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Homepage ↦ Fill Out a Valid Virginia Police Crash Report Template
Structure

The Virginia Police Crash Report form, formally recognized by the Commonwealth of Virginia Department of Motor Vehicles as FR300P, serves as a comprehensive document for recording details of vehicular incidents within the state. Revised in January 2012, this form meticulously captures a wide array of data, ranging from basic information – such as the date, time, and location of the crash – to more detailed descriptions encompassing vehicular specifics, driver and passenger details, conditions leading to the crash, and resultant damages or injuries. It also includes sections tailored specifically for commercial vehicle incidents, highlighting elements like vehicle configuration, cargo type, and hazardous material information if applicable. Designed to assist law enforcement officers in documenting the multifaceted nature of road incidents, the report serves multiple purposes: it helps in the investigation process, aids in the statistical analysis of road safety measures, and supports the adjudication of any legal matters arising from the crash. Moreover, the form incorporates a diagram section for visual representation of the crash scene, alongside a narrative space for a detailed crash description, ensuring a thorough record is maintained for future reference. This meticulous approach to crash reporting underscores Virginia's commitment to road safety, legal clarity, and the provision of accurate data for improving future road use policies.

Virginia Police Crash Report Example

 

 

 

 

 

 

 

 

Commonwealth of Virginia • Department of Motor Vehicles

 

 

 

 

 

 

 

 

 

FR300P (Rev 1/12)

Revised Report

 

 

 

 

 

 

Police Crash Report

 

 

 

 

 

 

Page _______ of _______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRASH

 

 

 

 

 

 

 

 

GPS Lat.

GPS Long.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Crash MM

DD

YYYY

Day of Week

 

MILITARY Time (24 hr clock)

County of Crash

Official DMV Use

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City of

 

City or Town

Name

 

 

Landmarks at Scene

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Crash (route/street)

 

 

 

 

 

 

Railroad Crossing ID no. (if within 150 ft.)

Local Case Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N S E W

Location of Crash (route/street)

Mile Marker Number

 

 

 

 

Number of Vehicles

At Intersection With or ______

 

 

Miles

 

Feet

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver Fled Scene

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s Name (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth

 

 

 

 

 

Drivers License Number

 

 

 

 

 

 

 

State

 

DL

 

 

CDL

 

Date

 

DD

 

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

 

N

 

 

Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Safety Equip. Used

 

 

 

 

Air Bag

Ejected

 

Date of Death

 

 

 

Injury

Type

 

EMS

 

Transport

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

 

YYYY

 

 

 

 

 

 

 

 

Y

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Summons

 

 

 

 

Offenses

Charged

to Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued As

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Result of Crash

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Owner ’s Name (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

 

 

Vehicle Make

 

Vehicle Model

 

 

 

 

Disabled

 

CMV

 

 

Towed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Plate Number

 

 

 

 

 

 

 

 

State

Approximate Repair Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oversize

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cargo Spill

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Insurance Company (not agent)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Override

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Underride

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Speed Before Crash

 

 

 

Speed Limit

Maximum Safe Speed

Under

 

ALL Passengers Age Count

 

 

Over

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

8-17

 

 

18-21

 

 

 

21

 

 

 

 

PASSENGER (only if injured or killed)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

 

 

EMS Transport

 

 

 

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

 

MM

 

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

 

Airbag

Ejected

 

Injury Type

Birthdate

 

 

 

 

 

 

 

Gender

 

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

 

YYYY

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

 

 

EMS Transport

 

 

 

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

 

MM

 

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

 

Airbag

Ejected

 

Injury Type

Birthdate

 

 

 

 

 

 

 

Gender

 

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

 

YYYY

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

 

 

EMS Transport

 

 

 

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

 

MM

 

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

 

Airbag

Ejected

 

Injury Type

Birthdate

 

 

 

 

 

 

 

Gender

 

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

 

YYYY

 

 

 

M

F

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE #

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver Fled Scene

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s Name (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth

 

 

 

 

Drivers License Number

 

 

 

State

 

 

DL

 

CDL

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

Y

N

 

MM

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Safety Equip. Used

 

Air

Bag

Ejected

Date of Death

 

 

Injury Type

 

EMS

Transport

 

 

 

 

 

 

 

 

 

 

MM

DD

 

YYY

 

 

 

 

 

Y

 

N

 

 

Summons

 

 

 

Offenses

Charged

to Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued As

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Result of Crash

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Owner ’s Name (Last, First, Middle)

 

 

 

 

 

 

 

 

 

Same as Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

Vehicle Make

 

Vehicle Model

 

 

 

 

Disabled

CMV

 

Towed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Plate Number

 

 

 

 

 

 

 

 

 

State

 

Approximate Repair Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Oversize

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cargo Spill

 

Name of Insurance Company (not agent)

 

 

 

 

 

 

 

 

 

 

 

 

Override

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Underride

 

Speed Before Crash

 

Speed Limit

Maximum Safe Speed

Under

ALL Passengers Age Count

Over

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

8-17

 

 

18-21

 

21

 

 

 

PASSENGER (only if injured or killed)

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

EMS Transport

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

MM

DD

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

 

 

Birthdate

 

 

 

 

Gender

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

EMS Transport

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

MM

DD

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

 

 

Birthdate

 

 

 

 

Gender

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

 

 

 

 

 

EMS Transport

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

MM

DD

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

 

 

Birthdate

 

 

 

 

Gender

 

In/On

Equip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

F

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

MM

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Codes

8

 

 

1

 

 

2

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

5

 

 

6

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

POSITION IN/ON VEHICLE

1.Driver

2-6. Passengers

7.Cargo Area

8.Riding/Hanging

8On Outside

9-98. All Other Passengers

SAFETY EQUIPMENT USED

1.Lap Belt Only

2.Shoulder Belt Only

3.Lap and Shoulder Belt

4.Child Restraint

5.Helmet

6.Other

7.Booster Seat

8.No Restraint Used

9.Not Applicable

AIRBAG

1.Deployed – Front

2.Not Deployed

3.Unavailable/Not Applicable

4.Keyed Off

5.Unknown

6.Deployed – Side

7.Deployed – Other (Knee, Air Belt, etc.)

