Maryland Motor Vehicle Accident Report Template in PDF Open Editor

Maryland Motor Vehicle Accident Report Template in PDF

The Maryland Motor Vehicle Accident Report form is a detailed document used by law enforcement in the State of Maryland to record information about vehicle accidents. It includes a comprehensive range of data, from the basic details of the accident, such as date, time, and location, to specific information about the drivers, vehicles, and circumstances involved. Understanding how to properly fill out this form is crucial for those involved in motor vehicle accidents in Maryland. Ensure accuracy and completeness in documenting your accident by clicking the button below to learn more about filing this form.

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The State of Maryland Motor Vehicle Accident Report form is a crucial document designed to capture an array of details following a vehicle accident. This comprehensive form records basic information such as the date, time, and location of the accident, as well as more detailed data including the type of accident (e.g., fatal, injury, or property damage only), investigation details, and whether it was a hit and run or non-traffic incident. It further includes specifics about the investigating officer, the agency and area, supervising officer, as well as review-related details. Additionally, the form captures information about the accident scene, like road conditions, intersection details, and a brief description and diagram of the accident. It also documents personal information about each driver, vehicle details including the type and owner, circumstances leading up to the accident, and insurance information. This form serves as an essential tool for law enforcement, enabling them to record accidents systematically for research, reporting, and investigative purposes, ensuring that all pertinent information is correctly captured and processed.

Sample - Maryland Motor Vehicle Accident Report Form

State of Maryland Motor Vehicle Accident Report

REPORT NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

PAGE OF

ACCIDENT DATE

 

 

 

 

3

ACCIDENT TIME 4

 

REPORT TYPE

 

 

 

 

 

 

 

 

5

RESEARCH

 

 

 

 

 

 

 

6

 

LOCAL CASE NUMBER

7

LOCAL CODES

8

PHOTOS ?

510345

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATAL

 

INJURY

 

 

PDO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

1

1

 

 

1

 

2 6

 

 

0 4

1

 

0

0

 

7

 

 

 

 

HIT & RUN NON-TRAFFIC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2005-040123

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

INVESTIGATING OFFICER ID

 

 

 

 

 

 

 

 

 

 

 

10

AGENCY AND AREA

11

SUPERVISING OFFICER ID

 

 

 

 

12

REVIEWER ID #

 

 

 

 

 

 

 

 

 

 

 

13

 

CODE - AND - NAME OF MUNICIPALITY

14

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

Albert Green

 

 

 

 

 

 

2397

 

 

 

 

 

 

 

J

 

 

E

 

 

 

 

 

 

0

 

1

Linda Williams

 

 

 

 

c99

 

 

 

 

Brad Linquist

 

 

 

 

 

 

j45

 

 

 

0 0

3

 

Annapolis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RD CHAR

 

RTE NUM Accident Occurred On

 

 

17

 

ROAD NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

IN LANE

TRAF SIG

 

ON RAMP

0

 

Ramp Number (Direction)

 

 

0-Not Ramp

IN INTERSECTION

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

NO 20

 

 

 

 

NO

21

 

 

 

 

1 N-W

2 W-N 3 E-N 4 N-E

22

 

NO

 

 

23

0

 

 

2

 

 

 

U S

 

 

9

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N 2

 

 

YES

 

 

 

 

YES

 

 

 

5 S-E

 

6 E-S

7 W-S

 

 

 

8 S-W

 

 

9 Other

 

 

 

 

 

 

YES

 

 

 

 

 

RD COND

 

INT-RTE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

INTERSECTING ROAD NAME or Log Mile Reference Manual description.

 

 

 

 

 

 

 

 

 

 

26

 

MILEPT

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

DIR

 

Dist. of Acc fr INT-RTE/Ref. & Dir.

