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Road Divided By State of New Jersey Police Crash ...

01 None02 Lap Belt03 Harness04 Lap Belt & Harness05 Child Restraint06 Helmet07 (reserved)08 Airbag09 Airbag & Seatbelts10 Safety Vest (Ped only)07 Shoulder / Upper Arm08 Elbow / Lower Arm / Hand09 Abdomen / Pelvis10 Hip / Upper Leg11 Knee / Lower Leg / Foot12 Entire BodyLocation of Most Severe Physical InjuryUse Code 00 for Code 99 for Other in Crash DescriptionAlso, Explain Items Marked with asterisk (*) in Crash DescriptionIf an Item Does Not Apply, Enter a Dash ( - )Overlay Page 1 of 2 Cut here 21/32 " from leftCut here 1 5/16 " from bottomCutting at designated positions will permit arrows on each side to be displayed when the appropriate overlay is paged. It will also permit the first overlay to be slightly longer than the second for easy paging.

31 Pedestrian Off Road 32 Walking To/From School 33 Walking/Jogging with Traffic 34 Walking/Jogging Against Traffic 35 Playing in Road 36 Standing/Lying/Kneeling in Road 37 Getting On/ Off Vehicle 38 Pushing/Working on Vehicle 39 Other Working in Roadway 40 Approaching/Leaving Schoolbus 41 Coming From Behind Parked Veh. 42 (reserved)

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