. Mandated for any driver whose situation meets specific criteria—such as vehicular damage exceeding $2500, any instance of injury, death, or if a vehicle is towed due to damages—the form must be submitted within 72 hours post-collision to avert potential suspension of driving privileges. It is noteworthy that this requirement holds irrespective of the driver's residency status or if a police report has already been filed. The form is meticulously structured to capture an array of details spanning from the crash specifics, vehicle and driver information, insurance details, to a narrative section where the incident is described. Additionally, it encompasses sections addressing total vehicle loss, underscoring the protocol for vehicles deemed "totaled" as per Oregon law. Failure to furnish complete and accurate information may not only impede the DMV process but also trigger a notice of suspension, thereby emphasizing the importance of this document in navigating the post-accident procedural landscape.

Preview - Oregon Dmv Accident Report Form

OREGON TRAFFIC CRASH AND INSURANCE REPORT

Tear this sheet off your report, read and carefully follow the directions.

ONLY drivers involved in a crash resulting in any of the following MUST file a Crash & Insurance Report:

Damage to your vehicle is over $2500

Damage to any one person’s property over $2500

Injury (No matter how minor)

Any vehicle has damage over $2500 and any vehicle is

Death

towed from the scene as a result of damages

Oregon law requires these reports be filed within 72 hours of the crash. If you are not able to file within the 72 hours, submit it as soon as possible. If you fail to report the crash to DMV, it may result in suspension of your driving privileges. If the police department files a police report, you are still required to file your own Crash and Insurance Report with DMV. When required to report, even if you are licensed in another state, or you are not an Oregon resident, you still must file a report with Oregon DMV. DMV does not determine fault in a crash, but does post the crash to the driving record of those drivers required to report, unless the vehicle is parked. If you have questions, please call DMV Crash Reporting Unit at (503) 945-5098.

INSTRUCTIONS

PRINT OR TYPE ALL INFORMATION. (Use black or dark blue ink and press firmly.)

Complete both sides of the form.

If additional vehicles were involved in the crash, complete the attached Supplemental Report (Form 735-32B), or on a blank piece of paper, write all the information as requested in Section 4, the “Other Driver” Section.

DMV Headquarters will verify the insurance information submitted. Complete the insurance section or a suspension of your driving privileges may occur.

SECTION 1

DATE, LOCATION AND TIME — Clearly identify the date, location and time of the crash. The correct date, location and time is critical to processing your report. If you are unsure of the county, contact any local law enforcement agency for assistance.

SECTION 2

Your vehicle is Vehicle #1. Complete ALL fields. Provide Insurance company name (not agent), policy number, and Vehicle identification number (VIN). Failure to provide complete insurance and vehicle information may result in DMV issuing Notice of Suspension due to incomplete information.

SECTION 3

Failure to complete this section may result in DMV sending Notice of Suspension for failure to file a report. Principle purpose of driving and being paid to drive does not mean driving to reach a destination to perform a service. Property: Includes, but is not limited to, fixed or real property, landscaping, signs, parked vehicles, and animals.

COMMERCIAL MOTOR VEHICLE OPERATORS: In addition to this report, Oregon Administrative Rule requires that Form

735-9229, Motor Carrier Crash Report, MUST be filed within 30 days of a commercial motor vehicle crash when there is a FATALITY, INJURY (requiring treatment away from the scene), or when a vehicle is TOWED from the scene because of disabling damage. Form 735-9229 (attached on back) MUST be submitted with Oregon Traffic Crash and Insurance Report (Form 735-32) to DMV. Call (503) 986-3507 for questions regarding the Motor Carrier Crash Report.

You may now file the Motor Carrier Crash Report at: www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/

SECTION 4

OTHER VEHICLE (# 2) — Completion of this information will help DMV match all driver's crash reports more efficiently. If additional vehicles were involved in the crash, complete attached Supplemental Report (Form 735-32B).

SECTION 5

DESCRIPTION AND SIGNATURE — Describe what happened. It is important for you to sign and date the form. Only a family member may sign and date this form on behalf of a driver when the driver is incapacitated or physically unable to sign. No other signatures will be accepted.

COMPLETING AND FILING REPORT

HOW TO SUBMIT A REPORT TO DMV:

Email to OregonDMVAccidents@odot.oregon.gov

Fax to 503-945-5267

Mail to DMV Crash Reporting Unit 1905 Lana Ave NE, Salem, Oregon 97314

Deliver to a DMV office

Keep a copy of the report and documentation that shows when you submitted your report to Oregon DMV. Under ORS 802.220(5), DMV is not authorized to provide you with a copy of the report that you file. If submitting by:

Email, DMV sends an autoreply that your email was received. Save that autoreply.

Fax, many fax machines provide the option to generate a fax confirmation report. Save that report.

DMV Field Office, request and save that receipt.

PURSUANT TO OREGON INSURANCE LAW, AN INSURANCE COMPANY CAN NOT REQUIRE REPAIRS BE MADE TO A MOTOR VEHICLE BY A PARTICULAR PERSON OR REPAIR SHOP.

735-32 (3-23)

STK# 300009

INSTRUCTIONS

TOTALED VEHICLE NOTICE

DEFINITIONS AND INSTRUCTIONS FOR TOTALED VEHICLES

IF YOUR CRASH HAS RESULTED IN A “TOTALED” VEHICLE, YOU ARE REQUIRED BY LAW TO

FOLLOW APPROPRIATE INSTRUCTIONS IN THIS NOTICE.

DEFINITION OF “TOTALED” VEHICLE

“Totaled Vehicle” or “Totaled” as defined in Oregon law (ORS 801.527) means:

A vehicle that is declared a total loss by an insurer who is obligated to cover the loss or a vehicle that the insurer takes possession of or title to.