 

 

 

 

29

0 1

24

 

M

 

 

D

 

3

 

0

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

 

0

0

6

 

 

 

 

 

 

 

 

 

 

 

Ft

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mi

 

 

RD DIV

 

 

 

 

 

 

 

 

ACCIDENT

 

 

 

 

Show & Label: Roads, Traffic Units, the Travel Direction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESCRIBE ACCIDENT briefly: identify units by numbers. Also identify the following

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33

 

 

 

 

30

 

 

 

 

 

 

DIAGRAM

 

 

 

 

consistent with the Log Mile Reference Manual, and Movement

 

 

 

 

 

 

 

 

 

 

a) the OBJECT DAMAGED & NATURE OF DAMAGE (Property other than vehicles) and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Traffic Units.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) the NAME & ADDRESS OF OWNER when applicable.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SRF COND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Veh1 was going northbound when a deer entered the roadway. Veh1 slowed to avoid

0

 

 

2

34

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the deer as it ran across the road. Veh2, speeding, was unable to brake in time and

 

 

 

C/M ZONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

rear-ended Veh1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

 

35

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JUNCT'N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EVENT - 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EVENT - 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

0

38

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIX OBJ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

5

39

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLL

 

TY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIGHT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEATHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT #

43

 

NAME

 

(First,

Middle,

 

 

Last)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44

 

SEX

45

UNIT #

43

NAME

(First,

Middle,

Last)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44

 

SEX

45

0

 

 

1

 

 

 

Brandy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Orr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

2

0 2

 

 

Walter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joseph

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

 

1

TYPE

 

 

46

 

ADDRESS (No.,

 

Street, City, State, Zip)

 

 

 

 

 

 

 

 

 

 

 

 

TEL

Work

 

 

 

Res

 

 

 

47

 

INJ

48

TYPE

46

ADDRESS

(No., Street, City, State,

Zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TEL

 

 

Work

 

 

 

Res

 

 

 

 

47

 

INJ

48

OF

 

 

 

4602 Oldham St

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6 4 1 6 1 9 2 0 6 5

 

0 2

OF

 

 

4676 Everett St

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5 4 0 4 5 8 4 6 7 6

 

0

3

UNIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMS

49

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMS

49

DRIVER

 

Annapolis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MD

24744

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER

Annapolis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MD

84381

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

"PED"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

"PED"

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

MOVEMENT

 

CONDITN

 

 

SUBST

 

 

TEST

 

RESULT

 

 

 

FOR

 

 

 

 

AGE

 

 

 

 

 

TYPE

LOCAT'N

 

OBEY

 

 

 

VISIBL

 

MOVEMENT

CONDITN

SUBST

 

TEST

 

 

 

 

RESULT

 

 

FOR

 

 

 

 

AGE

 

 

 

 

 

 

TYPE

LOCAT'N

OBEY

 

 

VISIBL

0

 

 

3

50

 

0

 

 

51

 

 

0

 

52

0

53

 

 

 

 

54

PEDS

 

 

 

 

 

 

 

 

55

 

 

56

 

57

 

 

 

 

58

 

 

 

 

59

0

3

50

0

 

 

 

51

 

0

 

52

 

0

 

 

53

 

 

 

 

54

 

PEDS

 

 

 

 

 

 

 

 

 

55

 

56

 

 

57

 

 

 

 

58

 

 

 

59

 

 

 

 

 

 

 

1

 

 

 

1

 

0

 

 

 

 

 

 

 

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

1

 

 

 

0

 

 

 

 

 

 

 

 

 

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPEED LIMIT

 

SAF. EQU

 

EQ PROB

 

 

EJECT

 

CITATION NUMBER (S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

64

 

FAULT

 

SPEED LIMIT

SAF. EQU

EQ PROB

 

EJECT

 

CITATION NUMBER (S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

64

 

FAULT

 

 

 

 

60

 

 

 

 

61

 

 

 

 

 

62

 

 

 

 

63

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO 65

 

 

 

60

 

 

 

 

61

 

 

 

62

 

 

 

 

 

63

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO 65

5

 

 

0

 

 

 

1

 

 

1

 

 

1

 

3

0

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

5

0

 

 

1

 

 

 

3

 

0

 

1

 

0

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

GOING

 

 

 

DRIVER'S LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

CLASS

GOING

 

 

DRIVER'S LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

CLASS

 

 

 

 

66

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

67

 

 

 

 

68

 

 

 

 

69

 

 

 

