Oregon Dmv Accident Report PDF Template

Oregon Dmv Accident Report PDF Template

The Oregon DMV Accident Report form is a crucial document that drivers must complete following a traffic crash that meets specific criteria. This form is required when there is significant property damage, injuries, or fatalities. Timely submission of this report is essential to avoid potential penalties, including suspension of driving privileges.

To ensure compliance, fill out the form by clicking the button below.

Article Guide

The Oregon DMV Accident Report form, officially known as the Oregon Traffic Crash and Insurance Report, is a crucial document for drivers involved in traffic accidents that meet specific criteria. This form must be completed and submitted by drivers if the accident results in property damage exceeding $2,500, any injury, or if a vehicle is towed from the scene. Additionally, it is required for accidents involving fatalities. Oregon law mandates that this report be filed within 72 hours of the incident. Failure to comply may lead to suspension of driving privileges. The form consists of several sections, including details about the crash date, location, and time, as well as information about the vehicles and drivers involved. It also requires the submission of insurance details to avoid penalties. For commercial motor vehicle operators, additional reporting is necessary under specific conditions. The report must be signed by the involved driver or a family member if the driver is incapacitated. Submissions can be made via email, fax, or mail, and it is recommended to keep a copy of the submitted report for personal records. The form does not determine fault but records the necessary information for DMV purposes.