8.Deployed – Combination

EJECTED FROM VEHICLE

1.Not Ejected

2.Partially Ejected

3.Totally Ejected

SUMMONS ISSUED AS A RESULT OF CRASH

1.Yes

2.No

3.Pending

INJURY TYPE

1.Dead

2.Serious Injury

3.Minor/Possible Injury

4.No Apparent Injury

6. No Injury (driver only)

Investigating Officer

Badge/Code Number

Agency/Department Name and Code

Reviewing Officer

Report File Date

Officer Initials________ Badge # __________

Commonwealth of Virginia • Department of Motor Vehicles

FR300P (Rev 1/12)

Revised Report

Police Crash Report

Page _______ of _______

 

CRASH

Crash MM DD YYYY Date

MILITARY Time (24 hr clock)

County of Crash

City of Town of

Local Case Number

DRIVER INFORMATION

VEHICLE INFORMATION

Veh

 

Veh

 

Veh

 

Veh

 

 

 

 

 

 

 

Veh Veh

Veh Veh

N/A N/A Driver’s Action

P1

1. No Improper Action

2. Exceeded Speed Limit

3. Exceeded Safe Speed

But Not Speed Limit

4. Overtaking On Hill

5. Overtaking On Curve

6. Overtaking at Intersection

7. Improper Passing of School Bus

8. Cutting In

9. Other Improper Passing

10. Wrong Side of Road – Not Overtaking

11. Did Not Have Right-of-Way

12. Following Too Close

13. Fail to Signal or Improper Signal

14. Improper Turn – Wide Right Turn

15. Improper Turn –

Cut Corner on Left Turn

16. Improper Turn From Wrong Lane

17. Other Improper Turn

18. Improper Backing

19. Improper Start From Parked Position

20. Disregarded Officer or Flagger

21. Disregarded Traffic Signal

22. Disregarded Stop or Yield Sign

23. Driver Distraction

24. Fail to Stop at Through High way – No Sign

25. Drive Through Work Zone

26. Fail to Set Out Flares or Flags

27. Fail to Dim Headlights

28. Driving Without Lights

29. Improper Parking Location

30. Avoiding Pedestrian

31. Avoiding Other Vehicle

32. Avoiding Animal

33. Crowded Off Highway

34. Hit and Run

35. Car Ran Away – No Driver

36. Blinded by Headlights

37. Other

38. Avoiding Object in Roadway

39. Eluding Police

40. Fail to Maintain Proper Control

41. Improper Passing

42. Improper or Unsafe Lane Change

43. Over Correction

N/A N/A Condition of

Driver

P2

Contributing

to the

Crash

 

 

 

1. No Defects

2. Eyesight Defective

3. Hearing Defective

4. Other Body Defects

5. Illness

6. Fatigued

7. Apparently Asleep

8. Other

9. Unknown

N/A N/A Driver Vision Obscured P3

1. Not Obscured

2. Rain, Snow, etc. on Windshield

3. Windshield Otherwise Ob scured

4. Vision Obscured by Load on Vehicle

5. Trees, Crops, etc.

6. Building

7. Embankment

8. Sign or Signboard

9. Hillcrest

10. Parked Vehicle(s)

11. Moving Vehicle(s)

12. Sun or Headlight Glare

13. Other

14. Blind Spot

15. Smoke/Dust

16. Stopped Vehicle(s)

N/A N/A Type of Driver

P4

Distractions

 

1. Looking at Roadside Incident

2. Driver Fatigue

3. Looking at Scenery

4. Passenger(s)

5. Radio/CD, etc.

6. Cell Phone

7. Eyes Not on Road

8. Daydreaming

9. Eating/Drinking

10. Adjusting Vehicle Controls

11. Other

12. Navigation Device

13. Texting

14. No Driver Distraction

N/A N/A Drinking

P5

1. Had Not Been Drinking

2. Drinking – Obviously Drunk

3. Drinking – Ability Im paired

4. Drinking – Ability Not Impaired

5. Drinking – Not Known Whether Impaired

6. Unknown

N/A N/A Method of Alcohol P6

Determination (by police)

1. Blood

2. Breath

3. Refused

4. No Test

N/A N/A Drug Use

P7

1. Yes

2. No

3. Unknown

N/A

N/A

Vehicle Maneuver

V1

 

 

1.

Going Straight Ahead

 

 

 

2.

Making Right Turn

 

 

 

3.

Making Left Turn

 

 

 

4. Making U-Turn

 

 

 

5.

Slowing or Stopping

 

 

 

6.

Merging Into Traffic Lane

 

 

 

7.

Starting From Parked Position

 

 

 

8.

Stopped in Traffic Lane

 

 

 

9.

Ran Off Road – Right

 

 

 

10.

Ran Off Road – Left

 

 

 

11.

Parked

 

 

 

12.

Backing

 

 

 

13.

Passing

 

 

 

14. Changing Lanes

 

 

 

15.

Other

 

 

 

16.

Entering Street From arking Lot

N/A

N/A

Skidding Tire/Mark

V2

1. Before Application of Brakes

2. After Application of Brakes

3. Before and After Application of Brakes

4. No Visible Skid Mark/Tire Mark

N/A N/A Vehicle Body Type

V3

1. Passenger car

2. Truck – Pick-up/Passenger Truck

3. Van

4. Truck – Single Unit Truck (2-Axles)

7. Motor Home, Recreational Vehicle

8. Special Vehicle – Oversized Vehicle/Earthmover/Road Equipment

9. Bicycle

10. Moped

11. Motorcycle

12. Emergency Vehicle (Regardless of Vehicle Type)

13. Bus – School Bus

14. Bus – City Transit Bus/Privately Owned Church Bus

15. Bus – Commercial Bus

16. Other (Scooter, Go-cart, Hearse, Bookmobile, Golf Cart, etc.

18. Special Vehicle – Farm Machinery

19. Special Vehicle – ATV

21. Special Vehicle – Low-Speed Vehicle

22. Truck – Sport Utility Vehicle (SUV)

23. Truck – Single Unit Truck (3 Axles or More)

25. Truck – Truck Tractor (Bobtail-No Trailer)

N/A N/A Vehicle Damage

V4

1. Unknown

2. No damage

3. Overturned

4. Motor

5. Undercarriage

6. Totaled

7. Fire

8. Other

N/A N/A Vehicle Condition

V5

1. No Defects

2. Lights Defective

3. Brakes Defective

4. Steering Defective

5. Puncture/Blowout

6. Worn or Slick Tires

7. Motor Trouble

8. Chains In Use

9. Other

10. Vehicle Altered

11. Mirrors Defective

12. Power Train Defective

13. Suspension Defective

14. Windows/Windshield Defective

15. Wipers Defective

16. Wheels Defective

17. Exhaust System

N/A

N/A

Special Function

V6

 

 

Motor Vehicle

 

 

 

1.

No Special Function

 

 

 

2.

Taxi

 

 

 

3. School Bus (Public or Private)

 

 

4.

Transit Bus

 

 

 

5.

Intercity Bus

 

N/A

N/A

6. Charter Bus

 

 

 

7. Other Bus

 

 

 

8.

Military

 

 

 

9.

Police

 

 

 

10. Ambulance

 

 

 

11. Fire Truck

 

 

 

12. Tow Truck

 

 

 

13. Maintenance

 

 

 

14. Unknown

 

N/A

N/A

EMV in service

V7

 

 

1.