A vehicle that has sustained damage that is not covered by an insurer and the estimated cost to repair the vehicle is equal to at least 80% of the retail market value prior to the damage. “Retail market value” is defined as the amount shown in publications used by financial institutions (banks or lenders) in this state.

A vehicle that is stolen, if it is not recovered within 30 days of theft and the loss is not covered by an insurer. In this situation, you must notify DMV within 60 days of the theft.

FOLLOW THESE INSTRUCTIONS IF YOUR VEHICLE IS TOTALED

If your vehicle is totaled, in addition to completing the crash report, follow the instruction that is applicable to your case. Either:

1.SURRENDER the title to the insurer if the damage is covered by an insurer who declares the vehicle to be a “total loss,” and the insurer takes possession of the vehicle; or

2.SURRENDER the title to DMV and apply for salvage title if the damage is covered by an insurer who declares the vehicle to be a “total loss,” but you keep possession of the vehicle; or

3.SURRENDER the title to DMV and apply for salvage title if the damage was not covered by an insurer and the estimated cost of repair is at least 80% of the retail market value of the vehicle before the damage; or

4.NOTIFY DMV that your vehicle has been totaled if, for some reason, you are unable to obtain the title for surrender. You must provide DMV with a signed statement which includes:

A description of the vehicle which includes the year model, make, plate number and vehicle identification number.

A statement indicating the vehicle has been totaled.

A statement that you are unable to obtain the title and why.

DO NOT SUBMIT THE TITLE WITH THE CRASH REPORT. You can obtain the Application for Salvage Title (Form 735-229) from any DMV office, by calling (503) 945-5000, or on-line at www.oregondmv.com. Application instructions and fee information are on the back of the form 735-229. If you have questions about salvage titles, call (503) 945-5122.

NOTE: It is a Class A misdemeanor with a penalty of imprisonment and/or fine if you fail to comply with the above requirements. (ORS 819.012)

OREGON TRAFFIC CRASH AND INSURANCE REPORT

COMPLETE BOTH SIDES

Print Form

Reset Form

Complete this form if the traffic crash occurred on a highway or premise open to the public and meets at least one of the reporting requirements outlined in Section 3. Failure to report when required may result in DMV issuing Notice of Suspension. Call 503-945-5098 for assistance in completing the report.

SECTION 1

CRASH DATE

DAY OF WEEK TIME OF DAY

 

COUNTY

 

 

 

 

 

DMV USE ONLY

 

 

 

M T W TH F

AM

 

 

 

 

 

CRASH REF # _________________________________ ALIR

INS CO

 

S SN

PM

 

 

 

 

 

ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )

MILE POST

 

TYPE OF CRASH - The crash involved one or more of the following:

(Mark all that apply)

 

 

 

 

 

 

 

 

Two vehicles

ATV / Snowmobile

Parked vehicle

NAME OF NEAREST INTERSECTING ROAD

WITHIN

FEET

N

S

E

W

More than two vehicles

Motorcycle

Overturned vehicle

Motor Home / RV

 

 

NEAR

MILES

N

S

E

W

Fatality

Animal

 

 

 

Motorized Scooter

 

NAME OF NEAREST CITY / TOWN

WITHIN

FEET

N

S

E

W

Bicycle

Personal (assisted)

Fixed object / property

 

 

NEAR

MILES

N

S

E

W

Pedestrian

mobility device

Other ____________________

 

 

Train

SECTION 2 (YOUR INFORMATION)

Complete ALL fields. Failure to provide complete information may result in DMV issuing Notice of Suspension.

DRIVER’S LAST NAME

FIRST NAME

MIDDLE NAME

DRIVER’S LICENSE NUMBER

STATE DATE OF BIRTH

GENDER

 

 

 

M

F

X

DRIVER’S RESIDENCE ADDRESS

CITY

STATE

ZIP CODE

CHECK BOX

 

 

 

 

IF ADDRESS

MAILING ADDRESS (IF DIFFERENT THAN RESIDENCE)

CITY

STATE

ZIP CODE

CHANGE

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

CITY

STATE

ZIP CODE

SAME

 

 

 

 

RENTAL?

 

 

 

 

INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS

CITY

STATE

ZIP CODE

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

 

STATE VEHICLE PLATE NUMBER

YEAR MAKE & MODEL

Check all statements that apply:

SECTION 3

Damage to your vehicle was more than $2500.

Damage to any one person’s property (other than vehicle) was more than $2500.

Your vehicle was towed from the scene as a result of damages.

You or passengers in your vehicle were injured.

Collision with a parked vehicle.

The crash occurred while you were driving your employer’s vehicle.

You were driving on your job and being paid for the principal purpose of driving.

You were being paid to drive and/or deliver persons or property.

You were operating a government owned vehicle marked for transporting mail in accordance with government rules. You were operating an authorized emergency vehicle.

The crash occurred in a work or maintenance zone. ORS 811.230

 

 

 

A police officer came to the scene.

City

County

State Police

Name of police department: __________________________

You were operating a commercial motor vehicle requiring you to have a commercial driver license. You were transporting hazardous material.

A citation was issued to you. The citation was: ________________________________________________________

SECTION 4 (OTHER VEHICLE # 2)

DRIVER’S NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

 

 

 

 

 

M F X

 

 

 

 

 

 

DRIVER’S ADDRESS

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

CITY

 

STATE

ZIP CODE

 

SAME

INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS

 

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

STATE VEHICLE PLATE NUMBER YEAR MAKE & MODEL

IF ADDITIONAL VEHICLES WERE INVOLVED IN THE CRASH, USE ATTACHED SUPPLEMENTAL REPORT (Form 735-32B).