66

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

67

 

 

 

 

68

 

 

 

69

0

 

 

1

 

 

 

429945408

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M D

 

3

 

 

 

0 1

 

 

331481440

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M D

 

2

 

 

 

CONTINU

 

DR DATE OF BIRTH

71

 

IRREGULAR CONDITION

72

 

HM SPILL

 

HAZ MAT NUMBER

 

CONTINU

DR DATE OF BIRTH

 

 

 

 

71

 

IRREGULAR CONDITION

72

 

 

HM SPILL

HAZ MAT NUMBER

 

 

 

 

 

 

 

 

 

70

 

 

 

 

 

 

 

 

 

 

 

 

 

1

9

 

 

PARKED

 

 

 

 

 

CAUGHT FIRE

 

 

73

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

74

 

 

 

70

 

 

 

 

 

 

 

 

 

 

1

 

 

9

 

 

 

PARKED

 

 

 

 

 

 

CAUGHT FIRE

 

 

 

 

73

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

74

0

 

 

1

 

 

 

0

 

 

9

 

 

2

 

0

4

 

1

 

 

HIT & RUN

DRIVERLESS

 

N

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

4

 

 

0

 

 

8

 

1

 

7

 

4

 

 

2

 

 

 

HIT & RUN

 

DRIVERLESS

 

 

 

N

 

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BODY TY

 

COMMER.

 

 

 

U. S. DOT NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

ICC NUMBER

 

 

 

 

 

 

 

 

BODY TY

CDL?

 

BODY TY

COMMER.

 

 

U. S. DOT NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ICC NUMBER

 

 

 

 

 

 

 

 

 

BODY TY

CDL?

 

 

 

 

 

 

 

75

 

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

76

 

 

 

 

 

 

 

 

 

 

 

 

 

 

77

 

 

78

 

 

 

NO

79

 

 

 

75

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

76

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

77

 

 

78

 

 

 

NO

79

0

 

 

2

 

 

 

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

0

2

 

 

ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

MOST HE

 

OWNER OR CARRIER NAME (Write "SAME" if Driver)

 

 

 

 

 

 

 

 

TEL

Work

 

 

 

Res

 

 

 

 

 

 

 

 

 

 

MOST HE

OWNER OR CARRIER NAME (Write "SAME" if Driver)

 

 

 

 

 

 

 

 

 

 

TEL

 

 

Work

 

 

 

Res

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

81

 

 

 

80

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

81

0

 

 

1

 

 

 

Same

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

1

 

 

Bryan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

O'Neil

 

 

 

 

 

 

 

 

 

 

 

3 5 2 7 8 4 3 8 7 1

CONTRIB

 

OWNER / CARRIER ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTRIB

OWNER / CARRIER ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CIRCUM-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

83

CIRCUM-

3119 Brighton Ave

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

83

STANCES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STANCES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

82-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOWED VEH (S)

 

 

 

 

84

 

82-1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOWED VEH (S)

 

 

 

 

84

4

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 8

 

 

Annapolis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MD 47344

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

82-2

 

YEAR & MAKE OF VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL

 

 

 

 

 

 

 

 

 

 

1st IMPACT PT.

87

 

1

 

 

0

 

82-2

YEAR & MAKE OF VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODEL

 

 

 

 

 

 

 

 

 

 

 

1st IMPACT PT. 87

 

0

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

85

 

 

 

 

 

 

 

 

 

 

 

 

 

 

86

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

85

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

86

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

6

 

 

 

8

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

FORD

 

 

 

 

 

 

 

 

 

 

Tempo

 

 

 

 

 

 

 

 

 

 

MAIN IMPACT

88

 

0

 

 

9

2 1

 

 

0 4

 

 

 

 

TOYT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Matrix

 

 

 

 

 

 

 

 

 

 

 

MAIN IMPACT

88

 

0

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

82-3

 

EXP YR & REGISTR # STATE

 

 

 

 

 

AREAS DAMAGED

 

 

 

 

 

 

INSURER

 

 

 

 

 

 

 

 

 

 

 

82-3

EXP YR & REGISTR # STATE

 

 

 

 

 