Yes

 

 

 

2. No

 

N/A

N/A

Truck Cover

V8

 

 

1.

Yes

 

2. No

Officer Initials________ Badge # __________

Commonwealth of Virginia

•

Department of Motor Vehicles

FR300P (Rev 1/12)

 

 

 

 

Revised Report

Police

Crash Report

Page _______ of _______

 

 

CRASH

Crash MM DD YYYY Date

MILITARY Time (24 hr clock)

County of Crash

City of Town of

Local Case Number

CRASH INFORMATION

Location

of First Harmful

C1

Event in

Relation to Roadway

 

1. On Roadway

2. Shoulder

3. Median

4. Roadside

5. Gore

6. Separator

7. In Parking Lane or Zone

8. Off Roadway, Location Unknown

9. Outside Right-of-Way

Weather Condition

C2

1. No Adverse Condition

(Clear/Cloudy)

3. Fog

4. Mist

5. Rain

6. Snow

7. Sleet/Hail

8. Smoke/Dust

9. Other

10. Blowing Sand, Soil,

Dirt, or Snow

11. Severe Crosswinds

Light Conditions

C3

 

 

1. Dawn

2. Daylight

3. Dusk

4. Darkness –Road Lighted

5. Darkness –Road Not Lighted

6. Darkness –Unknown

Road Lighting

7. Unknown

Traffic Control

C4

Device

 

 

 

1. Yes – Working

2. Yes – Working and Obscured

3. Yes – Not Working

4. Yes – Not Working and Obscured

5. Yes – Missing

6. No Traffic Control Device Present

Traffic Control Type

C5

 

 

1. No Traffic Control

2. Officer or Flagger

3. Traffic Signal

4. Stop Sign

5. Slow or Warning Sign

6. Traffic Lanes Marked

7. No Passing Lines

8. Yield Sign

9. One Way Road or Street

10. Railroad Crossing With

Markings and Signs

11. Railroad Crossing With Signals

12. Railroad Crossing With Gate and Signals

13. Other

14. Pedestrian Crosswalk

15. Reduced Speed – School Zone

16. Reduced Speed – Work Zone

17. Highway Safety Corridor

Roadway Alignment

C6

 

 

1. Straight – Level

2. Curve – Level

3. Grade – Straight

4. Grade – Curve

5. Hillcrest – Straight

6. Hillcrest – Curve

7. Dip – Straight

8. Dip – Curve

9. Other

10. On/Off Ramp

Roadway Surface Condition C7

1. Dry

2. Wet

3. Snowy

4. Icy

5. Muddy

6. Oil/Other Fluids

7. Other

8. Natural Debris

9. Water (Standing, Moving)

10. Slush

11. Sand, Dirt, Gravel

Roadway Surface Type

C8

 

 

1. Concrete

2. Blacktop, Asphalt, Bituminous

3. Brick or Block

4. Slag, Gravel, Stone

5. Dirt

6. Other

Roadway Description

C9

 

 

1. Two-Way, Not Divided

2. Two-Way, Divided,

Unprotected Median

3. Two-Way, Divided, Positive

Median Barrier

4. One-Way, Not Divided

5. Unknown

Roadway Defects

C10

 

 

1. No Defects

2. Holes, Ruts, Bumps

3. Soft or Low Shoulder

4. Under Repair

5. Loose Material

6. Restricted Width

7. Slick Pavement

8. Roadway Obstructed

9. Other

10. Edge Pavement Drop Off

Relation to Roadway

C11

Interchange Area:

 

1. Main-Line Roadway

2. Acceleration/Deceleration Lanes

3. Gore Area (Between Ramp and Highway Edgelines)

4. Collector/Distributor Road

5. On Entrance/Exit Ramp

6. Intersection at end of Ramp

7. Other location not listed above within an interchange area (median, shoulder and roadside)

Intersection Area:

8. Non-Intersection

9. Within Intersection

10. Intersection-Related - Within 150’

11. Intersection-Related - Outside 150’

Other Location:

12. Crossover Related

13. Driveway, Alley-Access - Related

14. Railway Grade Crossing

15. Other Crossing (Crossings for Bikes, School, etc.)

Intersection Type

C12

 

 

1. Not at Intersection

2. Two Approaches

3. Three Approaches

4. Four Approaches

5. Five-Point, or more

6. Roundabout

Work Zone

C13

1. Yes

 

2. No

 

 

 

 

 

Work Zone

C14

Workers Present

 

1. With Law Enforcement

 

2. With No Law Enforcement

 

3. No Workers Present

 

 

 

 

 

Work Zone Location

C15

 

 

1. Advance Warning Area

2. Transition Area

3. Activity Area

4. Termination Area

Work Zone Type

C16

 

 

1. Lane Closure

2. Lane Shift/Crossover

3. Work on Shoulder or Median

4. Intermittent or Moving Work

5. Other

School Zone

C17

1.

Yes

 

2.

Yes - With School Activity

 

3. No

 

 

 

 

 

 

Type of Collision

C18

 

 

 

1. Rear End

2. Angle

3. Head On

4. Sideswipe – Same Direction

5. Sideswipe – Opposite Direction

6. Fixed Object in Road

7. Train

8. Non-Collision

9. Fixed Object – Off Road

10. Deer

11. Other Animal

12. Pedestrian

13. Bicyclist

14. Motorcyclist

15. Backed Into

16. Other

Officer Initials________ Badge # __________

Commonwealth of Virginia

•

Department of Motor Vehicles

FR300P (Rev 1/12)

Revised Report

Police

Crash Report

Page _______ of _______

 

 

CRASH

Crash MM DD YYYY Date

MILITARY Time (24 hr clock)

County of Crash

City of Town of

Local Case Number

VEHICLE #

Fill In Impact Area(s). Initial Impact.

 

12

 

11

 

1

10

 

2

9

13

3

8

 

4

7

 

5

 

6

 

Veh Dir of Travel –N/S/E/W

VEHICLE #

Fill In Impact Area(s). Initial Impact.

 

12

 

11

 

1

10

 

2

9

13

3

8

 

4

7

 

5

 

6

 

Veh Dir of Travel –N/S/E/W

CRASH DIAGRAM

Indicate North by Arrow

VEHICLE #

Fill In Impact Area(s). Initial Impact.

 

12

 

11

 

1

10

 

2

9

13

3

8

 

4

7

 

5

 

6

 

Veh Dir of Travel –N/S/E/W

VEHICLE #

Fill In Impact Area(s). Initial Impact.

 

12

 

11

 

1

10

 

2

9

13

3

8

 

4

7

 

5

 

6

 

Veh Dir of Travel –N/S/E/W

DAMAGE TO PROPERTY OTHER THAN VEHICLES

Approx. Repair Cost

Object Struck (Tree, Fence, etc.)