Oregon Dmv Accident Report Preview

OREGON TRAFFIC CRASH AND INSURANCE REPORT
STK# 300009
Oregon law requires these reports be filed within 72 hours of the crash. If you are not able to file within the 72 hours, submit it
as soon as possible. If you fail to report the crash to DMV, it may result in suspension of your driving privileges. If the police
department files a police report, you are still required to file your own Crash and Insurance Report with DMV. When
required to report, even if you are licensed in another state, or you are not an Oregon resident, you still must file a
report with Oregon DMV. DMV does not determine fault in a crash, but does post the crash to the driving record of those
drivers required to report, unless the vehicle is parked. If you have questions, please call DMV Crash Reporting Unit at
(503) 945-5098.
Tear this sheet off your report, read and carefully follow the directions.
ONLY drivers involved in a crash resulting in any of the following MUST file a Crash & Insurance Report:
735-32 (3-23)
PURSUANT TO OREGON INSURANCE LAW, AN INSURANCE COMPANY CAN NOT REQUIRE REPAIRS BE MADE TO A
MOTOR VEHICLE BY A PARTICULAR PERSON OR REPAIR SHOP.
SECTION 3
SECTION 4
SECTION 5
COMPLETING AND FILING REPORT
HOW TO SUBMIT A REPORT TO DMV:
Keep a copy of the report and documentation that shows when you submitted your report to Oregon DMV. Under ORS
802.220(5), DMV is not authorized to provide you with a copy of the report that you file. If submitting by:
OTHER VEHICLE (# 2) — Completion of this information will help DMV match all driver's crash reports more efficiently. If
additional vehicles were involved in the crash, complete attached Supplemental Report (Form 735-32B).
DESCRIPTION AND SIGNATURE — Describe what happened. It is important for you to sign and date the form. Only a family
member may sign and date this form on behalf of a driver when the driver is incapacitated or physically unable to sign. No other
signatures will be accepted.
DATE, LOCATION AND TIME — Clearly identify the date, location and time of the crash. The correct date, location and time is
critical to processing your report. If you are unsure of the county, contact any local law enforcement agency for assistance.
Complete both sides of the form.
If additional vehicles were involved in the crash, complete the attached Supplemental Report (Form 735-32B), or on a
blank piece of paper, write all the information as requested in Section 4, the “Other Driver” Section.
DMV Headquarters will verify the insurance information submitted. Complete the insurance section or a suspension of
your driving privileges may occur.
PRINT OR TYPE ALL INFORMATION. (Use black or dark blue ink and press firmly.)
SECTION 1
INSTRUCTIONS
SECTION 2
Your vehicle is Vehicle #1. Complete ALL fields. Provide Insurance company name (not agent), policy number, and
Vehicle identification number (VIN). Failure to provide complete insurance and vehicle information may result in DMV issuing
Notice of Suspension due to incomplete information.
Failure to complete this section may result in DMV sending Notice of Suspension for failure to file a report. Principle purpose of
driving and being paid to drive does not mean driving to reach a destination to perform a service. Property: Includes, but is not
limited to, fixed or real property, landscaping, signs, parked vehicles, and animals.
COMMERCIAL MOTOR VEHICLE OPERATORS: In addition to this report, Oregon Administrative Rule requires that Form
735-9229, Motor Carrier Crash Report, MUST be filed within 30 days of a commercial motor vehicle crash when there is a
FATALITY, INJURY (requiring treatment away from the scene), or when a vehicle is TOWED from the scene because of
disabling damage. Form 735-9229 (attached on back) MUST be submitted with Oregon Traffic Crash and Insurance Report
(Form 735-32) to DMV. Call (503) 986-3507 for questions regarding the Motor Carrier Crash Report.
You may now file the Motor Carrier Crash Report at: www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/
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INSTRUCTIONS
Damage to your vehicle is over $2500
Injury (No matter how minor)
Death
Damage to any one person’s property over $2500
Any vehicle has damage over $2500 and any vehicle is
towed from the scene as a result of damages
•
Email to OregonDMVAccidents@odot.oregon.gov
Fax to 503-945-5267
Mail to DMV Crash Reporting Unit 1905 Lana Ave NE, Salem, Oregon 97314
Deliver to a DMV office
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Email, DMV sends an autoreply that your email was received. Save that autoreply.
Fax, many fax machines provide the option to generate a fax confirmation report. Save that report.
DMV Field Office, request and save that receipt.
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TOTALED VEHICLE NOTICE
FOLLOW THESE INSTRUCTIONS IF YOUR VEHICLE IS TOTALED
DEFINITIONS AND INSTRUCTIONS FOR TOTALED VEHICLES
IF YOUR CRASH HAS RESULTED IN A “TOTALED” VEHICLE, YOU ARE REQUIRED BY LAW TO
FOLLOW APPROPRIATE INSTRUCTIONS IN THIS NOTICE.
If your vehicle is totaled, in addition to completing the crash report, follow the instruction that is applicable to your
case. Either:
1. SURRENDER the title to the insurer if the damage is covered by an insurer who declares the vehicle to be a
“total loss,” and the insurer takes possession of the vehicle; or
2. SURRENDER the title to DMV and apply for salvage title if the damage is covered by an insurer who declares