 

AREAS DAMAGED

 

 

 

 

 

 

 

INSURER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

89

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

90

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

91

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

89

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

90

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

91

 

 

 

 

 

 

 

0

 

 

5

 

 

WGQ 562

 

 

 

 

M D

 

0

9

 

1

0

 

0

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 2

 

 

0 8

MZZ 539

 

 

 

 

M D

1

5

 

1

7

 

1

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

82-4

 

VEHICLE ID NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

 

 

 

 

 

82-4

VEHICLE ID NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POLICY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

92

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

93

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

92

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

93

 

 

 

 

 

 

 

21427BEW 770WMS 731

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

50452VKW 299SFL 391

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAM EXT

 

VEHICLE REMOVED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE REMOVED TO

 

 

 

 

 

DAM EXT

VEHICLE REMOVED BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE REMOVED TO

 

 

 

 

 

 

 

 

 

94

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

95

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

96

 

 

 

94

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

95

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

96

0

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAFFIC

 

SEATING

 

CODE all injured & uninjured PASSENGERS below. Use "W" for witness in TRAF UNIT and SEAT columns.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAFETY

EQUIP

 

 

INJUR

 

EJEC-

 

EMS

UNIT #

 

POSITION

 

WRITE NAME & ADDRESS of Injured Passengers and Witnesses.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Witness telephone #.

 

SEX

 

 

 

 

 

 

 

AGE

 

EQUIP

PROB.

 

 

SEVER

 

 

TION

 

UNIT

 

 

 

 

97

 

 

 

 

 

 

 

98

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

99

 

 

 

100

 

 

 

 

 

 

 

 

 

101

 

 

 

 

102

103

 

 

104

 

 

 

 

105

 

 

106

0

 

 

1

 

 

 

0

5

 

 

 

Eric

 

 

 

 

 

 

 

 

 

G

 

Crosby

 

 

 

 

 

 

3448 Lillibridge St

 

 

 

 

Annapolis

 

 

 

MD 60665

 

 

1 4 8 9 5 8 5 6 8 1

0 1

 

 

0

2

6

 

1 1

 

0 1

 

 

0 1

 

0 1

 

 

0

0

 

 

1

 

 

 

0

3

 

 

 

Gavin

 

 

 

 

 

K

 

Sakic

 

 

 

 

 

 

 

 

 

 

2678 Brookview Dr

 

Annapolis

 

 

 

MD 15424

 

 

2 7 9 8 0 4 1 2 9 6

0 1

 

 

0

3

5

 

1 3

 

0 1

 

 

0 3

 

0 1

 

A

0

 

 

2

 

 

 

0

4

 

 

 

Elaine

 

 

 

 

 

H

 

Geller

 

 

 

 

 

 

 

 

 

 

3636 Monterey Dr

 

 

 

 

Annapolis

 

 

 

MD 38364

 

 

6 4 0 8 1 9 5 2 1 6

0 2

 

 

0

2

8

 

1 3

 

1 3

 

 

0 3

 

0 1

 

A

0

 

 

2

 

 

 

0

5

 

 

 

Penny

 

 

 

 

 

D

 

Manning

 

 

 

 

 

 

2638 S 55th St

 

 

 

 

Annapolis

 

 

 

MD 50596

 

 

4 8 6 3 8 1 6 9 8 3

0 2

 

 

0

1

8

 

1 1

 

0 1

 

 

0 1

 

0 1

 

 

0

0

 

 

2

 

 

 

0

6

 

 

 

Harold

 

 

 

 

 

Y

 

Mason

 

 

 

 

 

 

4946 Valley Rd

 

 

 

 

Annapolis

 

 

 

MD 62828

 

 

3 3 3 8 4 2 2 1 4 0

0 1

 

 

0

6

7

 

1 3

 

0 1

 

 

0 2

 

0 1

 

 

0

0

 

 

2

 

 

 

0

3

 

 

 

Ross

 

 

 

 

 

 

 

 

 

U

 

Williams

 

 

 

 

 

 

2753 Brighton Ave

 

Annapolis

 

 

 

MD 52732

 

 