Property Owners Name (Last, First, iddle)

Address (Street and Number)

VDOT Property

Yes No

CRASH DESCRIPTION

CRASH EVENTS

Vehicle #

First Event

Second Event

Third Event

Fourth Event

Most Harmful Event

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle #

First Event

Second Event

Third Event

Fourth Event

Most Harmful Event

 

 

 

 

 

 

Vehicle #

First Event

Second Event

Third Event

Fourth Event

Most Harmful Event

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle #

First Event

Second Event

Third Event

Fourth Event

Most Harmful Event

 

 

 

 

 

 

First Harmful Event of Entire Crash that Results in First Injury or Damage.

COLLISION WITH FIXED OBJECT

1. Bank Or Ledge

10. Other

2.

Trees

11.

Jersey Wall

3.

Utility Pole

12.

Building/Structure

4.

Fence Or Post

13.

Curb

5.

Guard Rail

14.

Ditch

6.

Parked Vehicle

15.

Other Fixed Object

7.

Tunnel, Bridge, Underpass,

16.

Other Traffic Barrier

 

Culvert, etc.

17.

Traffic Sign Support

8.

Sign, Traffic Signal

18.

Mailbox

9. Impact Cushioning Device

COLLISION WITH PERSON, MOTOR VEHICLE

NON-COLLISION

 

 

OR NON-FIXED OBJECT

24. Work Zone

28. Ran Off Road

35. Cross Median

19.

Pedestrian

29.

Jack Knife

36.

Cross Centerline

20.

Motor Vehicle In Transport

Maintenance Equipment

30.

Overturn (Rollover)

37.

Equipment Failure (Tire, etc)

21.

Train

25. Other Movable Object

31.

Downhill Runaway

38.

Immersion

22.

Bicycle

26. Unknown Movable Object

32.

Cargo Loss or Shift

39.

Fell/Jumped From Vehicle

23.

Animal

27. Other

33.

Explosion or Fire

40.

Thrown or Falling Object

 

 

 

34.

Separation of Units

41.

Non-Collision Unknown

 

 

 

 

 

42.

Other Non-Collision

Officer Initials________ Badge # __________

Commonwealth of Virginia • Department of Motor Vehicles

FR300P (Rev 1/12)

Revised Report

Police Crash Report

Page _______ of _______

 

CRASH

Crash MM DD YYYY Date

MILITARY Time (24 hr clock)

County of Crash

City of Town of

Local Case Number

COMMERCIAL MOTOR VEHICLE SECTION

This form is being completed because the vehicle is:

A Truck or Truck Combination Rating Greater Than 10,000 lbs. (GVWR/GCWR)

Any Motor Vehicle That Seats

9 or More People, Including the Driver

A Vehicle of Any Type with a Hazardous Materials Placard Regardless of Weight

AND The crash resulted in:

A fatality: any person(s) killed in or outside of any

 

 

 

An injury: any person(s) injured as a

 

 

 

 

 

 

A tow-away: any motor vehicle (truck,

 

vehicle (truck, bus, car, etc.) involved in the crash or

 

OR

result of the crash who immediately

OR

 

 

bus, car, etc.) disabled as a result of the

 

who dies within 30 days of the crash as a result of

 

 

 

receives medical treatment away from

 

 

crash and transported away from the

 

an injury sustained in the crash

 

 

 

 

the crash scene

 

 

 

 

 

 

 

scene by a tow truck or other vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Configuration

 

V10

 

Cargo Body Type

 

 

V11

 

 

License P8

 

Commercial

 

P9

1.

Passenger Car (Only if Vehicle Has Hazardous Materials Placard)

 

1. Bus (Seats 9-15 People,

10. Grain/Chips/Gravel

 

 

Class

 

 

Endorsement

 

2.

Light Truck (Only if Vehicle Has Hazardous Materials Placard)

 

 

 

Including Driver)

11. Pole-Trailer

 

 

 

Class A

 

 

 

T–Double Trailer

 

3.

Bus (Seats 9-15 People, Including Driver)

 

 

 

2. Bus (Seats For 16 People or

 

 

 

 

 

 

 

 

 

 

12. Vehicle Towing Another

 

 

 

Class B

 

 

 

P–Passenger Vehicle

4.

Bus (Seats for 16 People or More, Including Driver)

 

 

 

More, Including Driver)

 

 

 

 

 

 

 

 

 

Motor Vehicle

 

 

 

Class C

 

 

 

N–Tank Vehicle

 

 

 

 

3. Van/Enclosed Box

 

 

 

 

 

 

 

5.

Single Unit Truck (2 Axles, 6 Tires)

 

 

 

 

13. Intermodel Container

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class DRL

 

 

H–Required To Be

 

 

 

 

 

4. Cargo Tank

 

 

 

 

 

 

6.

Single Unit Truck (3 or More Axles)

 

 

 

Chassis

 

 

 

 

 

 

 

 

 

 

 

 

(regular

 

 

 

Placarded for

 

 

 

 

5. Flatbed

14. Logging

 

 

 

 

 

 

 

7.

Truck Trailer(s) [Single-Unit Truck Pulling Trailer(s)]

 

 

 

 

 

 

drivers

 

 

 

Hazardous Materials

8. Truck Tractor (Bobtail)

 

 

 

 

6. Dump

15. ther Cargo Body

 

 

 

license)

 

 

 

X–Combined Tank/HAZMAT

 

 

 

 

 

 

 

Class M

 

 

9.

Tractor/Semi-trailer (One Trailer)

 

 

 

 

7. Concrete Mixer

(Not Listed Above)

 

 

 

 

 

O–Other

 

 

 

 

 

 

8. Auto Transporter

16. Not Applicable/

 

 

 

 

 

 

 

 

 

10. Tractor/Doubles (Two Trailers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Other Truck Greater Than 10,000 lbs. (Not Listed Above)

 

 

 

9. Garbage/Refuse

No

argo Body

 

 

GVWR/ V12

 

 

1. 10,000 lbs. or Less

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GCWR

 

 

 

2. 10,001–26,000 lbs.

 

Hazardous Material

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Greater Than 26,000 lbs.

Hazardous Material Placard: Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HM 4–Digit

 

 

 

 

 

 

 

HM Placard Name

 

 

 

 

 

HM Class

 

 

 

 

 

HM Cargo Present

 

HM Cargo Released

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Carrier

Identification

 

 

 

 

 

 

 

 

Commercial Motor Carrier Name

 

 

 

Address (P.O. Box if No Street Address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Carrier’s ID

Number

State (Intrastate Only)

City

 

State

Zip

 

US DOT#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial/Non-Commercial V13

1. Interstate Carrier

2. Intrastate Carrier

3. Not in Commerce-Government (Trucks and Buses) 4. Not in Commerce-Other Truck (Over 10,000 lbs.)

VEHICLE #

Vehicle Configuration

V10

 

Cargo Body Type

 

 

V11

 

 

License

P8

 

Commercial

 

P9

1.