DESCRIBE WHAT HAPPENED: (IF MORE SPACE IS NEEDED, SUBMIT ADDITIONAL PAGE)

5

 

 

SECTION

I certify all information given on this report is true and accurate to the best of my knowledge.

 

 

SIGNATURE OF PERSON MAKING REPORT

PRINTED NAME OF PERSON MAKING REPORT

 

X

REASON DRIVER IS UNABLE TO SIGN REPORT

 

IF NOT DRIVER’S SIGNATURE, STATE RELATIONSHIP

735-32 (3-23) COMPLETE THE OTHER SIDE OF THIS PAGE

DMV COPY

DAYTIME PHONE #

 

DATE SIGNED

 

(

)

 

 

 

 

 

 

PHONE NUMBER OF DRIVER

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

STK# 300009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEATHER CONDITIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

YOU INTENDED TO...

YOUR VEHICLE

 

 

 

 

 

 

 

 

 

 

YOUR RESIDENCE

 

 

Go straight ahead

 

 

Passenger car, pickup, van

 

 

 

Clear

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local resident

 

 

 

 

 

Make right turn

 

 

 

Military vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Raining

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(within 25 miles of crash site)

 

 

Make left turn

 

 

 

Taxicab

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Snowing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residing elsewhere in state

 

 

Make “U” turn

 

 

 

Emergency vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fog

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non–resident of this state:

 

 

Back–Up

 

 

 

Any of the above and trailer

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College student

 

 

Enter driveway (also

 

 

Private or public agency

 

 

 

 

 

 

 

ROAD SURFACE

 

 

 

 

 

 

Military

 

 

 

 

 

mark left or right turn)

 

 

transit vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Temporary job

 

 

 

 

 

Remain stopped in traffic

 

 

Bus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wet

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOU WERE HEADED

 

 

Enter parked position

 

 

School bus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Snowy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North

 

East

 

 

 

 

 

Slow or Stop

 

 

 

Other publicly-owned veh.

 

 

 

 

 

 

Icy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

South

 

West

 

 

 

 

 

Leave driveway (also

 

 

Motorcycle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On: ____________________

 

 

mark left or right turn)

 

 

Motor Home / RV

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIGHT CONDITIONS

 

 

 

 

Start in traffic lane

 

 

Motor–scooter/bike

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daylight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name of street, road or route)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER WAS HEADED

 

 

Leave parked position

 

 

Personal (assisted) mobility device

 

 

 

Dawn or dusk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North

 

East

 

 

 

 

 

 

 

Truck tractor & semi trailer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remain parked

 

 

 

 

 

 

Darkness (lighted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

South

 

West

 

 

 

 

 

Overtake and pass

 

 

Truck/truck tractor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Darkness (unlighted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other truck combination

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On: ____________________

 

 

 

 

 

 

 

 

 

Farm tractor/farm equip.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(name of street, road or route)

 

WITNESS INFORMATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this crash involved a pedestrian or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

bicyclist, complete the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PEDESTRIAN NAME

 

BICYCLIST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pedestrian or bicyclist was going:

 

 

 

 

 

 

 

OCCUPANT INJURY AND SAFETY EQUIPMENT INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

 

 

S

 

E

W

 

 

SAFETY EQUIPMENT CODES

 

 

 

 

INJURY CODE FOR OCCUPANTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALONG OR ACROSS: (name of street, road or route)

 

 

WRITE one of the codes (0–10) in column C

 

WRITE one of the codes (1–5) in column D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0 No seat belt available

 

 

 

 

1

Fatal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From:

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Seat belt available but NOT used

 

 

 

 

2

Suspected Serious: severe laceration, broken

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 Seat belt available and in use

 

 

 

 

 

or distorted limb, crush injury, significant burns,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Child restraint device available but NOT used

 

 

unconsciousness, paralysis

 

 

 

 

 

 

To:

 

 

 

 

 

 

 

 

 

 

 

 

 

4 Child restraint device in use

 

 

 

 

3 Suspected Minor: lump, abrasions, bruises,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 Child restraint device not available

 

 

 

 

 

minor lacerations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXAMPLE: (From: NE corner To: SE corner (or) From: East side To: West side, etc.)

 

 

6 Helmet NOT in use

 

 

 

 

4 Possible

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Helmet in use

 

 

 

 

 

5 No apparent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender and age of pedestrian / bicyclist:

 

 

8

Air bag deployed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

X

Age: _____

 

 

 

 

 

9

Air bag available - NOT deployed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

Air bag NOT available

 

 

 

 

GENDER CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Extent of pedestrian / bicyclist injury:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WRITE M, F or X in column A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fatal

 

 

 

 

 

Complaint of Pain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEAT

 

 

OCCUPANTS' NAMES

(your vehicle)

 

 

 

A

 

 

B

 

C

 

 

D

 

 

 

 

 

 

 

 

 

Suspected Serious

No apparent injury

 

 

POSITION

 

 

GENDER

 

 

AGE

 

SFTY

AIR

INJURY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EQP

BAG

 

 

 

 

 

 

 

 

Visible injury

 

 

(or none noted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pedestrian / bicyclist action: (mark one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Crossing at intersection or crosswalk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Crossing not at intersection or crosswalk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIDDLE

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Walking / riding in roadway with traffic

 

 

 

 

 

LEFT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Walking / riding in roadway against traffic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIDDLE

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Standing in roadway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIDDLE

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pushing or working on vehicles in roadway

 

 

RIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other working in road

 

 

 

 

 

 

 

 

REAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEFT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Playing in road

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hitchhiking

 

 

 

 

 

 

 

 

 

 

CENTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Not in roadway

 

 

 

 

 

 

 

 

RIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other________________________________

 

 

 

 

*Use only for vehicles with middle row of seats (i.e., vans, SUVs, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(specify)

 

 

 

 

Vehicle Damage

 

 

 

 

 

 

Diagram

 

Number each vehicle:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

street,

route)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show path by:

 

 

 

 

 

 

 

 

 

 

 

 

U

 

 

 

 

 

 

 

(nameof roador

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show pedestrian/bicyclist by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show railroad tracks by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USE ARROW TO SHOW

Vehicle towed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Show fixed object by:

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST IMPACT (SHADE

Rollover

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN DAMAGED AREA)

Under car

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Totaled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle (No. 1) damage: $ __________ .