1 7 9 6 4 3 3 9 0 7

0 1

 

 

0

0

4

 

1 4

 

1 3

 

 

0 2

 

0 1

 

 

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E UNIT

 

INJURED TAKEN BY:

 

 

 

 

 

 

 

 

 

 

INJURED TAKEN TO:

 

 

 

 

 

 

 

 

 

 

 

 

EMS RUN REPORT #

 

E UNIT

 

INJURED TAKEN BY:

 

 

 

 

 

 

 

 

 

 

 

INJURED TAKEN TO:

 

 

 

 

 

 

 

 

 

 

 

 

 

EMS RUN REPORT #

 

 

 

M

107

 

EmergyStat

 

 

 

 

 

108

 

Annapolis General

 

 

 

 

 

 

109

 

34-235

 

 

 

 

110

M

107

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

108

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

109

 

 

 

 

 

 

 

 

 

 

 

 

 

110

S A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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MSP FORM #1

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MSP - CENTRAL RECORDS DIVISION COPY

Document Data

Fact Detail
Governing Law Specific Maryland State laws and regulations govern the reporting and documentation of motor vehicle accidents
Form Name Maryland Motor Vehicle Accident Report
Key Sections Accident Date and Time, Investigating Officer ID, Road Conditions, Accident Diagram, Vehicle and Driver Information
Special Sections Hit & Run, Non-Traffic, Hazardous Material Spill, Safety Equipment Usage
Identification Details Includes unique identifiers like Report Number, Local Case Number, and Agency and Area
Accident Description Space provided for a brief description of the accident, including diagramming and identification of damaged property

How to Write Maryland Motor Vehicle Accident Report

After experiencing a motor vehicle accident in Maryland, it's necessary to carefully fill out the Maryland Motor Vehicle Accident Report form. This document plays a crucial role in the official documentation and analysis of the incident, required by law enforcement and insurance companies. By providing detailed and accurate information, the report aids in the investigation process, potentially influencing insurance claims and legal proceedings. Below are the steps to complete this form accurately.

  1. Start by entering the report number in the field labeled "REPORT NO."
  2. Fill in the page number of the report you are working on in the field that reads "PAGE OF."
  3. Indicate the date of the accident under "ACCIDENT DATE."
  4. Enter the time the accident occurred in the "ACCIDENT TIME" field.
  5. Choose the appropriate report type and mark the field under "REPORT TYPE."
  6. If applicable, mark the box for RESEARCH.
  7. Provide the local case number in the designated area.
  8. Enter any relevant local codes under "LOCAL CODES".
  9. Indicate whether photos were taken by marking 'YES' or 'NO' in the "PHOTOS?" field.
  10. Under "INVESTIGATING OFFICER ID," write the ID of the officer who investigated the scene.
  11. Fill in the "AGENCY AND AREA" with the name of the law enforcement agency and area code.
  12. Input the supervising officer's ID in the "SUPERVISING OFFICER ID" section.
  13. For the "REVIEWER ID #," provide the ID number of the person reviewing the report.
  14. Enter the code and name of the municipality where the accident occurred.
  15. Specify the county in the "COUNTY" field.
  16. Accurately describe the location of the accident, using fields 16-29 to provide details such as road names, traffic signals presence, and intersection details.
  17. Under "DESCRIBE ACCIDENT," briefly narrate the accident, ensuring to note any property damage and the owners' names and addresses if known.
  18. For each vehicle involved, fill out sections 43-79 with the respective driver's information, vehicle details, and circumstances of the accident.
  19. If there were passengers or witnesses, their information should be documented in sections 97-106.
  20. Complete the form by providing details of any injured parties, including EMS unit number and hospital destination in the final sections.

Upon completion, review the form for accuracy and completeness. Ensure that all necessary sections are filled to reflect the incident accurately. This report will serve as an essential record for all parties involved, including law enforcement, insurance providers, and legal entities. Accurate and thorough reporting can significantly impact the resolution of any claims or disputes arising from the accident.

Understanding Maryland Motor Vehicle Accident Report

What is the Maryland Motor Vehicle Accident Report?

