New Hampshire - Motor Carrier Accident Report: DSMV 161 (7/07)
Commercial motor carrier accident report used in New Hampshire identifies vehicle and carrier, and sequence of events.
PDF (266KB)
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Liability
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Arkansas - Motor Vehicle Crash Report: (1/07)
Standard motor vehicle collision report for the state of Arkansas provides driver and vehicle identification, describes damage and includes a crash diagram and crash narrative.
PDF (46KB)
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Colorado - Traffic Accident Report: DR 2447 (2/06)
Standard traffic accident report used in Colorado includes driver and vehicle identification, location, damages and a description of the accident. The code overlays A and B supplement the accident report with specific details on sequence of events, driver actions, roadway and environmental conditions, contributing factors and safety equipment. Overlay C pertains to federal motor carrier vehicle information.
PDF (459KB)
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South Carolina - Accident and Insurance Inquiry Forms (Financial Responsibility)
South Carolina Department of Motor Vehicles Accident and Insurance Inquiry forms relating to Financial Responsibility.
PDF (251KB)
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Liability
Forms Property & Casualty
Alabama - Uniform Traffic Crash Report - Truck/Bus Supplemental Sheet (6/08)
The Alabama Uniform Traffic Accident Report and the Truck/Bus Supplemental sheet is to be completed when an accident meets both of the following criteria: (1) involves a truck with gross vehicle weight of 10,000 pounds or a Haz/Mat placard, or a vehicle designed to carry 9 or more people, and (2) results in at least one of the following: one or more fatalities, one or more persons injured and taken from the scene for medical attention, or one or more vehicles towed from the scene. Code legend is included.
PDF (420KB)
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Automobile Accident/Loss Notice (Spanish)
A loss report form filled out by insureds and/or agents when reporting an automobile accident. Includes information on occupants, injuries, damages, accident description and witnesses.
PDF (78KB)
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Liability
Spanish
Forms Property & Casualty
Kentucky - Traffic Collision Report Codes
The code sheet is used to decipher the motor vehicle accident report from the state of Kentucky, and details circumstances and contributing factors.
PDF (245KB)
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Crash Reports
Flood Zone Classification Chart
Definitions of flood zone classifications.
PDF (14KB)
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Catastrophe
Property
General Reference
New York - Report Of Motor Vehicle Accident: MV-104 (7/05)
Driver's self-report form for an accident in New York.
PDF (66KB)
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Adjuster Assignment Form - Fax
Generic fax form sent to an independent adjuster with details of a claim assignment. It allows for a full or limited assignment and lists specific actions required by the adjuster, such as loss verification, photos, scene diagram, statements, subrogation investigation, vehicle appraisals, and settlements.
DOC (33KB)
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Liability
Forms Property & Casualty
Vermont - Report of a Motor Vehicle Accident - Code Overlay TA-VA-01 (11/13)
This code sheet is used to decipher the motor vehicle accident report from the state of Vermont.
PDF (424KB)
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Liability
Crash Reports
Hawaii - Motor Vehicle Accident Report (6/08)
The traffic accident report used in Hawaii includes vehicle and driver information, collision circumstances, crash diagram, crash narrative and commercial motor vehicle supplement.
PDF (421KB)
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Liability
Crash Reports
Massachusetts - Motor Vehicle Crash Police Report: CRA-65 (02/05)
Police Crash Report form for the state of Massachusetts.
PDF (869KB)
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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)
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