 

 

 

 

 

 

 

 

(name of street,

 

 

 

 

 

 

 

 

 

 

 

(name of street,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

road or route)

 

 

 

 

 

 

 

 

 

 

 

 

 

road or route)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUPPLEMENTAL REPORT

OREGON TRAFFIC CRASH

Supplemental for more than two drivers involved in the crash.

Attach this form to your OREGON TRAFFIC CRASH AND INSURANCE REPORT.

 

CRASH DATE

DAY OF WEEK

TIME OF DAY

AM

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M T W TH F

 

 

 

 

DO NOT WRITE

 

 

 

 

 

 

 

 

 

 

 

 

S SN

 

PM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IN THIS SPACE

 

 

 

 

 

 

 

 

 

 

ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )

MILE POST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

#3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

DRIVER’S LICENSE NUMBER

 

STATE

 

DATE OF BIRTH

GENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S ADDRESS

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

SAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

#4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

DRIVER’S LICENSE NUMBER

 

STATE

 

DATE OF BIRTH

GENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S ADDRESS

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

SAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

#5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

DRIVER’S LICENSE NUMBER

 

STATE

 

DATE OF BIRTH

GENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S ADDRESS

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

SAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

#6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

DRIVER’S LICENSE NUMBER

 

STATE

 

DATE OF BIRTH

GENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S ADDRESS

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

SAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

#7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

 

 

 

DRIVER’S LICENSE NUMBER

 

STATE

 

DATE OF BIRTH

GENDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S ADDRESS

 

 

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE OWNER’S NAME AND ADDRESS

 

 

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

SAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

735-32B (3-23)

SUPPLEMENTAL REPORT – USE IF MORE THAN TWO VEHICLES

CRASH ANALYSIS & REPORTING UNIT OREGON DEPARTMENT OF TRANSPORTATION POLICY, DATA & ANALYSIS DIVISION

555 13th ST NE STE 2 SALEM OR 97301 TELEPHONE 503-986-3507 FAX 503-986-3592

MOTOR CARRIER CRASH REPORT

(For CMV Drivers Only)

INSTRUCTIONS: IF YOU CHECKED A BOX UNDER THE QUALIFYING VEHICLE COLUMN AND A BOX UNDER THE CRITERIA COLUMN, COMPLETE THE MOTOR CARRIER CRASH REPORT AND SUBMIT TO THE ADDRESS SHOWN ABOVE. IF YOU HAVE ANY QUESTIONS REGARDING FILLING

OUT THE MOTOR CARRIER CRASH REPORT, PLEASE CALL (503) 986-3507. www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUALIFYING VEHICLE

 

 

 

 

 

 

 

 

 

CRITERIA

 

 

 

 

 

 

 

 

 

 

 

COMMERCIAL TRUCK (GVWR OVER 10,000 LBS OR ACTUAL WT

 

ANY PERSON SUSTAINING A FATALITY (WITHIN 30 DAYS OF THE

 

AT TIME OF CRASH EVEN IF GVWR IS SET UNDER 10,000 LBS )

 

 

 

CRASH)

 

 

 

 

 

 

 

 

 

 

 

HAZARDOUS MATERIAL PLACARD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANY PERSON SUSTAINING INJURIES REQUIRING TREATMENT AWAY

 

COMMERCIAL BUS (DESIGNED FOR 8 OR MORE PASSENGERS)

 

 

 

FROM THE SCENE

 

 

 

 

 

 

 

 

 

FARM TRUCK INTERSTATE (OVER 10,000 LBS.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANY VEHICLE INCURRING DISABLING DAMAGE REQUIRING

 

FARM TRUCK FOR-HIRE (4 OR MORE AXLES)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REMOVAL FROM THE SCENE BY A TOW TRUCK OR ANOTHER

 

FARM TRUCK TOWING TRIPLE TRAILERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTOR VEHICLE

 

 

 

 

 

 

 

 

 

FARM TRUCK (OVER 80,000 LBS.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTOR CARRIER NAME

 

 

 

 

 

 

 

 

US DOT NUMBER

 

 

 

 

AUTHORITY/FILE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER NAME (LAST, FIRST, MIDDLE)

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

LENGTH OF EMPLOYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEARS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CDL / DL NUMBER

 

 

STATE

 

 

 

 

 

LICENSE CLASS

 

 

 

 

 

EXPIRATION DATE OF MEDICAL CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

A

B

C

D

M

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FOLLOWING TWO QUESTIONS AS IF DOING A RECAP OF HOURS IN TIME DOCUMENTS AT TIME OF THE CRASH.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AT TIME OF THE CRASH, TOTAL HOURS

 

 

 

 

TOTAL HOURS ON DUTY DURING THE PREVIOUS

 

 

7 CONSECUTIVE DAYS ____________

 

DRIVING SINCE LAST OFF-DUTY PERIOD.

 

 

 

 

(FILL OUT ONE ONLY, BASED ON TIME DOCUMENTS)

 

 

8 CONSECUTIVE DAYS ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOES YOUR DRIVER HAVE A MEDICAL WAIVER

 

 

 

TYPE OF WAIVER (SIGHT, DIABETES, AMPUTEE, ETC.)