The Maryland Motor Vehicle Accident Report is an official document used by law enforcement officers in Maryland to record details of a motor vehicle accident. This report includes information about the accident's time, date, location, the parties involved, vehicle damage, and any injuries sustained. It serves as a critical record for insurance, legal, and research purposes.

When must an accident be reported in Maryland?

In Maryland, any motor vehicle accident that results in bodily injury, death, or significant property damage must be reported immediately to the police. Additionally, drivers are required to file a written report with the Maryland Motor Vehicle Administration (MVA) if the accident caused a fatality, injury, or property damage exceeding $1,000. This report must be submitted within 15 days of the accident.

What information is needed to complete the Maryland Motor Vehicle Accident Report?

  • Report number and page
  • Accident date and time
  • Local case number and codes
  • Details of the accident location (e.g., road names, intersection, ramp)
  • Information about the vehicles and drivers involved, including names, addresses, driver's license numbers, and vehicle information
  • Details of the accident circumstances, including a brief description, diagram, and any contributing factors
  • Information on any injuries or fatalities
  • Information about property damage other than to the vehicles

Are photos required to be attached to the report?

While photos are not mandated for every accident report, they can be extremely helpful in providing a visual account of the scene, vehicle damage, and any relevant road conditions or obstructions. If photos were taken at the accident scene, they should be referenced in the report and can be attached as supporting documentation.

How is fault determined in a Maryland motor vehicle accident report?

Fault is not always explicitly stated in the Maryland Motor Vehicle Accident Report. Instead, the report will include detailed descriptions of the accident, diagrams, and any traffic citations issued. Insurance companies and legal representatives often use this information, along with the Maryland Vehicle Law and other evidence, to determine fault in accordance with Maryland's at-fault insurance system.

What does the "Injury Severity" section indicate?

This section documents the severity of any injuries sustained by individuals involved in the accident, ranging from minor injuries to fatalities. It is crucial for assessing the immediate and potential long-term impacts of the accident on those involved.

How can one obtain a copy of a Maryland Motor Vehicle Accident Report?

A copy of a Maryland Motor Vehicle Accident Report can be requested from the Maryland State Police or the local law enforcement agency that filed the report. There may be a small fee associated with obtaining a copy. Requests can typically be made in person, by mail, or online, depending on the agency's procedures.

What is the importance of the "Local Codes" section?

The "Local Codes" section includes specific codes used by the local law enforcement agency to classify and categorize details of the accident. These codes help in streamlining the data collection process and ensuring consistency across reports. They can reference aspects such as the type of accident, road conditions, and the nature of any injuries or property damage.

Can the information on this report affect one's insurance rates?

Yes, the information documented in the Maryland Motor Vehicle Accident Report can significantly impact one's insurance rates. Insurance companies use these reports to assess the risk level of insured drivers. If a driver is found to be at fault in an accident, it could lead to an increase in insurance premiums due to the higher perceived risk of future claims.

Common mistakes

Filling out the Maryland Motor Vehicle Accident Report form correctly is crucial for accurately documenting the specifics of an accident. However, people often make several common mistakes during this process:

  1. Not checking the correct boxes for accident conditions. It's important to carefully review and select the correct options for questions about road conditions, weather, and traffic signals. Overlooking these choices can lead to an inaccurate representation of the accident scenario.
  2. Incomplete or incorrect personal information. Every section asking for personal details, such as names, addresses, and phone numbers, must be filled out fully and accurately. Mistakes or omissions can hinder follow-up communications and processes.
  3. Failure to properly describe the accident. The section on describing the accident should include a clear and detailed sequence of events, including the direction of travel, the actions taken by each driver, and how the accident occurred. Vague or incomplete descriptions can lead to misunderstandings about the accident's dynamics.
  4. Skipping the diagram section. Drawing a diagram might seem daunting, but it's an essential part of the report. The diagram provides a visual account of the accident, complementing the written description. Neglecting this part can make it harder for investigators to understand the precise movements of the vehicles involved.

Addressing these common mistakes by taking one's time to review and properly fill out the Maryland Motor Vehicle Accident Report can significantly improve the accuracy and completeness of the accident documentation. This, in turn, aids in the resolution of any investigations or insurance claims that may follow.

