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TRAFFIC ACCIDENT REPORT OVERLAY A - ACTAR

TRAFFIC ACCIDENT REPORT OVERLAY A. A. LOCATION K. VEHICLE / VEHICLE COMBINATION. 01. On Roadway FMC ( OVERLAY C) Required 08. Pickup Truck / Utility Van W/Trailer 02. Ran Off Left Side 01. Vehicle / Vehicle Combination 09. SUV. 03. Ran Off Right Side (10,001 lbs. and over) 10. SUV W/Trailer 04. Ran Off T' Intersection 02. School Bus (all school buses) 11. Motor Home 05. Vehicle Crossed Center Median 03. Non-school Bus (9 occupants or more 12. Motorcycle Into Opposing Lanes including driver) in commerce 13. Bicycle 06. On Private Property 04. Transit Bus 14. Motorized Bicycle GVWR 10,000 lbs. or Less 15. Farm Equipment 05. Passenger Car / Passenger Van 16. Hit & Run Unknown B. HARMFUL EVENT SEQUENCE 06. Passenger Car / Passenger Van W/ Trailer 17. Light Rail NON-COLLISION ACCIDENT COLLISION WITH OBJECT 07. Pickup Truck / Utility Van 18. Other (Describe in Narrative). 01. Overturning 19. Light Pole / Utility Pole 02.

TRAFFIC ACCIDENT REPORT OVERLAY A. Traffic Unit # Air Bag 00.Not Equipped 01.Not Deployed 02.Deployed at pos. only 03.Deployed at pos. & others Ejection Suspected alcohol (Officer Opinion Only) Suspected drugs (Officer Opinion Only) 00. No 01. Yes 02. Unknown Injury Severity 00. No injury 01. Complaint of injury

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