the vehicle to be a “total loss,” but you keep possession of the vehicle; or
3. SURRENDER the title to DMV and apply for salvage title if the damage was not covered by an insurer and the
estimated cost of repair is at least 80% of the retail market value of the vehicle before the damage; or
• A description of the vehicle which includes the year model, make, plate number and vehicle identification
number.
• A statement indicating the vehicle has been totaled.
• A statement that you are unable to obtain the title and why.
DO NOT SUBMIT THE TITLE WITH THE CRASH REPORT. You can obtain the Application for Salvage Title
(Form 735-229) from any DMV office, by calling (503) 945-5000, or on-line at www.oregondmv.com. Application
instructions and fee information are on the back of the form 735-229. If you have questions about salvage titles,
call (503) 945-5122.
NOTE: It is a Class A misdemeanor with a penalty of imprisonment and/or fine if you fail to comply with the above
requirements. (ORS 819.012)
▼ ▼
“Totaled Vehicle” or “Totaled” as defined in Oregon law (ORS 801.527) means:
DEFINITION OF “TOTALED” VEHICLE
A vehicle that is declared a total loss by an insurer who is obligated to cover the loss or a vehicle that the insurer
takes possession of or title to.
A vehicle that has sustained damage that is not covered by an insurer and the estimated cost to repair the vehicle
is equal to at least 80% of the retail market value prior to the damage. “Retail market value” is defined as the
amount shown in publications used by financial institutions (banks or lenders) in this state.
A vehicle that is stolen, if it is not recovered within 30 days of theft and the loss is not covered by an insurer. In this
situation, you must notify DMV within 60 days of the theft.
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4. NOTIFY DMV that your vehicle has been totaled if, for some reason, you are unable to obtain the title for
surrender. You must provide DMV with a signed statement which includes:
CRASH REF # _________________________________
City County State Police
Damage to your vehicle was more than $2500.
Damage to any one person’s property (other than vehicle) was more than $2500.
Your vehicle was towed from the scene as a result of damages.
You or passengers in your vehicle were injured.
The crash occurred while you were driving your employer’s vehicle.
You were driving on your job and being paid for the principal purpose of driving.
You were being paid to drive and/or deliver persons or property.
You were operating a government owned vehicle marked for transporting mail in accordance with government rules.
You were operating an authorized emergency vehicle.
DMV USE ONLY
STK# 300009
TIME OF DAY
ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )
COUNTYCRASH DATE
MILE POST
WITHIN
NEAR
FEET
MILES
N S E W
N S E W
NAME OF NEAREST INTERSECTING ROAD
WITHIN
NEAR
FEET
MILES
N S E W
N S E W
NAME OF NEAREST CITY / TOWN
TYPE OF CRASH
- The crash involved one or more of the following:
(Mark all that apply)
Fatality
Bicycle
Pedestrian
More than two vehicles
Two vehicles
Motorized Scooter
Motorcycle
ATV / Snowmobile
Train
Personal (assisted)
Parked vehicle
Fixed object / property
Animal
Overturned vehicle
I certify all information given on this report is true and accurate to the best of my knowledge.
SIGNATURE OF PERSON MAKING REPORT
X
PRINTED NAME OF PERSON MAKING REPORT DAYTIME PHONE #
( )
DATE SIGNED
SECTION 1
SECTION 5
Complete ALL fields. Failure to provide complete information may result in DMV issuing Notice of Suspension.
DRIVER’S LAST NAME
DRIVER’S RESIDENCE ADDRESS
CITY
STATEDRIVER’S LICENSE NUMBER
ZIP CODESTATE
DATE OF BIRTH GENDER
IF ADDRESS
CHANGE
SECTION 2
Other ____________________
mobility device
IF ADDITIONAL VEHICLES WERE INVOLVED IN THE CRASH, USE ATTACHED SUPPLEMENTAL REPORT (Form 735-32B).
DESCRIBE WHAT HAPPENED: (IF MORE SPACE IS NEEDED, SUBMIT ADDITIONAL PAGE)
CITY
DRIVER’S LICENSE NUMBER
CITY
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
GENDER
SECTION 3
INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS
POLICY NUMBER
DRIVER’S NAME (LAST, FIRST, MIDDLE)
DRIVER’S ADDRESS
VEHICLE OWNER’S NAME AND ADDRESS
SAME
INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS
POLICY NUMBER
STATE
VEHICLE IDENTIFICATION NUMBER VEHICLE PLATE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS
CITY
SAME
ZIP CODESTATE
ZIP CODECITY STATE
SECTION 4 (OTHER VEHICLE # 2)
MAILING ADDRESS (IF DIFFERENT THAN RESIDENCE)
ZIP CODECITY STATE
Check all
statements
that apply:
A police officer came to the scene.
Name of police department: __________________________
A citation was issued to you. The citation was: ________________________________________________________
You were operating a commercial motor vehicle requiring you to have a commercial driver license.
You were transporting hazardous material.
OREGON TRAFFIC CRASH AND INSURANCE REPORT
COMPLETE BOTH SIDES
CHECK BOX
IF NOT DRIVER’S SIGNATURE, STATE RELATIONSHIP
REASON DRIVER IS UNABLE TO SIGN REPORT PHONE NUMBER OF DRIVER
( )
COMPLETE THE OTHER SIDE OF THIS PAGE
735-32 (3-23)
DMV COPY
The crash occurred in a work or maintenance zone. ORS 811.230
AM
PM
M F X
M F X
Motor Home / RV
FIRST NAME
MIDDLE NAME
Complete this form if the traffic crash occurred on a highway or premise open to the public and meets at least one of the reporting
requirements outlined in Section 3. Failure to report when required may result in DMV issuing Notice of Suspension. Call 503-945-5098 for