Passenger Car (Only if Vehicle Has Hazardous Materials Placard)

 

1. Bus (Seats 9-15 People,

10. Grain/Chips/Gravel

 

 

Class

 

 

Endorsement

 

2.

Light Truck (Only if Vehicle Has Hazardous Materials Placard)

 

Including Driver)

11. Pole-Trailer

 

 

 

Class A

 

 

 

T–Double Trailer

 

3.

Bus (Seats 9-15 People, Including Driver)

 

2. Bus (Seats For 16 People or

 

 

 

 

 

 

 

 

12. Vehicle Towing Another

 

 

 

Class B

 

 

 

P–Passenger Vehicle

 

 

 

 

 

 

 

 

 

 

More, Including Driver)

 

 

 

 

 

 

4.

Bus (Seats for 16 People or More, Including Driver)

 

Motor Vehicle

 

 

 

Class C

 

 

 

N–Tank Vehicle

 

 

3. Van/Enclosed Box

 

 

 

 

 

 

 

5.

Single Unit Truck (2 Axles, 6 Tires)

 

 

 

13. Intermodel Container

 

 

 

 

 

 

 

 

 

 

 

 

 

Class DRL

 

 

H–Required To Be

 

 

 

 

4. Cargo Tank

 

 

 

 

 

 

6.

Single Unit Truck (3 or More Axles)

 

Chassis

 

 

 

 

 

 

 

 

 

 

(regular

 

 

 

Placarded for

 

 

5. Flatbed

14. Logging

 

 

 

 

 

 

 

7.

Truck Trailer(s) [Single-Unit Truck Pulling Trailer(s)]

 

 

 

 

drivers

 

 

 

Hazardous Materials

 

6. Dump

 

 

 

 

 

 

 

license)

 

 

 

8.

Truck Tractor (Bobtail)

 

 

 

15. Other Cargo Body

 

 

 

 

 

 

X–Combined Tank/HAZMAT

 

 

 

 

 

 

Class M

 

 

 

 

 

 

7. Concrete Mixer

(Not Listed Above)

 

 

 

 

 

 

9.

Tractor/Semi-trailer (One Trailer)

 

 

 

 

 

 

 

 

 

O–Other

 

 

 

 

 

8. Auto Transporter

16. Not Applicable/

 

 

 

 

 

 

 

 

 

10. Tractor/Doubles (Two Trailers)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. Garbage/Refuse

No Cargo Body

 

 

GVWR/ V12

 

 

1. 10,000 lbs. or Less

 

11. Other Truck Greater Than 10,000 lbs. (Not Listed Above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GCWR

 

 

 

2. 10,001–26,000 lbs.

 

Hazardous Material

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Greater Than 26,000 lbs.

Hazardous Material Placard: Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HM 4–Digit

 

 

 

 

 

HM Placard Name

 

 

 

 

HM Class

 

 

 

 

 

HM Cargo Present

 

HM Cargo Released

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Y

N

 

Y

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Carrier

Identification

 

 

 

 

 

 

Commercial Motor Carrier Name

 

Address (P.O. Box if No Street Address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Carrier’s ID

Number

State (Intrastate Only)

City

 

State

Zip

 

US DOT#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commercial/Non-Commercial V13

1. Interstate Carrier

2. Intrastate Carrier

3. Not in Commerce-Government (Trucks and Buses) 4. Not in Commerce-Other Truck (Over 10,000 lbs.)

Officer Initials________ Badge # __________

Commonwealth of Virginia • Department of Motor Vehicles

FR300P (Rev 1/12)

Revised Report

Police Crash Report

Page _______ of _______

 

CRASH

Crash MM DD YYYY Date

MILITARY Time (24 hr clock)

County of Crash

City of Town of

Local Case Number

 

PEDESTRIAN #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Injured

Name of Injured (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

State

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s License #

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

EMS Transport

Injury Type

Birthdate

 

 

 

Date of Death

 

 

 

M

F

 

 

 

 

 

DD

 

YYYY

MM

 

DD

 

YYYY

 

 

Y

N

 

MM

 

 

 

 

 

PEDESTRIAN #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Injured

Name of Injured (Last, First, Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street and Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

State

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s License #

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

EMS Transport

Injury Type

Birthdate

 

 

 

Date of Death

 

 

 

M

F

 

 

 

 

 

 

DD

 

YYYY

MM

 

DD

 

YYYY

 

 

Y

N

 

MM

 

 

 

 

Ped #

 

Ped #

 

Ped #

 

Ped #

 

Ped #

 

Ped #

 

Ped #

 

Ped #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N/A

N/A

Pedestrian Actions

P10

 

 

1.

Crossing At Intersection

11. Hitching On Vehicle

 

 

 

With Signal

12. Walking In Roadway

 

 

2.

Crossing At Intersection

 

 

With Traffic – Sidewalks

 

 

 

Against Signal

Available

 

 

3.

Crossing At Intersection

13. Walking In Roadway

 

 

 

No Signal

With Traffic – Sidewalks

 

 

4.

Crossing At Intersection

Not Available

 

 

 

Diagonally

14. Walking In Roadway

 

 

5.

Crossing Not At

Against Traffic

 

 

 

Intersection – Rural

– Sidewalks Available

 

 

6. Crossing Not At

15. Walking In Roadway

 

 

 

Intersection – Urban

Against Traffic – Side

 

 

7. Coming From Behind

Walks Not Available

 

 

16. Working In Roadway

 

 

 

Parked Cars

 

 

8. Getting Off Or On

17. Standing In Roadway

 

 

 

School Bus

18. Lying In Roadway

 

 

9. Playing In Roadway

19. Not In Roadway

 

 

10. Getting Off Or On

20. Other

 

 

 

Another Vehicle

 

N/A N/A Pedestrian Drinking P11

1. Had Not Been Drinking

2. Drinking-Obviousl y Drunk

3. Drinking -Ability Impaired

4. Drinking -Ability Not Impaired

5. Drinking -Not Known

Whether Impaired

N/A N/A Condition of

P12

Pedestrian

 

ontributing

to

the rash

 

 

 

1. No Defects

2. Eyesight Defective

3. Hearing Defective

4. Other Body Defects

5. Illness

6. Fatigued

7. Apparently Asleep

8. Other

N/A

N/A

Method of

P13

 

 

Alcohol

 

 

 

Determination

 

 

 

by Police

 

 

 

1.

Blood

 

 

 

2.

Breath

 

 

 

3.

