Michigan - Traffic Crash Report Guide (10/15)
Use this code guide to decipher the Michigan traffic crash report.
PDF (348KB)
Auto
Liability
Crash Reports
Affidavit Of Salvage Retention (Spanish)
Acknowledgment by the current owner that his vehicle has been declared a total loss, and that he/she has elected to retain the salvage for a specific sum of monies. Towing and storage charges are also specified.
PDF (68KB)
Auto
Salvage
Spanish
Forms Property & Casualty
Insured's Release (Spanish)
The release form identifies all parties to a claim, states the date of the occurrence, and details the terms of settlement of a claim. The release contains a statement that, as a condition of the settlement, prevents any further claim or action against the insurer for the claim event in question.
PDF (95KB)
Auto
Property
Spanish
Forms Property & Casualty
Texas - Peace Officer's Crash Report: Code Sheet CR-3CS (1/17)
Numbered fields on the CR-3 Texas Peace Officer's crash report refer to the numbered lists on the code sheet.
PDF (181KB)
Auto
Liability
Crash Reports
Mississippi - Uniform Crash Report (10/09)
The Mississippi Uniform Crash Report provides driver and vehicle identification, accident circumstances, witness(es), collision diagram and collision narrative.
PDF (96KB)
Auto
Liability
Crash Reports
Missouri - Uniform Accident Report - Pedestrians / Occupants Continuation / Supplement Form: SHP-224
Pedestrians / Occupants Continuation / Supplement (SHP-224) form to the Missouri Uniform Crash Report is completed when more than one pedestrian is involved in a crash or more than six occupants (including the driver) from one vehicle are involved in a crash.
PDF (332KB)
Auto
Liability
Crash Reports
Virgin Islands - Uniform Crash Report: (5/07)
Virgin Islands crash report describes the persons, vehicles and circumstances involved, and includes a collision diagram and narrative.
PDF (106KB)
Auto
Liability
Crash Reports
Request For Accident Report (Spanish)
Form letter used by an adjuster requesting an accident report.
DOC (39KB)
Auto
Liability
Spanish
Letters
Certificate Of Satisfaction (Spanish)
The insured signs this form which certfies his/her satisfaction with damage repairs performed, directs claim payment to that service provider, and closes the claim.
PDF (22KB)
Auto
Liability
Property
Spanish
Forms Property & Casualty
The Port Authority of NY & NJ - Motor Vehicle Crash Report Code Sheet (08-09)
This code sheet is used to decipher the motor vehicle accident report from the Port Authority of New York and New Jersey.
PDF (140KB)
Auto
Liability
Crash Reports
Automobile Accident Report - NY (Spanish)
Report form, customized for New York, that is given to vehicle owners and drivers to capture the details of an accident. Includes occupants, injuries, property damages, crash diagram, driver's account of accident, and witnesses.
PDF (55KB)
Auto
Liability
Spanish
Forms Property & Casualty
California - Traffic Collision Report: CHP555 (4-11)
Standard traffic collision report form used by the California Highway Patrol.
PDF (496KB)
Auto
Liability
Crash Reports
Wyoming - Investigator's Traffic Crash Report: PR902 (11/14)
The Wyoming crash report describes the persons, vehicles and circumstances involved, and includes a crash diagram, narrative and codes used to decipher the report.
PDF (178KB)
Auto
Liability
Crash Reports
Illinois - Traffic Crash Report - Codes (2013)
This code sheet is used to decipher the motor vehicle accident report from the state of Illinois. Codes detail location, roadway surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, vehicle damage, contributing factors, and cause of accident.
PDF (104KB)
Auto
Liability
Crash Reports