Documents used along the form

When dealing with motor vehicle accidents in Maryland, a comprehensive approach is often necessary to ensure all aspects of the incident are well-documented and processed accurately. The Maryland Motor Vehicle Accident Report form plays a pivotal role in this documentation process. However, it’s only a part of the mosaic of documents required to capture the full scope of the incident. Various other forms and documents come into play, each serving a unique function in the aftermath of a motor vehicle accident.

  • Insurance Claim Form: This document is essential for filing a claim with an insurance company, detailing the extent of damage and the circumstances of the accident to facilitate compensation.
  • Medical Records Release Form: Often needed to document injuries sustained in the accident, allowing insurance companies or legal representatives to access medical records.
  • Vehicle Damage Report: Separate from the accident report, this form details the specific damage to the vehicles involved, often including estimates for repair costs.
  • Witness Statements: Written accounts from witnesses can be crucial for establishing the facts of the accident; these forms document their observations.
  • Police Report: A more comprehensive report filed by the responding officer, providing an authoritative account of the accident, which may include citations issued.
  • Exchange of Information Form: A document that records the contact and insurance information of the parties involved in the accident, usually completed at the scene.
  • Traffic Citation: If traffic laws were violated, citations are issued to the offender(s). These documents are essential for legal proceedings and insurance claims.
  • Photographic Evidence: Photos of the accident scene, vehicle damage, and injuries that can be crucial for insurance claims and legal cases. While not a "form," this visual documentation is often submitted alongside other documents.
  • Tow Truck Receipt: Documents the towing service used, as well as the location to which the damaged vehicle was towed, and the associated costs.
  • Rental Car Agreement: If a rental car is needed while repairs are made, this agreement documents the rental period, costs, and the parties responsible for payment.

In the wake of an accident, understanding and gathering these documents can be the key to navigating the legal and insurance landscapes effectively. While the Maryland Motor Vehicle Accident Report form initiates this process, the subsequent collection and management of these associated documents are crucial steps in addressing all ramifications of the incident comprehensively.

Similar forms

The Maryland Motor Vehicle Accident Report form is similar to various documents used across the United States for reporting vehicle incidents. These forms are critical for law enforcement, insurance companies, and legal proceedings, ensuring that all relevant details of the incident are formally documented. They often contain sections dedicated to parties involved, a diagram of the accident, the conditions at the time of the accident, and any law enforcement observations and conclusions.

One document that exhibits similarities to the Maryland Motor Vehicle Accident Report form is the Police Traffic Crash Report used in many other states. Like the Maryland form, it typically requires detailed information on the accident's location, date, and time, parties involved, vehicle information, and a narrative description of the crash. Both documents also include sections for documenting environmental conditions such as weather and road conditions at the crash time, contributing factors, and any traffic citations issued. However, the specific layout and some coding might differ to meet local reporting requirements or state law nuances.

Another analogous document is the Commercial Vehicle Accident Report specifically designed for incidents involving commercial vehicles. This form shares several sections with the Maryland Motor Vehicle Accident Report form, such as vehicle information, including commercial licensure and hazardous material declarations where applicable. Both forms require details on the accident's dynamics, including diagrams and descriptions. The key distinction lies in the commercial form's emphasis on factors like cargo type, commercial vehicle types, and regulatory compliance that are not typically detailed in standard accident reports.

The Insurance Claim Form for auto accidents also bears resemblance, although designed for a different purpose. Like the Maryland report, an insurance claim form captures the basics of an accident—identities of those involved, vehicle information, and the accident circumstances. This form is crucial for insurance processes, aiding in the evaluation of claims tied to vehicular accidents. Despite their different end uses—one for legal and law enforcement documentation, the other for insurance processing—both forms play essential roles in post-accident procedures by providing structured accident accounts.