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER INJURY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOUR DRIVER KILLED

 

YOUR DRIVER INJURED

 

 

RELIEF DRIVER KILLED

RELIEF DRIVER INJURED

 

TOTAL NUMBER OF PASSENGERS

 

YES

NO

 

YES

NO

 

YES

NO

 

YES

NO

 

_____KILLED

_____ INJURED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER DRIVER INJURY INFORMATION

TOTAL NUMBER OF OTHER DRIVERS

_____KILLED

_____ INJURED

TOTAL NUMBER OF OTHER PASSENGERS

 

TOTAL NUMBER OF PEDESTRIANS

 

TOTAL NUMBER OF BICYCLISTS

_____KILLED

_____ INJURED

 

_____KILLED

_____ INJURED

 

_____KILLED

_____ INJURED

 

 

 

 

 

 

 

 

OTHER MOTOR CARRIER INFORMATION (IF 2 OR MORE MOTOR CARRIERS WERE INVOLVED)

MOTOR CARRIER NAME

VEHICLE LICENSE # AND STATE

DRIVER'S NAME

DRIVER'S LICENSE # AND STATE

MOTOR CARRIER VEHICLE INFORMATION

YEAR

MAKE

UNIT NUMBER

LICENSE PLATE # & STATE - TRUCK/TRACTOR/BUS

TOTAL NO. OF AXLES

 

INCLUDING TRAILERS

 

 

 

TRACTOR TYPE (SELECT APPROPRIATE TYPE)

 

 

 

 

 

 

1

 

 

 

 

5

Standard

 

 

 

9

Heavy Haul

 

Triples (tractor with 3 trailers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

Tractor/Semi Trailer

 

 

 

 

Bus/Van (8 or more

 

 

 

 

 

 

 

 

 

 

2

 

Triples (truck with 2 trailers)

 

 

Straight Truck

 

 

10

 

 

 

 

 

 

 

3

 

 

 

 

7

 

 

 

11

passenger capacity)

 

 

 

 

 

 

 

 

Straight truck-full trailer

 

 

 

 

 

Auto/Pickup

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

Doubles (any)

 

 

8

Saddlemount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

735-9229 (3-23)

COMPLETE REVERSE SIDE

 

 

 

 

 

 

 

SUPPLEMENTAL – MOTOR CARRIER CRASH REPORT

TRAILER TYPE (CHECK ONE)

 

VAN

 

FLATBED

 

TANKER

 

 

CONTAINER

 

 

POLE/LOG

 

DUMP

 

 

BELLY-DUMP

 

 

CAR CARRIER

 

LIVESTOCK

 

 

 

 

 

 

 

 

 

 

 

 

 

MOBILE HOME TOTER

 

PASSENGER

 

DROP-BOX

 

GARBAGE

 

 

BULK-HOPPER

 

 

 

MIXER

 

SADDLEMOUNT

 

 

 

 

 

 

 

 

 

 

 

WRECKER

 

FIXED LOAD

 

HEAVY HAUL

 

 

UTILITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMODITY INFORMATION

COMMODITY BEING TRANSPORTED AT TIME OF CRASH

WAS A HAZARDOUS COMMODITY BEING HAULED

YES NO

WAS HAZARDOUS MATERIAL RELEASED FROM THE VEHICLE CARGO(NOT A FUEL RELEASE)

YES NO

HAZARD CLASS

CRASH INFORMATION

LOCATION OF CRASH (NEAREST CITY OR TOWN)

 

HIGHWAY AND MILEPOINT/STREET/COUNTY ROAD

 

DIRECTION OF YOUR VEHICLE (CHECK)

 

 

 

 

 

 

 

 

 

N

S

E

W

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF CRASH

TIME

 

 

AM

DAY OF THE WEEK (CHECK ONE)

 

 

 

 

 

 

 

 

 

 

PM

MON

TUES WED THU

FRI

SAT

SUN

CONDITIONS AT TIME OF CRASH

 

 

 

 

 

 

 

 

 

 

 

 

 

WEATHER (CHECK ONE)

1. CLEAR

2. RAIN

3. SNOW

4. CLOUDY

5. SLEET

6. FOG

7. OTHER

 

 

ROAD SURFACE (CHECK ONE)

1. DRY

2. WET

3. SNOWY

4. ICY

5. OTHER

 

 

 

 

 

 

 

 

LIGHT CONDITION (CHECK ONE)

1. DAY

2. DAWN

3. DUSK

4. ARTIFICIAL LIGHTS

5. DARK

6. OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESCRIBE WHAT HAPPENED BY CHECKING ALL BOXES THAT APPLY. YOUR VEHICLE IS ALWAYS NO.1. IF OTHER VEHICLES WERE INVOLVED, COMPLETE COLUMNS 2 & 3 TO CORRESPOND TO THE ACTIONS OF THE SAME NUMBERED VEHICLES LISTED ABOVE UNDER "OTHER DRIVER INFORMATION".