assistance in completing the report.
ALIR
INS CO
(YOUR INFORMATION)
Collision with a parked vehicle.
RENTAL?
MAKE & MODELYEAR
STATEVEHICLE IDENTIFICATION NUMBER VEHICLE PLATE NUMBER MAKE & MODELYEAR
M T W TH F
S SN
DAY OF WEEK
Reset Form
Print Form
YOU INTENDED TO...
DiagramVehicle Damage
YOUR VEHICLE YOUR RESIDENCE
Passenger car, pickup, van
Military vehicle
Taxicab
Emergency vehicle
Any of the above and trailer
Private or public agency
transit vehicle
Bus
School bus
Other publicly-owned veh.
Motorcycle
Motor–scooter/bike
Personal (assisted) mobility device
Truck tractor & semi trailer
Truck/truck tractor
Other truck combination
Farm tractor/farm equip.
WEATHER CONDITIONS
Clear
Raining
Snowing
Fog
Other
Local resident
(within 25 miles of crash site)
Residing elsewhere in state
Non–resident of this state:
LIGHT CONDITIONS
Daylight
Dawn or dusk
Darkness (lighted)
Darkness (unlighted)
Other
ROAD SURFACE
Dry
Wet
Snowy
Icy
Other
Go straight ahead
Make right turn
Make left turn
Make “U” turn
Back–Up
Enter driveway (also
mark left or right turn)
Remain stopped in traffic
Enter parked position
Slow or Stop
Leave driveway (also
mark left or right turn)
Start in traffic lane
Leave parked position
Remain parked
Overtake and pass
Number each vehicle:
Show path by:
Show pedestrian/bicyclist by:
Show railroad tracks by:
u
(name of street,
road or route)
(name of street,
road or route)
(name of street,
road or route)
If this crash involved a pedestrian or
bicyclist, complete the following:
WITNESS INFORMATION:
OTHER DRIVER WAS HEADED
(name of street, road or route)
East
West
On: ____________________
North
South
YOU WERE HEADED
(name of street, road or route)
East
West
On: ____________________
College student
Military
Temporary job
ALONG OR ACROSS: (name of street, road or route)
Pedestrian or bicyclist was going:
N S E W
EXAMPLE: (From: NE corner To: SE corner (or) From: East side To: West side, etc.)
From:
To:
(specify)
North
South
Gender and age of pedestrian / bicyclist:
Age: _____F
X
Fatal
Suspected Serious
Visible injury
Extent of pedestrian / bicyclist injury:
Complaint of Pain
No apparent injury
(or none noted)
Crossing at intersection or crosswalk
Crossing not at intersection or crosswalk
Walking / riding in roadway with traffic
Walking / riding in roadway against traffic
Standing in roadway
Pushing or working on vehicles in roadway
Other working in road
Playing in road
Hitchhiking
Not in roadway
Other________________________________
Pedestrian / bicyclist action: (mark one)
FRONT
USE ARROW TO SHOW
FIRST IMPACT (SHADE
IN DAMAGED AREA)
Vehicle towed
Rollover
Under car
Totaled
Unknown
M
BICYCLIST NAMEPEDESTRIAN NAME
Use only for vehicles with middle row of seats (i.e., vans, SUVs, etc.)
SEAT
POSITION
DRIVER
OCCUPANTS' NAMES
(your vehicle)
EQP
INJURY
DA B C
GENDER AGE
SFTY
BAG
AIR
FRONT
CENTER
FRONT
RIGHT
MIDDLE
LEFT
MIDDLE
CENTER
MIDDLE
RIGHT
REAR
LEFT
REAR
CENTER
REAR
RIGHT
*
*
*
*
OCCUPANT INJURY AND SAFETY EQUIPMENT INFORMATION
WRITE one of the codes (1–5) in column D
WRITE M, F or X in column A
INJURY CODE FOR OCCUPANTS
GENDER CODE
SAFETY EQUIPMENT CODES
WRITE one of the codes (0–10) in column C
0
1
2
3
4
5
6
7
8
9
No seat belt available
Seat belt available but NOT used
Seat belt available and in use
Child restraint device available but NOT used
Child restraint device in use
Child restraint device not available
Helmet NOT in use
Helmet in use
Air bag deployed
Air bag available - NOT deployed
Air bag NOT available10
1
2
3
4
5
Fatal
Suspected Serious: severe laceration, broken
or distorted limb, crush injury, significant burns,
unconsciousness, paralysis
Suspected Minor: lump, abrasions, bruises,
Possible
minor lacerations
No apparent
Motor Home / RV
Show fixed object by:
X
Your Vehicle (No. 1) damage: $ __________ .
Supplemental for more than two drivers involved in the crash.
Attach this form to your OREGON TRAFFIC CRASH AND INSURANCE REPORT.
735-32B (3-23)
SUPPLEMENTAL REPORT
OREGON TRAFFIC CRASH
ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )
DO NOT WRITE
IN THIS SPACE
MILE POST
INSURANCE COMPANY NAME (NOT AGENCY)
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
VEHICLE IDENTIFICATION NUMBER
DRIVER’S ADDRESS CITY
DRIVER’S LICENSE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS CITY
SAME
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
GENDER
GENDER
VEHICLE PLATE NUMBER YEAR MAKE & MODELSTATE
INSURANCE COMPANY NAME (NOT AGENCY)
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
VEHICLE IDENTIFICATION NUMBER
DRIVER’S ADDRESS CITY
DRIVER’S LICENSE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS CITY
SAME
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
VEHICLE PLATE NUMBER YEAR MAKE & MODELSTATE
INSURANCE COMPANY NAME (NOT AGENCY)
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
VEHICLE IDENTIFICATION NUMBER
DRIVER’S ADDRESS CITY
DRIVER’S LICENSE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS CITY
SAME
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
GENDER
VEHICLE PLATE NUMBER YEAR MAKE & MODELSTATE
INSURANCE COMPANY NAME (NOT AGENCY)
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
VEHICLE IDENTIFICATION NUMBER
DRIVER’S ADDRESS CITY
DRIVER’S LICENSE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS CITY
SAME
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
GENDER
VEHICLE PLATE NUMBER YEAR MAKE & MODELSTATE
VEHICLE
#3
VEHICLE
#4
VEHICLE
#5
VEHICLE
#6
INSURANCE COMPANY NAME (NOT AGENCY)
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
VEHICLE IDENTIFICATION NUMBER
DRIVER’S ADDRESS CITY
DRIVER’S LICENSE NUMBER
VEHICLE OWNER’S NAME AND ADDRESS CITY
SAME
STATE
ZIP CODESTATE
DATE OF BIRTH
ZIP CODESTATE
GENDER
VEHICLE PLATE NUMBER YEAR MAKE & MODELSTATE
VEHICLE
#7
TIME OF DAY
AM
PM
COUNTY
CRASH DATE
M T W TH F
S SN
DAY OF WEEK
POLICY NUMBER
POLICY NUMBER
POLICY NUMBER
POLICY NUMBER
POLICY NUMBER
SUPPLEMENTAL REPORT – USE IF MORE THAN TWO VEHICLES
M F X
M F X
M F X
M F X
M F X
CRASH ANALYSIS & REPORTING UNIT
OREGON DEPARTMENT OF TRANSPORTATION
POLICY, DATA & ANALYSIS DIVISION
555 13th ST NE STE 2
SALEM OR 97301
TELEPHONE 503-986-3507
FAX 503-986-3592
MOTOR CARRIER CRASH REPORT
(For CMV Drivers Only)
INSTRUCTIONS: IF YOU CHECKED A BOX UNDER THE QUALIFYING VEHICLE COLUMN AND A BOX UNDER THE CRITERIA COLUMN, COMPLETE
THE MOTOR CARRIER CRASH REPORT AND SUBMIT TO THE ADDRESS SHOWN ABOVE. IF YOU HAVE ANY QUESTIONS REGARDING FILLING
OUT THE MOTOR CARRIER CRASH REPORT, PLEASE CALL (503) 986-3507. www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/
QUALIFYING VEHICLE
COMMERCIAL TRUCK (GVWR OVER 10,000 LBS OR ACTUAL WT
AT TIME OF CRASH EVEN IF GVWR IS SET UNDER 10,000 LBS )
HAZARDOUS MATERIAL PLACARD
COMMERCIAL BUS (DESIGNED FOR 8 OR MORE PASSENGERS)
FARM TRUCK INTERSTATE (OVER 10,000 LBS.)
FARM TRUCK FOR-HIRE (4 OR MORE AXLES)
FARM TRUCK TOWING TRIPLE TRAILERS
FARM TRUCK (OVER 80,000 LBS.)
CRITERIA
ANY PERSON SUSTAINING A FATALITY (WITHIN 30 DAYS OF THE
CRASH)
ANY PERSON SUSTAINING INJURIES REQUIRING TREATMENT AWAY
FROM THE SCENE
ANY VEHICLE INCURRING DISABLING DAMAGE REQUIRING
REMOVAL FROM THE SCENE BY A TOW TRUCK OR ANOTHER
MOTOR VEHICLE
MOTOR CARRIER NAME
ADDRESS CITY STATE ZIP CODE
DRIVER INFORMATION
DRIVER NAME (LAST, FIRST, MIDDLE) DATE OF BIRTH
CDL / DL NUMBER STATE EXPIRATION DATE OF MEDICAL CERTIFICATE
COMPLETE THE FOLLOWING TWO QUESTIONS AS IF DOING A RECAP OF HOURS IN TIME DOCUMENTS AT TIME OF THE CRASH.
MOTOR CARRIER NAME
VEHICLE LICENSE # AND STATE
DRIVER'S NAME
DRIVER'S LICENSE # AND STATE
AT TIME OF THE CRASH, TOTAL HOURS
DRIVING SINCE LAST OFF-DUTY PERIOD.
TOTAL HOURS ON DUTY DURING THE PREVIOUS
(FILL OUT ONE ONLY, BASED ON TIME DOCUMENTS)
7 CONSECUTIVE DAYS ____________
8 CONSECUTIVE DAYS ____________
735-9229 (3-23)
COMPLETE REVERSE SIDE
US DOT NUMBER
TYPE OF WAIVER (SIGHT, DIABETES, AMPUTEE, ETC.)
DOES YOUR DRIVER HAVE A MEDICAL WAIVER
DRIVER INJURY INFORMATION
RELIEF DRIVER INJUREDRELIEF DRIVER KILLED TOTAL NUMBER OF PASSENGERSYOUR DRIVER INJURED
_____KILLED _____ INJURED
YOUR DRIVER KILLED
LICENSE CLASS
LENGTH OF EMPLOYMENT
YEARS MONTHS
MDA B C
TRACTOR TYPE (SELECT APPROPRIATE TYPE)
1
2
3
4
9
10
11
Triples (tractor with 3 trailers
Triples (truck with 2 trailers)
Straight truck-full trailer
Doubles (any)
Heavy Haul
Bus/Van (8 or more
passenger capacity)
Auto/Pickup
5
6
7
8
MOTOR CARRIER VEHICLE INFORMATION
YEAR MAKE UNIT NUMBER TOTAL NO. OF AXLES
INCLUDING TRAILERS
LICENSE PLATE # & STATE - TRUCK/TRACTOR/BUS
OTHER MOTOR CARRIER INFORMATION
(IF 2 OR MORE MOTOR CARRIERS WERE INVOLVED)
OTHER DRIVER INJURY INFORMATION
TOTAL NUMBER OF PEDESTRIANS
_____KILLED _____ INJURED
TOTAL NUMBER OF OTHER DRIVERS
_____KILLED _____ INJURED
TOTAL NUMBER OF OTHER PASSENGERS
_____KILLED _____ INJURED
TOTAL NUMBER OF BICYCLISTS
_____KILLED _____ INJURED
Standard
Tractor/Semi Trailer
Straight Truck
Saddlemount
YES
NO
YES
NO
YES NO YES NO YES NO
SUPPLEMENTAL – MOTOR CARRIER CRASH REPORT
AUTHORITY/FILE NUMBER
DESCRIPTION OF CRASH (BY CARRIER OR DRIVER)
DID YOUR VEHICLE STRIKE A PARKED VEHICLE WAS YOUR PARKED VEHICLE STRUCK BY ANOTHER VEHICLE
COMMODITY INFORMATION
COMMODITY BEING TRANSPORTED AT TIME OF CRASH
WAS A HAZARDOUS COMMODITY BEING HAULED
WAS HAZARDOUS MATERIAL RELEASED FROM
THE VEHICLE CARGO(NOT A FUEL RELEASE)
HAZARD CLASS
TRAILER TYPE (CHECK ONE)
VAN FLATBED TANKER CONTAINER POLE/LOG DUMP BELLY-DUMP CAR CARRIER LIVESTOCK
MOBILE HOME TOTER PASSENGER DROP-BOX GARBAGE BULK-HOPPER MIXER SADDLEMOUNT
WRECKER FIXED LOAD HEAVY HAUL UTILITY
DESCRIBE WHAT HAPPENED BY CHECKING ALL BOXES THAT APPLY. YOUR VEHICLE IS ALWAYS NO.1. IF OTHER VEHICLES WERE INVOLVED, COMPLETE
COLUMNS 2 & 3 TO CORRESPOND TO THE ACTIONS OF THE SAME NUMBERED VEHICLES LISTED ABOVE UNDER "OTHER DRIVER INFORMATION".
(FROM SHOULDER,
MEDIAN, PARKING STRIP OR PRIVATE DRIVE)
VEHICLES ACTION VEHICLES ACTION VEHICLES ACTION
1 2 3 1 2 3 1 2 3
PASSING
CHANGING LANES
SIDESWIPE
HEAD-ON
SKIDDING
VEHICLE OUT OF CONTROL
ROLL-AWAY
CONTROLLED RR CROSSING
UNCONTROLLED RR CROSSING
RAN OFF ROAD
JACKKNIFE
OVERTURN
SEPARATION OF UNITS
FIRE
EXPLOSION
CARGO SHIFT
CARGO SPILL (HAZARDOUS)
CARGO SPILL (NON-HAZARDOUS)
OTHER (DEER, GUARDRAIL, ETC)
SLOWING - STOPPING
STOPPED
REAR-END
BACKING
MAKING RIGHT TURN
MAKING LEFT TURN
MAKING U TURN
PROCEEDING STRAIGHT
INTERSECTION
ENTERING TRAFFIC
CONDITIONS AT TIME OF CRASH
WEATHER
(CHECK ONE)
ROAD SURFACE
(CHECK ONE)
LIGHT CONDITION
(CHECK ONE)
1. CLEAR
1. DRY
1. DAY
2. RAIN
2. WET
2. DAWN
3. SNOW
3. SNOWY
3. DUSK
4. CLOUDY
4. ICY
4. ARTIFICIAL LIGHTS
5. SLEET
5. OTHER
6. FOG
5. DARK
7. OTHER
6. OTHER
CRASH INFORMATION
LOCATION OF CRASH (NEAREST CITY OR TOWN) HIGHWAY AND MILEPOINT/STREET/COUNTY ROAD DIRECTION OF YOUR VEHICLE (CHECK)
N S E W
DATE OF CRASH
TIME DAY OF THE WEEK (CHECK ONE)
MON TUES WED THU FRI SAT SUN
NAME AND TITLE OF PERSON SIGNING REPORT TELEPHONE NUMBER(S)
SIGNATURE I CERTIFY THE INFORMATION PROVIDED IS TRUE AND ACCURATE
DATE
YES NO YES NO
YES NO YES NO
AM
PM
X
↓ Oregon Dmv Accident Report

File Properties

Fact Name Details
Filing Requirement Drivers must file a Crash & Insurance Report if their vehicle damage exceeds $2,500, any one person’s property damage exceeds $2,500, or if there are any injuries.
Deadline for Submission Oregon law mandates that reports must be submitted within 72 hours of the crash.
Consequences of Non-Reporting If a driver fails to report the crash, they may face suspension of their driving privileges.
Police Report Requirement Even if a police report is filed, drivers are still required to submit their own Crash and Insurance Report to the DMV.
Insurance Information Drivers must provide complete insurance details on the form, or risk receiving a Notice of Suspension.
Commercial Vehicle Regulations Operators of commercial motor vehicles must also file a separate Motor Carrier Crash Report within 30 days if specific conditions are met.

Instructions on Utilizing Oregon Dmv Accident Report

Filling out the Oregon DMV Accident Report form can feel overwhelming, but it’s essential to complete it accurately and promptly. This report is necessary for documenting the details of the accident, and it must be submitted within 72 hours. If you miss this deadline, it’s best to submit it as soon as possible to avoid potential penalties.

  1. Obtain the Form: Get the Oregon DMV Accident Report form, either online or at a DMV office.
  2. Print or Type: Use black or dark blue ink to fill out the form. Ensure all information is clear and legible.
  3. Complete Both Sides: Make sure to fill out all required fields on both sides of the form.
  4. Section 1 - Date, Location, and Time: Clearly state the date, location, and time of the crash. If you’re unsure of the county, contact local law enforcement for help.
  5. Section 2 - Your Vehicle: Provide complete details about your vehicle, including the insurance company name, policy number, and Vehicle Identification Number (VIN).
  6. Section 3 - Crash Details: Check all applicable statements regarding damages, injuries, and other relevant details.
  7. Section 4 - Other Vehicle: If there were other vehicles involved, fill out the required information for each one or attach a supplemental report.
  8. Section 5 - Description and Signature: Describe the events of the crash in detail. Sign and date the form. If you are unable to sign, only a family member can sign on your behalf.
  9. Keep a Copy: Make a copy of the completed report and any documentation showing when you submitted it.
  10. Submit the Report: Send the report via email, fax, mail, or deliver it in person to a DMV office. Ensure you save any confirmation of submission.

After submitting your report, keep an eye on any correspondence from the DMV. If you have questions or need assistance, don’t hesitate to reach out to the DMV Crash Reporting Unit. They can provide guidance and help clarify any uncertainties you may have.

Important Facts about Oregon Dmv Accident Report

What is the purpose of the Oregon DMV Accident Report form?

The Oregon DMV Accident Report form is used to document details of a traffic crash that meets certain criteria. Drivers involved in accidents resulting in property damage exceeding $2,500, any injury, or a vehicle being towed from the scene are required to file this report. The information collected helps the DMV maintain accurate driving records and ensures compliance with state laws.

Who is required to file the Accident Report?

Any driver involved in a crash that causes damage over $2,500 to their vehicle or another person's property, any injury, or if a vehicle is towed from the scene must file the report. This requirement applies even if the driver is not a resident of Oregon or holds a license from another state.

What is the deadline for submitting the Accident Report?

The report must be submitted within 72 hours of the crash. If a driver cannot meet this deadline, they should file the report as soon as possible. Failing to report the accident may lead to suspension of driving privileges.

What should I do if a police report has already been filed?

Even if a police report has been filed, the driver is still required to complete and submit their own Accident Report to the DMV. This is necessary to ensure that all relevant details are recorded and processed appropriately.

How can I submit the Accident Report to the DMV?

The Accident Report can be submitted in several ways: via email to OregonDMVAccidents@odot.oregon.gov, by fax at 503-945-5267, by mail to the DMV Crash Reporting Unit at 1905 Lana Ave NE, Salem, Oregon 97314, or delivered in person to a DMV office. It is advisable to keep a copy of the report and any documentation showing when it was submitted.

What happens if I fail to provide complete information on the form?

Providing incomplete information may result in the DMV issuing a Notice of Suspension for failure to file a report. It is crucial to fill out all required fields accurately to avoid potential penalties.

What should I do if my vehicle is totaled?

If your vehicle is declared a total loss, you must surrender the title to the insurer or the DMV, depending on the situation. You may need to apply for a salvage title if you keep possession of the vehicle. Specific instructions must be followed to comply with Oregon law regarding totaled vehicles.

Common mistakes

Filling out the Oregon DMV Accident Report form can be a critical step after an accident, yet many individuals make common mistakes that can lead to complications. One significant error is failing to provide complete information. Each section of the form is essential, and missing details, such as the date, time, or location of the crash, can result in delays or even suspension of driving privileges. Ensure that every field is filled out accurately to avoid this issue.

Another frequent mistake involves misunderstanding the reporting requirements. Many people assume that if a police report has been filed, they do not need to submit their own report. This is incorrect. Even if law enforcement has documented the incident, individuals are still required to file their own Crash and Insurance Report with the DMV. Ignoring this requirement can lead to serious consequences, including suspension of your driving privileges.

Inaccurate insurance information is also a common pitfall. It is crucial to provide the name of the insurance company, not the agent, along with the policy number. Omitting or incorrectly stating this information may result in DMV issuing a Notice of Suspension. Always double-check that the insurance details are correct before submitting the form.

Many individuals neglect to complete the “Other Vehicle” section if additional vehicles were involved in the crash. This section is vital for DMV to match all drivers' reports efficiently. If there were more than two vehicles, it is essential to complete the attached Supplemental Report. Failing to do so can lead to processing delays and complications.

Additionally, some people do not sign or date the form. A signature is required to validate the report, and only a family member may sign on behalf of an incapacitated driver. If the form is submitted without a signature, it may be considered incomplete, leading to further complications.

Another mistake is not keeping a copy of the report and documentation showing when it was submitted. This is important for your records and can serve as proof in case any issues arise later. If submitting via email or fax, save any confirmation messages or receipts as evidence of submission.

Lastly, many individuals overlook the urgency of filing the report. Oregon law mandates that the report must be filed within 72 hours of the crash. If you are unable to meet this deadline, it is essential to submit it as soon as possible. Delaying the submission could result in penalties, including the suspension of your driving privileges.

By being aware of these common mistakes and taking the time to fill out the Oregon DMV Accident Report form correctly, you can help ensure a smoother process and avoid unnecessary complications. Always review your information carefully before submission.

Documents used along the form

When involved in a traffic accident in Oregon, completing the DMV Accident Report form is just one part of the process. Several other documents may also be necessary to ensure compliance with state regulations and to facilitate insurance claims. Below is a list of these important forms and documents.

  • Supplemental Report (Form 735-32B) - This form is used when more than two vehicles are involved in a crash. It allows for the collection of information from additional drivers and is attached to the main accident report.
  • Motor Carrier Crash Report (Form 735-9229) - Required for commercial motor vehicle operators, this report must be filed within 30 days of a crash involving fatalities, injuries, or towed vehicles. It provides additional details specific to commercial operations.
  • Application for Salvage Title (Form 735-229) - If a vehicle is declared totaled, this form is necessary to apply for a salvage title. It outlines the steps to follow if the vehicle is not being repaired or if ownership is being transferred to an insurer.
  • Insurance Claim Form - This document is typically provided by your insurance company and is necessary for filing a claim related to the accident. It requires details about the incident and the damages incurred.
  • Police Report - If law enforcement was involved, obtaining a copy of the police report can provide an official account of the accident. This document may be required by insurance companies or for legal purposes.
  • Witness Statements - Collecting statements from witnesses can help clarify the circumstances of the accident. These statements may be submitted to insurance companies or used in legal proceedings.
  • Medical Reports - If injuries occurred, medical documentation detailing the nature and extent of injuries will be necessary for insurance claims and potential legal actions.
  • Vehicle Damage Estimates - Obtaining estimates from repair shops can provide evidence of the damage sustained during the accident. This is often needed for insurance claims.
  • Release of Liability Form - In some cases, a release of liability may be signed between parties involved in the accident to settle claims without further legal action.
  • Driver's License and Registration Copies - It may be necessary to provide copies of the involved parties' driver's licenses and vehicle registrations for identification and verification purposes.

