"Vehicle Accident Reporting Form" - Tennessee

Vehicle Accident Reporting Form is a legal document that was released by the Tennessee Department of Transportation - a government authority operating within Tennessee.

Form Details:

  • The latest edition currently provided by the Tennessee Department of Transportation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Tennessee Department of Transportation.

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Download "Vehicle Accident Reporting Form" - Tennessee

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Vehicle Accident Reporting Form
To be completed by agency if the vehicle accident caused one or more of the following:
1) a fatality, 2) a victim transported from the accident site by EMS, 3) more than $25,000 in property
damage, 4) agency vehicle towed from accident site.
Grantee:
Description of Incident:
Location of Incident:
Date & Time of Incident:
Weather / Road Conditions:
(include VIN(s) for any grantee vehicles)
Description of Vehicles Involved:
Number of Fatalities:
Number of Injuries:
Hazardous Material, if applicable:
Description of Vehicles/Facilities Damaged:
Estimated Vehicle Monetary Damage:
Estimated Facility Monetary Damage:
Date & Time Normal Operations Resume:
Reported by:
Signature:
Date:
Telephone:
Email:
Vehicle Accident Reporting Form
To be completed by agency if the vehicle accident caused one or more of the following:
1) a fatality, 2) a victim transported from the accident site by EMS, 3) more than $25,000 in property
damage, 4) agency vehicle towed from accident site.
Grantee:
Description of Incident:
Location of Incident:
Date & Time of Incident:
Weather / Road Conditions:
(include VIN(s) for any grantee vehicles)
Description of Vehicles Involved:
Number of Fatalities:
Number of Injuries:
Hazardous Material, if applicable:
Description of Vehicles/Facilities Damaged:
Estimated Vehicle Monetary Damage:
Estimated Facility Monetary Damage:
Date & Time Normal Operations Resume:
Reported by:
Signature:
Date:
Telephone:
Email: