Illinois - Traffic Crash Report: SR-1050 (2013)
The traffic crash report form for Illinois includes driver and vehicle identification, tow and insurance information, and description of property damage and bodily injuries. An accident diagram and narrative are included.
PDF (368KB)
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Liability
Crash Reports
Alaska - Motor Vehicle Collision Report: 12-200 (4/12)
The Alaska Motor Vehicle Collision report describes the persons, vehicles, and circumstances involved. It includes a crash diagram and narrative, with contributing factors and sequence of events.
PDF (123KB)
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Liability
Crash Reports
Arizona - Crash Report - Truck/Bus Supplement: 01-2710 (7/10)
This supplemental form is used along with the standard Arizona Traffic Accident Report when a truck or bus is involved in an accident. It includes carrier information, vehicle configuration and sequence of events.
PDF (280KB)
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Liability
Crash Reports
Georgia - Motor Vehicle Accident Report: DOT-523 (12/03)
The standard traffic accident report used in the state of Georgia, which includes driver, passenger and vehicle identification, and an accident diagram.
PDF (54KB)
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Liability
Crash Reports
Georgia - Uniform Motor Vehicle Report Continuation: DOT-523C (12/03)
Continuation form used with the standard traffic accident report of Georgia when there are multiple persons from high occupancy vehicles involved.
PDF (33KB)
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Liability
Crash Reports
Illinois - Motorist Report: SR 1 350M (1/99)
This report is completed by the driver responsible for bodily injury, death or property damage resulting from a motor vehicle accident in Illinois. It includes driver and vehicle identification, diagrams to indicate vehicle damage, tow and insurance information, and description of property damage and bodily injuries. An accident diagram and narrative are required to be included.
PDF (408KB)
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Crash Reports
Iowa - Investigating Officer's Report of Motor Vehicle Accident - Code Sheet: 433014 (11/13)
This code sheet is used to decipher the motor vehicle accident report from the state of Iowa.
PDF (493KB)
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Liability
Crash Reports
New Mexico - Uniform Crash Report: SH 10074 (3/09)
The New Mexico crash report form describes persons, vehicles and circumstances involved, and includes contributing factors and a crash diagram/narrative.
PDF (336KB)
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Liability
Crash Reports
South Dakota - Investigator's Motor Vehicle Traffic Accident Report: Truck/Bus/Hazmat
The South Dakota motor vehicle traffic accident report for truck/bus/hazmat describes the persons, vehicles and circumstances involved, and contains an accident diagram and narrative.
PDF (408KB)
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Liability
Crash Reports
South Dakota - Code Overlay (12/03)
The code overlay is used to decipher the South Dakota motor vehicle accident report.
PDF (842KB)
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Liability
Crash Reports
Texas - Peace Officer's Crash Report: CR-3 Alternate (7/11)
The alternate Texas peace Officer's crash report includes a commercial motor carrier form.
PDF (562KB)
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Liability
Crash Reports
Insured's Statement In Burglary Loss (Spanish)
A written statement by the insured detailing a burglary loss claim involving a residence or automobile.
PDF (55KB)
Auto
Property
Forms Property & Casualty
Affidavit-Lightning Losses (Spanish)
This affidavit is filled out by a service provider who inspects a property and certifies lightning damage as the sole source of the loss. A notorized signature and witnesses are required.
PDF (50KB)
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Property
Spanish
Forms Property & Casualty