Gathering these documents promptly after an accident can significantly streamline the process of filing reports and claims. Each document serves a specific purpose in ensuring that all parties fulfill their legal obligations and that any necessary compensation is received in a timely manner.

Similar forms

  • Police Report: Similar to the Oregon DMV Accident Report, a police report documents the details of a traffic accident. It includes information about the parties involved, the circumstances of the accident, and any citations issued. Both reports serve as official records that can be used for insurance claims and legal purposes.
  • Insurance Claim Form: This document is used to report an accident to an insurance company. Like the DMV report, it requires details about the accident, the vehicles involved, and any injuries. Both forms aim to provide a clear account of the incident for processing claims.
  • Motor Carrier Crash Report: Required for commercial vehicle accidents in Oregon, this report must be filed within 30 days of the incident. Similar to the DMV report, it captures details about the crash, including injuries and vehicle damage, but is specifically tailored for commercial drivers.
  • Accident Report from Other States: Each state has its own version of an accident report form, which generally requires similar information about the accident, parties involved, and damages. These forms help ensure that all necessary details are documented for legal and insurance purposes.
  • Supplemental Accident Report: This is used when additional vehicles are involved in an accident. Like the Oregon DMV report, it collects detailed information about each vehicle and driver, ensuring comprehensive documentation of the incident.
  • Witness Statement Form: Witness statements are often collected after an accident to provide additional perspectives. Similar to the DMV report, these statements help clarify the circumstances of the crash and can be crucial for determining fault.
  • Medical Report: In cases of injury, a medical report documents the injuries sustained by individuals involved in the accident. Like the DMV report, it is important for insurance claims and legal proceedings, providing evidence of the impact of the accident.
  • Vehicle Damage Assessment Report: This report details the extent of damage to vehicles involved in an accident. It complements the DMV report by providing specific information about the damages, which is critical for insurance evaluations.
  • Traffic Citation: If a driver receives a citation as a result of the accident, this document outlines the violation. Similar to the DMV report, it is an official record that may influence insurance claims and legal outcomes.

Dos and Don'ts

When filling out the Oregon DMV Accident Report form, it’s important to follow specific guidelines to ensure your report is complete and accurate. Here are some dos and don'ts to keep in mind:

  • Do print or type all information clearly.
  • Do complete both sides of the form.
  • Do include the date, location, and time of the crash accurately.
  • Do provide your insurance company name and policy number.
  • Do describe the accident in detail in the designated section.
  • Don't leave any fields blank; incomplete forms may lead to suspension of driving privileges.
  • Don't submit the title with the crash report.
  • Don't forget to keep a copy of the report for your records.
  • Don't delay filing the report; it must be submitted within 72 hours of the crash.

Misconceptions

  • Misconception 1: Only drivers with insurance need to file an accident report.

    In reality, all drivers involved in a crash that meets certain criteria must file a report, regardless of their insurance status. This includes instances of property damage exceeding $2,500 or any injuries.

  • Misconception 2: If the police were called, I don’t need to file a report.

    Even if law enforcement files a report, you are still required to submit your own Crash and Insurance Report to the DMV. This is a separate requirement.

  • Misconception 3: I have plenty of time to file my report.

    Oregon law mandates that you file your report within 72 hours of the crash. Delays could lead to suspension of your driving privileges.

  • Misconception 4: I can submit the report without all the required information.

    Submitting incomplete information may result in a Notice of Suspension from the DMV. It's crucial to provide all requested details accurately.

  • Misconception 5: I can submit my report in any format I choose.

    You must follow specific submission methods outlined by the DMV, such as email, fax, or mail. Each method has its own requirements for confirmation of submission.

  • Misconception 6: Filing a report is optional if the crash was minor.

    Any crash that results in property damage over $2,500 or any injury, no matter how minor, requires a report. Ignoring this can have serious consequences.

  • Misconception 7: I can have someone else sign the report for me.

    Only a family member can sign on behalf of an incapacitated driver. No other signatures are accepted, making it essential for the driver to sign if able.

  • Misconception 8: I don’t need to report if I was not at fault.

    Fault determination is not the DMV's role. If the crash meets the reporting criteria, you must file a report regardless of who was at fault.

Key takeaways

  • Only drivers involved in specific crashes must file the Oregon DMV Accident Report. This includes accidents with vehicle damage over $2,500, property damage exceeding $2,500, any injury, or if a vehicle is towed from the scene.

  • Reports must be submitted within 72 hours of the crash. If unable to meet this deadline, file the report as soon as possible to avoid suspension of driving privileges.

  • Complete all sections of the form accurately. Incomplete information may lead to suspension notices. This includes providing full insurance details and vehicle identification numbers.

  • Keep a copy of the report and any documentation proving submission. If submitted by email, save the auto-reply. If faxed, retain the confirmation report. This documentation is crucial for your records.