Refused

 

 

 

4.

No Test

 

N/A

N/A

Pedestrian Drug Use P14

 

 

1.

Yes

 

 

 

2. No

 

 

 

3. Unknown

 

N/A

N/A

Pedestrian Wear

P15

 

 

Reflective Clothing

 

 

 

1.

Yes

 

2. No

Use sections below for additional passengers.

VEHICLE #

PASSENGER (only if injured or killed)

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

 

Date of Death

 

 

 

 

 

 

Y

N

 

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

Birthdate

 

 

 

Gender

 

In/On

Equip

 

 

 

MM

 

DD

 

YYYY

 

M

 

F

 

 

 

 

 

 

 

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

 

Date of Death

 

 

 

 

 

 

Y

N

 

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

Birthdate

 

 

 

Gender

 

In/On

Equip

 

 

 

MM

 

DD

 

YYYY

 

M

 

F

 

 

 

 

 

 

 

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

 

Date of Death

 

 

 

 

 

 

Y

N

 

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

Birthdate

 

 

 

Gender

 

In/On

Equip

 

 

 

MM

 

DD

 

YYYY

 

M

 

F

 

 

 

 

 

 

 

 

 

Vehicle

Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE #

PASSENGER (only if injured or killed)

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

Date of Death

 

Injured

 

 

 

 

 

Y

N

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

Birthdate

 

 

 

Gender

 

In/On

Equip

 

 

 

 

 

 

 

 

 

M

 

F

 

Vehicle

Used

 

 

 

MM

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

Date of Death

 

InjuredPosition

 

 

 

 

 

Y

N

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

Safety

Airbag

Ejected

Injury Type

Birthdate

 

 

 

Gender

 

In/On

Equip

 

 

 

 

 

 

 

 

 

M

 

F

 

Vehicle

Used

 

 

 

MM

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Injured

(Last, First, Middle)

 

 

EMS Transport

Date of Death

 

 

 

 

 

 

 

Y

N

MM

 

DD

 

YY

 

 

 

 

 

 

 

 

 

 

 

 

 

Position

Safety

Airbag

Ejected

Injury Type

Birthdate

YYYY

 

Gender

 

InjuredVehicle

Used

 

 

 

MM

 

DD

 

 

 

 

 

In/On

Equip

 

 

 

 

 

 

 

 

 

M

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

Codes

8

 

 

1

 

 

2

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

6

 

 

 

 

5

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

POSITION IN/ON VEHICLE

1.Driver

2-6. Passengers

7.Cargo Area

8.Riding/Hanging

8On Outside

9-98. All Other Passengers

SAFETY EQUIPMENT USED

1.Lap Belt Only

2.Shoulder Belt Only

3.Lap and Shoulder Belt

4.Child Restraint

5.Helmet

6.Other

7.Booster Seat

8.No Restraint Used

9.Not Applicable

AIRBAG

1.Deployed – Front

2.Not Deployed

3.Unavailable/Not Applicable

4.Keyed Off

5.Unknown

6.Deployed – Side

7.Deployed – Other (Knee, Air Belt, etc.)

8.Deployed – Combination

EJECTED FROM VEHICLE

1.Not Ejected

2.Partially Ejected

3.Totally Ejected

SUMMONS ISSUED AS A RESULT OF CRASH

1.Yes

2.No

3.Pending

INJURY TYPE

1.Dead

2.Serious Injury

3.Minor/Possible Injury

4.No Apparent Injury

Download Virginia Police Crash Report File

Form Properties

# Fact Details
1 Form Identification The form is identified as FR300P, revised as of January 2012.
2 Purpose It is used by the Virginia Police to report motor vehicle crashes.
3 Requirement Completion is necessary for crashes that involve injury, death, or significant property damage.
4 Data Recorded Includes details about the crash, driver, vehicle, passengers, and any commercial vehicle specifics.
5 GPS Information Crash location is recorded using GPS coordinates for precise location mapping.
6 Critical Timestamps Documents the date and military time of the crash, enhancing report accuracy.
7 Governing Law Governed under the Virginia state laws related to road safety and vehicle operation.

Steps to Filling Out Virginia Police Crash Report

When there's been a vehicle crash in Virginia, it's essential to accurately complete the Virginia Police Crash Report form. This document is crucial for law enforcement to document the details of the incident thoroughly. Presenting facts clearly can significantly impact the investigation and any subsequent insurance claims or legal actions. The process might seem daunting, but knowing what information is required can simplify it. Follow these step-by-step instructions to ensure the form is filled out correctly.

  1. Start with the crash information: Enter the date (MM DD YYYY), day of the week, and military time when the crash occurred. Include GPS coordinates if available.
  2. Fill in the location details: Specify the county, city or town where the crash happened, and give a precise location using the available fields for route/street, landmarks, and if applicable, railroad crossing ID.
  3. Record the crash specifics: Indicate the number of vehicles involved, the crash's nature (at an intersection, specific miles or feet from a notable location), and if there were any non-vehicle property damage.
  4. Detail each vehicle involved: For every vehicle in the crash, document the driver's information (name, address, gender, birth date, driver's license number, and state), vehicle details (owner's name, year, make, model, license plate number, insurance information), and any relevant crash details (safety equipment used, airbag status, ejections, injuries, fatalities).
  5. Note passenger information: If there were any passengers injured or killed in the crash, include their names, safety equipment used, airbag status, injuries, or fatalities.
  6. Document crash dynamics: Fill in details regarding the initial impact, vehicle direction of travel, and for commercial vehicles, additional information regarding the vehicle configuration, cargo type, and hazardous material details if applicable.
  7. Include crash event descriptions: Use the codes provided to describe the crash events for each vehicle involved. Detail the first harmful event and any subsequent events leading to injuries or damage.
  8. Provide investigator information: The officer investigating the crash should include their badge/code number, agency/department name and code, and file date.
  9. Complete the commercial motor vehicle section: If the crash involved a commercial vehicle, fill out the required sections regarding the vehicle's configuration, cargo body type, commercial license endorsements, hazardous material details, carrier identification, and whether it was an interstate or intrastate carrier.
  10. Review and finalize the report: Ensure all information is accurate and complete. Check that all involved parties have been accounted for and that the crash details are thoroughly documented.

Once the form is fully completed, it will be reviewed by the designated law enforcement agency to proceed with their investigation. It becomes a vital record for understanding the circumstances surrounding the crash, as well as for insurance and legal purposes. Remember, providing complete and accurate information is key to ensuring the report is as helpful as possible.

FAQ

What is the purpose of the Virginia Police Crash Report form?

