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New Jersey - Police Accident Report: Code Overlay (4/10)

This code sheet is used to decipher the motor vehicle accident report from the state of New Jersey. These codes are used to represent all circumstances of a traffic incident. Codes detail location, roadway type and surface condition, environmental conditions, traffic control, pre-accident actions, type of accident, safety equipment used, vehicle type, vehicle damage, physical complaints and injuries of driver/pedestrian, physical status, contributing circumstances and county hospitals. It includes crash diagrams and samples of cargo vehicle types.
  PDF (701KB) Crash Reports

Nebraska - Investigator's Motor Vehicle Accident Report: DR Form 40 (1/09)

The motor vehicle accident report used in the state of Nebraska describes persons, vehicles and environment involved in the incident. It includes code overlays, a crash diagram, crash narrative, a continuation form for additional vehicles, and a supplemental truck and bus accident report form.
  PDF (1011KB) Crash Reports

Reservation Of Rights Letter (Spanish)

The reservation of rights letter notifies the policyholder that the insurer reserves the right to deny coverage of a claim, in whole or part, pending outcome of a claims investigation.
  DOC (57KB) Letters

Minnesota - Motor Vehicle Accident Report: PS 32001-10

Minnesota driver's motor vehicle accident report form, which must be completed for a crash involving $1,000 or more in property damage, or injury or death.
  PDF (115KB) Crash Reports

Witness Statement (Spanish)

This written statement is prepared by an accident witness. It documents all details they can recall about the accident scene, including any statements made by parties involved.
  PDF (95KB) Forms Property & Casualty

North Dakota - Motor Vehicle Crash Report Code Overlay: DOT 2356 (7/13)

North Dakota motor vehicle code overlay used in conjunction with the DOT crash report form.
  PDF (889KB) Crash Reports

Montana - Accident Investigation Codes

Montana accident investigation codes used to decipher an accident report.
  PDF (1480KB) Crash Reports

Nevada - Traffic Accident Report (1/04)

The Nevada motor vehicle accident report form identifies persons, vehicles and circumstances involved. It includes a crash narrative, non-motorist information, an occupant/witness supplement, and accident report codes.
  PDF (299KB) Crash Reports

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) Crash Reports


Oregon - Police Truck/Bus/Hazmat Crash Supplemental: 735-47 (11/11)

The Oregon Police Truck/Bus/Hazmat Crash form is a supplemental report that describes vehicle and carrier involved, and lists sequence of events.
  PDF (216KB) Crash Reports

Oregon - Police Traffic Crash Report Addition: 735-46B (9/16)

The Oregon Police Traffic Crash report appendix B lists additional passengers or witnesses, injuries, safety equipment used and contributing factors.
  PDF (181KB) Crash Reports

Vermont - Uniform Crash Report (1/08)

The Vermont Uniform Crash Report describes the persons, vehicles and circumstances involved, and includes a code overlay, crash diagram and narrative.
  PDF (500KB) Crash Reports

Texas - Driver's Crash Report: CR-2 (4/08)

Texas crash report form CR-2 must be completed by the driver involved when a crash is not investigated by a law enforcement officer.
  PDF (20KB) Crash Reports

Pennsylvania - Police Crash Reporting Form - Code Sheet: (2005)

This code sheet is used to decipher the motor vehicle accident report from the state of Pennsylvania.
  PDF (52KB) Crash Reports
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