Dos and Don'ts

When it comes to filling out the Maryland Motor Vehicle Accident Report form, it's essential to approach the task with attention to detail and accuracy. Here are eight practical tips on what you should and shouldn't do:

  • Do ensure all the information you provide is accurate and truthful. False information can lead to legal consequences.
  • Do write clearly and legibly. If the form is not understandable, it may lead to processing delays.
  • Do include detailed descriptions of the accident, including all vehicles and parties involved. Specific details are crucial for a thorough assessment.
  • Do use the diagram section to complement your written description. A visual representation can help clarify complex accident scenarios.
  • Don't leave any required sections blank. If a section does not apply, mark it as "N/A" (not applicable).
  • Don't forget to document the accident's date and time accurately. These details are critical for any investigation.
  • Don't guess or estimate information. If you're unsure about specific details, it's better to note that the information is unknown.
  • Don't delay in submitting the form. Timeliness in reporting is essential and may be legally required.

Completing the Maryland Motor Vehicle Accident Report form with care not only fulfills a legal requirement but also ensures that all involved parties have the accurate documentation needed for any follow-up actions. Remember, this form is a key part of the accident documentation process and helps protect your rights and interests.

Misconceptions

There are several misconceptions about the Maryland Motor Vehicle Accident Report form that can lead to confusion. Addressing these misconceptions is essential for accurate reporting and understanding of the document's components. Here are four common misunderstandings:

  • Completing the form is optional after an accident. Many people believe that filling out the Maryland Motor Vehicle Accident Report form is optional, especially if no one is injured or if the damage appears minor. However, Maryland law requires that any motor vehicle accident resulting in injury, death, or significant property damage be reported. This documentation is crucial for legal, insurance, and statistical purposes, ensuring that all parties involved have a record of the incident.
  • The report only needs to be filed with the insurance companies. Another common misconception is that the accident report form only needs to be sent to the insurance companies involved. In reality, the completed form must be submitted to the Maryland Motor Vehicle Administration (MVA) or the local police department, depending on the accident's circumstances. While insurance companies do require a copy of the report for claims processing, the official filing must be done according to state guidelines to comply with legal requirements.
  • Every field in the form must be filled out for it to be accepted. It's commonly misunderstood that every single field on the form must be filled out for it to be considered complete. While it's important to provide as much detail as possible, there may be instances where specific information is unknown or does not apply. In these cases, it is acceptable to mark a field as "Unknown" or "N/A" (not applicable). The critical aspect is to fill out the form accurately and thoroughly, providing all known relevant details about the accident.
  • The form is only for the use of the police at the scene of the accident. Though the investigating officer at the scene of an accident will fill out an initial report, this form can also be used by drivers to file a supplemental report. If the police do not attend the accident scene -- for example, in minor collisions without injuries in some jurisdictions -- drivers are responsible for filing a report themselves. This ensures that the accident is officially recorded and can be crucial for insurance claims and legal matters down the line.

Key takeaways

Filling out the Maryland Motor Vehicle Accident Report form correctly is crucial for all parties involved in a motor vehicle accident within the state. Here are eight key takeaways to ensure the form is completed accurately:

  • Always include the report number and the page number at the top of the form to allow for easy tracking and retrieval.
  • Clearly state the date and time of the accident to establish a timeline, which is vital for investigation and insurance claims.
  • Specify whether the accident resulted in fatalities, injuries, or property damage only (PDO), as this information significantly affects the handling of the case.
  • Marking the “Hit & Run” box is crucial if one or more involved parties fled the scene, triggering specific legal and investigative processes.
  • Provide detailed information about the accident location, including road names, lane, and whether it occurred at an intersection, to help in reconstructing the accident scenario for law enforcement and insurance companies.
  • A brief but comprehensive description of the accident, including a diagram and the direction of the involved vehicles, is necessary to give a clear picture of the incident.
  • Include personal and vehicle information for all involved parties, such as names, addresses, vehicle type, insurance details, and if applicable, any commercial vehicle identifiers like U.S. DOT and ICC numbers.
  • Details regarding the road and weather conditions at the time of the accident can be crucial, especially when determining liability and understanding the contributing factors.

This comprehensive report serves not only as a legal document but also plays a crucial role in insurance claims and accident reconstruction efforts. Accurate and detailed completion of the Maryland Motor Vehicle Accident Report form is therefore essential.

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