The Virginia Police Crash Report form, designated as FR300P, is used by law enforcement officers in the Commonwealth of Virginia to document detailed information about a motor vehicle crash. This report captures a wide array of data, including but not limited to, the date, time, and location of the crash, party demographics (drivers, passengers, vehicle owners), vehicle specifics, crash dynamics, environmental conditions, and the apparent causes of the incident. The information collected is critical for several purposes: it aids in the legal and insurance claim processes, supports law enforcement in crash analysis and prevention strategies, and contributes to road safety research and policy development by identifying patterns and causes of crashes.

Who completes the Virginia Police Crash Report form?

The FR300P form is completed by a law enforcement officer responding to a motor vehicle crash scene. The officer is responsible for conducting an initial investigation, collecting evidence, interviewing witnesses, and documenting the facts surrounding the crash. Based on these findings, the officer fills out the form, detailing all relevant information concerning the crash. It is paramount that the officer provides accurate and comprehensive information to ensure the report serves its intended use effectively.

When is a Virginia Police Crash Report required?

A Police Crash Report in Virginia is typically required in situations where a crash results in bodily injury, death, or significant property damage. Specifically, the law mandates the completion of a crash report if the incident leads to:

  • Any person's injury or death as a result of the crash.
  • Property damage exceeding a certain threshold, which necessitates the involvement of law enforcement for documentation and reporting purposes.
  • The involvement of a commercial motor vehicle, irrespective of the apparent damage or injuries, due to regulatory requirements for reporting incidents involving commercial vehicles.
The criteria aim to document serious crashes that have substantial implications for the individuals involved and for road safety, insurance, and legal processes.

How can individuals obtain a copy of a completed Virginia Police Crash Report?

Individuals involved in a crash, their legal representatives, or insurance companies may request a copy of the completed Virginia Police Crash Report form. The report is typically available through:

  1. The local law enforcement agency that responded to and documented the crash. This could be the local police department, sheriff's office, or state police office, depending on the location of the incident.
  2. The Virginia Department of Motor Vehicles (DMF). Requests can be made in person, by mail, or through the DMV's official website, subject to the submission of required identification and payment of a nominal fee, if applicable.
It’s important to note that there may be a waiting period before the report is available, as it takes time to process and enter the data into the system. Additionally, certain information within the report may be redacted to comply with privacy laws and regulations.

Common mistakes

Filling out the Virginia Police Crash Report form correctly is crucial for ensuring all details regarding the crash are accurately reported. However, several common mistakes can lead to incomplete or incorrect information being provided. Here are seven such mistakes people often make:

  1. Not providing exact location details: The form requires specific information about the crash location, including the county, city, or town, and the precise route/street. Failing to provide detailed location information, such as the mile marker number or proximity to landmarks, can hinder the accuracy of the report.

  2. Omitting details about the crash conditions: It's essential to accurately document the conditions surrounding the crash, including the weather, lighting, and roadway conditions. Skipping these details or providing incorrect information can affect the understanding of the crash circumstances.

  3. Incorrect vehicle and driver information: Each vehicle involved in the crash needs to have detailed information reported, including the make, model, year, and license plate number. Additionally, driver details such as name, address, driver’s license number, and insurance information must be accurately filled out. Errors or omissions in this area can complicate insurance claims and legal proceedings.

  4. Failing to document injuries or fatalities accurately: The form has specific sections for reporting injuries, fatalities, and the use of safety equipment like seat belts and airbags. Not accurately documenting the type and severity of injuries or fatalities can impact insurance claims and medical treatment for those involved.

  5. Incomplete documentation of the crash events: The form requires a detailed account of the crash events, including the sequence of events and the point of impact. Missing or vague details about how the crash occurred can lead to misunderstandings about fault and liability.

  6. Overlooking details about commercial vehicles: If the crash involved a commercial motor vehicle, additional information is required, such as the vehicle configuration, cargo body type, and whether it was carrying hazardous materials. Neglecting this information can have significant legal and safety implications.

  7. Not using the correct codes for information fields: The form includes codes for various information fields, such as the type of collision, driver actions contributing to the crash, and vehicle maneuvers. Not using these codes correctly can lead to important information being misrepresented or overlooked.

To avoid these mistakes, it's important to carefully review the entire form, double-check all details, and ensure that all relevant sections are completed accurately. This not only facilitates a smoother investigation process but also ensures that all parties involved have the correct information for insurance and legal purposes.

Documents used along the form

When dealing with traffic incidents in Virginia, especially those necessitating a Virginia Police Crash Report, various other documents and forms often supplement these reports for a comprehensive documentation and follow-through. These additional materials serve varied purposes, from insurance claims processing to legal proceedings. Understanding these documents ensures a more navigable aftermath for all parties involved in vehicular incidents.

  • Insurance Claim Form: This is a standardized form provided by insurance companies for policyholders to report an accident. It's essential for initiating the process of an insurance claim, detailing the incident, and outlining the damages and injuries, if any.
  • Medical Records Release Form: This form authorizes the disclosure of medical records to insurance companies or law firms. It's crucial for substantiating injury claims related to the crash.
  • Vehicle Repair Estimates: Professional estimates from auto repair shops that outline the cost of repairing the vehicle damage sustained in the crash. These estimates are vital for insurance claims and legal purposes.
  • Witness Statement Form: This document records the accounts of witnesses to the accident. Witness statements can provide additional perspectives on the crash, contributing to the determination of fault.
  • Traffic Citation: A document issued by law enforcement if any traffic laws were violated leading to or during the incident. Citations can impact insurance claims and legal liability.
  • DMV Accident Report: In Virginia, drivers involved in certain accidents must also file a report with the Department of Motor Vehicles. This is separate from the police report and is necessary for incidents meeting specific criteria set by Virginia law.
  • Personal Injury Log: A personally maintained log documenting the injuries sustained, treatment received, and how the injuries have impacted the individual's daily life. This log can be critical in personal injury cases for claiming damages.

Each form and document associated with a Virginia Police Crash Notice plays a specific role in the aftermath of a traffic incident. From initiating an insurance claim to legal proceedings for personal injury, these supplementary documents ensure a thorough and detailed account of the event, aiding all parties involved towards resolution and recovery.

Similar forms

The Virginia Police Crash Report form is similar to other official documents used in documenting vehicular incidents, notably in terms of structure, content, and purpose. Two such documents include the National Highway Traffic Safety Administration's (NHTSA) crash report form and commercial vehicle inspection reports. Each of these documents shares common features with the Virginia Police Crash Report, yet they also embody specific characteristics tailored to their unique reporting requirements.

The National Highway Traffic Safety Administration's (NHTSA) crash report form closely resembles the Virginia Police Crash Report in its comprehensive approach to capturing details about vehicular crashes. Like the Virginia form, the NHTSA's version collects extensive data on the crash scene, involved parties, and vehicular information. Both documents are designed to provide a thorough account of the crash to support investigations and statistical analyses. Key similarities include sections on vehicle and driver information, crash dynamics, and environmental conditions at the time of the crash. However, the NHTSA’s form is utilized for a broader, national data collection effort to inform safety regulations and transportation policies, emphasizing its role in federal safety analysis efforts.

