Form MVL-10 "Law Enforcement Officer's Report Relating to Adverse Driving" - Maine

What Is Form MVL-10?

This is a legal form that was released by the Maine Department of the Secretary of State - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Maine Department of the Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MVL-10 by clicking the link below or browse more documents and templates provided by the Maine Department of the Secretary of State.

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Download Form MVL-10 "Law Enforcement Officer's Report Relating to Adverse Driving" - Maine

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Department of the Secretary of State
Bureau of Motor Vehicles
LAW ENFORCEMENT OFFICER’S REPORT RELATING TO ADVERSE DRIVING
NAME_________________________________ DATE of INCIDENT__________________________
ADDRESS______________________________ TIME of INCIDENT__________________________
A A
D.O.B.__________________________________ PLACE of INCIDENT________________________
A Law Enforcement Officer may use this form to notify the Secretary of State of an incident of adverse driving.
Please check all boxes that may apply and provide a narrative statement of the facts surrounding the incident.
Incident involved a Property Damage Accident
Incident involved a Bodily Injury Accident
Incident resulted in the Death of a Person
Incident may involve a Medical Issue
OFFICER’S STATEMENT:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________
Signature of Officer
______________________________________________
Officer’s Name Printed or Typed
______________________________________________
Department of Officer
PLEASE RETURN THIS FORM TO THE SECRETARY OF STATE
MVL-10
101 Hospital Street, 29 State House Station, Augusta, Maine, 04333-0029
Telephone: 207 624-9000 Extension 52124 TTY Users Call Maine Relay 711
Department of the Secretary of State
Bureau of Motor Vehicles
LAW ENFORCEMENT OFFICER’S REPORT RELATING TO ADVERSE DRIVING
NAME_________________________________ DATE of INCIDENT__________________________
ADDRESS______________________________ TIME of INCIDENT__________________________
A A
D.O.B.__________________________________ PLACE of INCIDENT________________________
A Law Enforcement Officer may use this form to notify the Secretary of State of an incident of adverse driving.
Please check all boxes that may apply and provide a narrative statement of the facts surrounding the incident.
Incident involved a Property Damage Accident
Incident involved a Bodily Injury Accident
Incident resulted in the Death of a Person
Incident may involve a Medical Issue
OFFICER’S STATEMENT:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________
Signature of Officer
______________________________________________
Officer’s Name Printed or Typed
______________________________________________
Department of Officer
PLEASE RETURN THIS FORM TO THE SECRETARY OF STATE
MVL-10
101 Hospital Street, 29 State House Station, Augusta, Maine, 04333-0029
Telephone: 207 624-9000 Extension 52124 TTY Users Call Maine Relay 711