VEHICLES 1 2 3

ACTION

SLOWING - STOPPING

STOPPED

REAR-END

BACKING

MAKING RIGHT TURN

MAKING LEFT TURN

MAKING U TURN

PROCEEDING STRAIGHT

INTERSECTION

ENTERING TRAFFIC (FROM SHOULDER, MEDIAN, PARKING STRIP OR PRIVATE DRIVE)

VEHICLES 1 2 3

ACTION

PASSING

CHANGING LANES

SIDESWIPE

HEAD-ON

SKIDDING

VEHICLE OUT OF CONTROL

ROLL-AWAY

CONTROLLED RR CROSSING

UNCONTROLLED RR CROSSING

RAN OFF ROAD

VEHICLES 1 2 3

ACTION

JACKKNIFE

OVERTURN

SEPARATION OF UNITS

FIRE

EXPLOSION

CARGO SHIFT

CARGO SPILL (HAZARDOUS)

CARGO SPILL (NON-HAZARDOUS)

OTHER (DEER, GUARDRAIL, ETC)

DID YOUR VEHICLE STRIKE A PARKED VEHICLE

YES NO

WAS YOUR PARKED VEHICLE STRUCK BY ANOTHER VEHICLE

YES NO

DESCRIPTION OF CRASH (BY CARRIER OR DRIVER)

NAME AND TITLE OF PERSON SIGNING REPORT

TELEPHONE NUMBER(S)

 

 

SIGNATURE I CERTIFY THE INFORMATION PROVIDED IS TRUE AND ACCURATE

DATE

X

 

File Features

Fact Detail
Reportable Conditions Drivers must report if damage to any vehicle or property exceeds $2500, there's any injury, death, or if a vehicle needs to be towed due to damages.
Timeframe for Filing The report must be filed within 72 hours of the crash.
Failure to Report Consequences Not reporting can lead to the suspension of driving privileges.
Filing Requirement Despite Police Report A driver must file a report even if a police report is filed.
Non-Oregon Residents Out-of-state licensees must also file a report for incidents occurring in Oregon.
DMV's Role DMV does not assign fault but will record the crash on the drivers' records who are required to report.
Insurance Verification DMV verifies insurance information submitted, and incomplete information can result in driving privileges suspension.
Instruction for Totaled Vehicles If the crash resulted in a totaled vehicle, specific instructions provided in the form must be followed according to Oregon law (ORS 801.527).
Commercial Vehicle Operators Operators of commercial vehicles are required to file an additional form, Form 735-9229, within 30 days if the crash involves fatalities, injuries, or disabling damages.
Submission Methods Reports can be submitted via email, fax, mail, or in person at a DMV office.
Governing Law Oregon Revised Statutes (ORS) 802.220(5) and ORS 801.527 govern the reporting requirements and definitions for a totaled vehicle, respectively.

Detailed Steps for Using Oregon Dmv Accident Report

After being involved in a traffic accident in Oregon, if certain conditions apply such as significant damage or injuries, you are required to fill out the Oregon DMV Accident Report form. This form must be completed and submitted within 72 hours of the accident to avoid potential penalties like the suspension of your driving privileges. Here's a step-by-step guide to help you accurately complete the form:

  1. Begin by reading all the instructions on the form carefully to understand what details are necessary.
  2. In SECTION 1, record the crash date, day of the week, time of day, and county. Also, include the crash reference number if known.
  3. Mark the appropriate checkboxes that describe the type of crash under the "TYPE OF CRASH" subsection in SECTION 1.
  4. In SECTION 2, enter your vehicle information as Vehicle #1. Fill in all fields including your name, driver’s license number, address, and insurance details like company name, policy number, and your vehicle's identification number (VIN).
  5. For SECTION 3, check all statements that apply to your situation, such as damage exceeding $2500, involvement of any injuries or deaths, or if the vehicle was towed due to damage.
  6. If there was another vehicle involved, fill out their details in SECTION 4. If more than one other vehicle was involved, use the Supplemental Report (Form 735-32B) provided for additional vehicles.
  7. In SECTION 5, describe what happened during the crash. Be concise but provide enough detail to give a clear picture of the incident.
  8. Sign and date the form in the provided field for SECTION 5. If you are not the driver or if the driver is unable to sign, indicate the relationship to the driver and the reason for the absence of the driver's signature.
  9. Check the weather conditions and provide information about your intended action and vehicle type in the additional sections provided on the backside of the form.
  10. Finally, submit the completed form via email, fax, mail, or in person at a DMV office. Make sure to keep a copy for your records along with proof of submission, especially if sending by email or fax.

It’s crucial to supply all the required information accurately and completely to avoid any complications with your driving privileges. If you have any questions or need further assistance, contact the DMV Crash Reporting Unit at the provided phone number.

Important Points on This Form

What circumstances require me to file an Oregon Traffic Crash and Insurance Report?

You must file a report if you are involved in a traffic crash that meets any of the following conditions:

  1. Damage to your vehicle is over $2,500.
  2. Damage to any one person's property over $2,500.
  3. Any injury, no matter how minor.
  4. Any vehicle is towed from the scene as a result of damages.
  5. Death resulting from the crash.
Oregon law mandates that these reports be filed within 72 hours of the accident.

What happens if I don't file the report within 72 hours?

If you're unable to file the report within the 72-hour window, you should submit it as soon as possible. Failure to report the crash to the DMV may lead to the suspension of your driving privileges.

If the police file a report, am I still required to file one with the DMV?

Yes, even if the police department files a report, you are still required to submit your own Oregon Traffic Crash and Insurance Report to the DMV.

Does completing this form assign fault for the crash?

No, the DMV does not use this form to determine who was at fault in the crash. However, the DMV will post the crash to the driving records of the drivers required to report, unless the involved vehicle was parked.

What information is necessary to complete the report?

You need to fill out the form with black or dark blue ink, pressing firmly, and complete both sides. Specify the date, location, and time of the crash, vehicle identification, your insurance details, and describe the crash circumstances. Be prepared to provide:

  • Insurance company name (not agent), policy number, and VIN for your vehicle.
  • Details about the other vehicle(s) if involved, using the Supplemental Report (Form 735-32B) for additional vehicles.

What are some important reminders when completing the Insurance section?

