Transcription of KANSAS DEPARTMENT OF TRANSPORTATION …
1 KANSAS DEPARTMENT OF TRANSPORTATIONREPORT OF accident AND TIME OF ACCIDENTR outeCity (If Appropriate)CountyProject NumberReference NumberType of ImprovementKDOT Investigating OF EVENTSTime of accident :DateHourTime KDOT NotifiedTime Traffic Resumed Normal OperationLength of Repair accident (Use additional sheets if necessary) INVOLVEDVeh. 1 Veh. 2 Veh. 3 Type of VehicleDirection of TravelDriver ActionApparent Driver OR MEDICAL ATTENTION REQUIREDYESNON umber InjuredType of InjuriesDrivers123 AgeSexRev. FORM NO. 290