Similarly, commercial vehicle inspection reports share common ground with the Virginia Police Crash Report, particularly in the depth of vehicle-specific information they gather. These inspection reports focus on the condition and compliance of commercial vehicles with safety standards, encompassing details on vehicle parts, cargo, and compliance with federal regulations. While the primary purpose differs—inspection reports aim to prevent incidents by ensuring vehicle safety, as opposed to documenting them post-occurrence—both forms of documentation prioritize detailed, accurate vehicle descriptions. Elements such as vehicle identification number (VIN), cargo type, and safety equipment status are consistently emphasized, showcasing the critical role of vehicle condition in both prevention and analysis of crashes.

Dos and Don'ts

Filling out the Virginia Police Crash Report form accurately is crucial for documenting the incident details and ensures all parties involved have a clear account of the event. Below is a list of dos and don'ts that can help guide you through the process effectively.

Do:

  • Ensure all information is legible and written in black ink to prevent mishandlings or misunderstandings of the details provided.
  • Double-check the crash date, time (in military format), and location for accuracy to ensure the report correctly reflects the incident specifics.
  • Complete every section pertinent to the crash, even those that may seem insignificant, as they may hold crucial details for accurate report documentation.
  • Use the correct codes from the provided lists for describing vehicle positions, safety equipment used, and the type of collision to maintain consistency and clarity across reports.
  • Include precise descriptions of the crash scene, specifying the direction of travel and impact points on the vehicles involved to aid in the visualization of the incident.
  • Report any property damage with accurate estimates and identify the property owner correctly to facilitate potential insurance claims or legal proceedings.
  • Detail any injuries sustained during the crash with specific attention to the injury type and the individual's position in or on the vehicle to ensure appropriate medical attention and records.

Don't:

  • Leave any section blank; if a section does not apply, indicate with “N/A” to demonstrate that the question was considered but not applicable to this specific incident.
  • Guess or estimate details about the crash; if certain information is unknown, it is better to note it as such rather than provide potentially incorrect data.
  • Forget to include the involvement of commercial motor vehicles if applicable, as this requires additional information and documentation for compliance with state and federal regulations.
  • Omit details about the crash environment, such as weather, lighting, and road conditions, as these factors can significantly impact the interpretation and understanding of how the incident occurred.
  • Overlook the importance of documenting any witnesses or additional individuals involved but not injured, as their accounts may provide valuable insights into the crash.
  • Use personal opinions or speculative language when describing the crash events; stick to factual and observable details only.
  • Delay submitting the report beyond any stipulated deadlines to ensure timely processing and compliance with Virginia state law requirements.

Misconceptions

Misunderstanding the contents and requirements of the Virginia Police Crash Report form can lead to inaccuracies in reporting, potentially affecting the outcomes for those involved in traffic incidents. Correcting these misconceptions is crucial for accurate, complete crash documentation.

  • Misconception 1: "The form is only for use in vehicle collisions."

    Although vehicle collisions are a primary focus, the form also encompasses incidents involving pedestrians, cyclists, and property damage, making it a comprehensive tool for documenting a range of traffic-related incidents.

  • Misconception 2: "All sections must be completed for every crash."

    While thoroughness is important, not all sections apply to every incident. For example, the Commercial Motor Vehicle section is only required if the vehicle meets specific criteria such as weight or passenger capacity.

  • Misconception 3: "Personal information reported is made public."

    Personal details collected are used for official purposes and statistical analysis. Certain information may be redacted when reports are made available to the public to protect privacy.

  • Misconception 4: "The report form is the same across all states."

    Each state has its own form and requirements. The Virginia Police Crash Report form is specific to the Commonwealth of Virginia, tailored to meet state laws and data collection needs.

  • Misconception 5: "Police officers decide who is at fault based on this form."

    This form documents details of the crash without assigning legal fault. Fault determinations are typically made by insurance companies or through legal proceedings, not directly by the police.

  • Misconception 6: "The form is not necessary if insurance is not involved."

    Even if the parties involved choose not to involve insurance, completing the form is crucial for legal documentation and statistical purposes, helping to improve road safety measures.

  • Misconception 7: "Only police can fill out the form."

    While police officers complete this form at the scene of a crash, individuals can request a copy for their records or to provide additional information to insurance companies or legal representatives.

  • Misconception 8: "You don't need to report minor crashes."

    Virginia law requires crashes involving injury, death, or significant property damage to be reported. Thus, even seemingly minor crashes may need to be documented if they meet certain criteria.

Understanding these nuances ensures that the Virginia Police Crash Report form is completed accurately and effectively, providing a reliable record for involved parties, insurers, and state agencies.

Key takeaways

When filling out and utilizing the Virginia Police Crash Report form, it is crucial to pay attention to specific sections that require detailed and accurate information. Here are ten key takeaways to consider:

  • Accurate details are essential: Ensure that incident details such as GPS coordinates, time, date, and location of the crash are recorded precisely to facilitate investigation and reporting accuracy.
  • Vehicle information is critical: Document complete vehicle data including the year, make, model, license plate number, and Vehicle Identification Number (VIN) for all vehicles involved.
  • Driver and passenger information: For every involved party, include driver’s names, addresses, license information, and any passengers’ details, especially if injuries were sustained.
  • Injury and safety equipment: Record all injuries, the use, or the absence of safety equipment like seat belts or airbags, and whether they were activated or if ejections occurred.
  • For crashes involving commercial vehicles, it's imperative to note specific details such as the vehicle’s configuration, cargo type, carrier identification, and if hazardous materials were present.
  • Diagram and narrative: Provide a clear diagram of the crash scene and a thorough narrative description, including the sequence of events and the initial impact area to assist in understanding how the crash occurred.
  • Weather, roadway, and lighting conditions: Document the environmental and roadway conditions at the time of the crash to identify possible contributing factors.
  • Traffic controls and signage: Identify and record any traffic control devices or signs in place at the crash location, including their operational status.
  • Cause and contributing factors: Detail the apparent cause of the crash and any contributing conditions or actions, such as speeding, vehicle defects, or driver impairment.
  • Reporting requirements: Understand when the form must be submitted, especially if the crash involves fatalities, injuries, commercial vehicles, or requires tow-away, as different scenarios may have specific reporting obligations.

Ensuring the Virginia Police Crash as summary of the entire incident, facilitating accurate processing and reporting. Report form is filled out comprehensively and accurately not only aids in the immediate aftermath of a crash but also serves as a valuable document for legal, insurance, and statistical purposes. It provides a complete

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