It is crucial to complete the insurance section accurately since DMV verifies this information. Failing to provide complete insurance and vehicle information may trigger a Notice of Suspension due to incomplete information. Ensure you report the insurance company name, policy number, and your vehicle’s VIN.

How can I submit the report to the DMV?

You have several submission options, including email (OregonDMVAccidents@odot.oregon.gov), fax (503-945-5267), mail (DMV Crash Reporting Unit, 1905 Lana Ave NE, Salem, Oregon 97314), or in person at a DMV office. Make sure to keep a copy of the report and a document that verifies when you submitted your report to the Oregon DMV.

What should I do if my vehicle is considered "totaled"?

If your vehicle is "totaled," meaning it's considered a total loss by an insurer or the cost to repair it is at least 80% of its retail market value, you must follow specific instructions:

  • Surrender the title to your insurer or DMV, depending on your situation.
  • Notify DMV if unable to obtain the title, with a signed statement including a description of the vehicle and a statement that it has been totaled.
You can obtain the Application for Salvage Title (Form 735-229) for more details on how to proceed.

What are the penalties for failing to comply with the reporting requirements?

Failure to comply with the requirements, such as not reporting a crash or not following the totaled vehicle instructions, can result in a Class A misdemeanor. This could lead to imprisonment, a fine, or both.

Common mistakes

When filling out the Oregon DMV Accident Report Form, people often make mistakes that can affect the processing of their report or even lead to further complications. Here's a list of common errors:

  1. Not reporting within the 72-hour window, as required by Oregon law, which can lead to the suspension of driving privileges.
  2. Failing to use black or dark blue ink and pressing firmly, which can make the report hard to read and process.
  3. Forgetting to complete both sides of the form, which leaves out critical information needed by the DMV.
  4. Omitting details about additional vehicles involved, which is necessary for the DMV to have a complete understanding of the accident.
  5. Not providing complete insurance information, leading to possible suspension of driving privileges due to incomplete information.
  6. Inaccurately reporting the principal purpose of driving, which is essential for identifying commercial vehicle operators.
  7. Skipping the description of what happened or not signing the form, both of which are crucial for documenting the accident properly.
  8. Incorrectly handling the reporting for a totaled vehicle, which has specific instructions that must be followed according to Oregon law.
  9. Misunderstanding the definition of property damage, which includes more than just damage to vehicles.

It's also worth mentioning a few more general oversights:

  • Not keeping a copy of the report and documentation of submission, which is important for your records.
  • Omitting weather and road conditions, which can provide context about the accident.
  • Neglecting witness information, which can be invaluable in case of disputes or for further investigation.

Avoiding these mistakes can help ensure your report is complete and processed without unnecessary delay.

Documents used along the form

When handling an accident in Oregon, particularly one that requires you to fill out the Oregon DMV Accident Report form, you might need several other forms and documents to thoroughly document the incident, process claims, or follow legal requirements. Understanding these additional documents can help ensure that all necessary steps are taken in the aftermath of an accident.

  • Police Report: This document is created by the responding officer at the scene of the accident, detailing their observations, statements from those involved, and any citations issued.
  • Insurance Policy: Your current insurance policy documents are crucial for filing a claim. They outline coverage, limits, and your responsibilities after an accident.
  • Medical Reports: If injuries occurred, detailed medical reports from treating healthcare professionals will be needed for insurance claims and potential legal proceedings.
  • Vehicle Repair Estimates: Quotes from auto repair shops that describe the damage to your vehicle and the estimated cost for repairs are necessary for insurance claims.
  • Supplemental Report (Form 735-32B): For accidents involving more than two vehicles, this additional DMV form provides a template to document additional vehicles and drivers involved.
  • Motor Carrier Crash Report (Form 735-9229): Required for commercial motor vehicle crashes, this form must be filed alongside the standard DMV accident report under certain conditions.
  • Witness Statements: Written accounts from witnesses can provide additional perspectives on the accident, potentially aiding in insurance claims and legal matters.
  • Photographs of the Accident Scene: Pictures can offer clear evidence of road conditions, vehicle positioning, and damage for insurance and legal analyses.
  • Salvage Title Application (Form 735-229): If your vehicle is declared a total loss, this DMV form is used to apply for a salvage title, documenting that the vehicle has been damaged to the extent that the cost of repair exceeds its value.

Collecting and organizing these documents promptly can streamline the process of dealing with post-accident procedures, from insurance claims to legal considerations. Each piece serves as a component of a comprehensive account of the incident, which can be crucial for resolving disputes and securing appropriate compensation for damages and injuries.

Similar forms

The Vehicle Accident Report Form used in other states is remarkably similar to Oregon's Traffic Crash and Insurance Report form. This document, required in the event of accidents resulting in significant damage, injury, or death, mandates detailed information on the crash circumstances, involved parties, and insurance coverage. Like Oregon's form, state-specific versions also typically set deadlines for submission to avoid penalties, such as the suspension of driving privileges. Both forms aim to facilitate the efficient processing of accident information by state departments and insurance companies, ensuring accountability and aid in the management of post-accident procedures.

The Motor Carrier Crash Report, as referenced for commercial motor vehicle operators in Oregon, bears resemblance to the Oregon DMV Accident Report form, specifically in its requirements for reporting accidents involving commercial vehicles. This form is necessary when commercial vehicle accidents result in fatalities, injuries requiring treatment away from the scene, or significant vehicle damage. It collects detailed information about the crash to comply with state and federal regulations governing commercial transportation. Just like the DMV's Accident Report, the goal is to document the incident thoroughly for legal, insurance, and regulatory purposes.

A Property Damage Report is akin to the sections of the Oregon DMV Accident Report focusing on property damage exceeding a certain monetary threshold. When private or public property is damaged as a result of a vehicular accident, detailed documentation similar to that required by the DMV form is often necessary for insurance claims and legal processes. These reports typically include descriptions of the property damaged, estimates or actual costs of the damage, and information on the involved parties, mirroring the necessary elements outlined in Oregon's accident reporting form for vehicular damage claims.

The Personal Injury Report bears similarities to the injury-related sections of the Oregon Traffic Crash and Insurance Report form. When an accident results in injuries, detailed documentation is required, noting the nature and extent of the injuries, involved parties' information, and circumstances surrounding the incident. This parallels the requirements in Oregon's DMV form that mandates reporting of any injuries, no matter how minor, ensuring that all parties have the necessary documentation for insurance, medical, and legal assistance following an accident.

Dos and Don'ts

Filling out the Oregon DMV Accident Report form is crucial for documenting a traffic crash. It requires clarity, accuracy, and attention to detail. Here are 10 do's and don'ts to guide you through completing this form:

  • Do print or type all information neatly using black or dark blue ink to ensure legibility.
  • Do complete both sides of the form comprehensively, providing detailed information as requested.
  • Do file the report within 72 hours of the crash to comply with Oregon law and avoid potential suspension of your driving privileges.
  • Do accurately record the date, location, and time of the crash as this information is critical for processing your report.
  • Do provide complete insurance information, including the insurance company name, policy number, and vehicle identification number (VIN), to prevent a possible suspension of your driving privileges.
  • Do describe the crash in detail in the description section, ensuring clarity and completeness of your account.
  • Do sign and date the form personally, unless you are incapacitated or physically unable to do so.
  • Do keep a copy of the report and any documentation showing when you submitted your report to the Oregon DMV.
  • Don't leave any fields incomplete, especially those regarding the insurance and vehicle information, as this may result in a Notice of Suspension.
  • Don't forget to complete the section on the principle purpose of driving if applicable, particularly in commercial or work-related incidents.

By following these guidelines, you can ensure that your Oregon DMV Accident Report form is filled out thoroughly and accurately, complying with state requirements and aiding in the smooth processing of your report.

Misconceptions

When it comes to filling out the Oregon DMV Accident Report form, there are several misconceptions that can lead to confusion and mistakes. Understanding these misconceptions is key to ensuring that the report is filled out accurately and in compliance with Oregon law. Here are eight common misconceptions explained:

  • Only Oregon residents need to file this report: Regardless of where you are from, if you are involved in a crash in Oregon that meets the reporting criteria, you must file an Oregon Traffic Crash and Insurance Report. This applies even if you are licensed in another state.
  • You don’t need to file a report if the police did: Even if a police report is filed, drivers involved in a crash are still required to submit their own report to the DMV. This step is mandatory and distinct from any police report.
  • You only need to report if there are injuries: Crashes must be reported not only when there are injuries but also when vehicle damage exceeds $2,500, damage to any one person’s property is over $2,500, or a vehicle is towed from the scene.
  • Fault is determined by the DMV based on the report: The DMV does not determine fault in a crash. The primary purpose of the report is to document the event on the driving records of those required to report, unless the vehicle was parked at the time of the incident.
  • The report can be submitted at any time: Oregon law requires that this report be filed within 72 hours of the crash. If it is not possible to file within this timeframe, it should be submitted as soon as possible to avoid potential penalties.
  • Reporting a crash will automatically result in a suspension of driving privileges: Failing to complete the insurance section correctly might lead to a suspension, but simply reporting a crash does not. It's the failure to report or providing incomplete insurance information that may result in a suspension of your driving privileges.
  • You need to submit a title with the crash report if your vehicle is totaled: If your crash results in a totaled vehicle, you must follow specific instructions regarding the title, which do not include submitting it with the crash report. The title may need to be surrendered to an insurer or the DMQ under different circumstances, but not as part of the crash report submission.
  • Completing the form partially is acceptable if you plan to add details later: The form requires complete information at the time of submission. Failing to provide all the necessary details, especially in the insurance section, can lead to penalties, including the suspension of driving privileges.

Understanding these details can help ensure that anyone involved in a traffic crash in Oregon can accurately complete and submit their report, adhering to state laws and avoiding unnecessary complications.

Key takeaways

When filling out the Oregon DMV Accident Report form, it's crucial to understand the specific requirements and procedures to ensure the report is submitted correctly. Here are four key takeaways to help guide you through the process:

  • The requirement to file a Crash & Insurance Report with the Oregon DMV is triggered under certain conditions, such as when vehicle damage exceeds $2,500, there's any injury regardless of severity, death occurs, or a vehicle is towed from the scene because of damages. This underscores the importance of assessing the situation carefully to determine if reporting is mandatory.
  • Reports must be filed within 72 hours of the accident. This tight deadline highlights the need for prompt action following an accident. If it's not possible to file within this timeframe, it's advised to submit the report as soon as you can. Failing to report an accident to the DMV can lead to suspension of driving privileges, indicating the legal importance of fulfilling this obligation.
  • The form requires detailed information about the accident, including insurance details, which the DMV will verify. Incomplete or incorrect information can lead to a Notice of Suspension. This requirement emphasizes the necessity for thoroughness and accuracy when completing the form, ensuring that all sections are filled out with the correct details.
  • The accident report form provides options for submission, including email, fax, mail, or delivery to a DMV office. Keeping a copy of the report and proof of submission (such as email autoreplies or fax confirmation reports) is crucial as the DMV does not provide copies of filed reports. This process allows for different methods of submission and underscores the need for keeping personal records of the submitted report.

Understanding these key aspects can significantly aid in the correct and timely submission of the Oregon DMV Accident Report form, ensuring compliance with state law while protecting one's driving privileges.

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