The Wisconsin Accident form, officially known as the Driver Report of Accident, is a crucial document designed for drivers in Wisconsin to report vehicular accidents under specific conditions. Drivers must complete this form if the accident resulted in $1000 or more in damage to any one person's property, any injuries, or at least $200 in damage to government property, excluding vehicles. The form aims to streamline the documentation process for both the involved parties and the Wisconsin Department of Transportation, ensuring all necessary details are accurately captured and reported.
In the event of a vehicular accident within the boundaries of Wisconsin, the aftermath includes not only dealing with the immediate fallout but also the procedural follow-ups mandated by the state. Among these is the completion of the Wisconsin Driver Report of Accident, a critical document designed to encapsulate the particulars of the incident. This form steps into play especially in scenarios where a law enforcement officer has not filed a report, and there is considerable damage to property or persons involved. Specifically, it requires filling if there's $1000 or more in damage to anyone’s property, any injury irrespective of its severity, or damage to government property exceeding $200. Detailing every aspect of the accident, from the involved parties—dubbed "Unit 1" and beyond—to a descriptive narrative and a diagrammatic representation of the incident, the form demands thoroughness for clarity and legal accuracy. Essential for both insurance claims and legal evaluations, the form further ensures that all parties involved provide their accounts, backed by signatures for authenticity. Supplied by the Wisconsin Department of Transportation, accessibility to the form is complemented by guidance for completion, emphasizing the form’s significance in post-accident procedures. Thus, the Wisconsin Driver Report of Accident embodies more than just a bureaucratic necessity; it's a cornerstone document that aides in the fair assessment and resolution of vehicular mishaps.
Wisconsin
DRIVER REPORT OF ACCIDENT
DO NOT COMPLETE this Driver Report of Accident if a law enforcement officer completed a Wisconsin Motor Vehicle Accident Report.
COMPLETE this Wisconsin Driver Report of Accident if:
•There was $1000 or more damage to any one person’s property
•
— OR — Anyone was injured
— OR —
There was $200 or more damage to government property, other than vehicles.
MV4002 3/2014 s.346.70(2) Wis. Stats.
Wisconsin Department of Transportation
Please provide all requested information. Print clearly.
1.You are “Unit 1”.
2.An individual involved in the accident must sign the report.
3.Provide all information on the other driver(s)/owner(s) involved. Incomplete reports may be returned requesting missing information. If you need assistance, contact your insurance agent, local law enforcement agency, or Wisconsin Department of Transportation (WisDOT) at: (608) 266-8753.
4.Use the “Narrative” and “Diagram” sections to explain how the accident happened.
5.If more space is needed, use plain paper and attach to this report.
6.This form is available at: www.dot.wisconsin.gov/drivers/drivers/traffic/accident.htm
Retain a copy of this report for your records before mailing.
Mail completed report to address shown below.
(Fold report so that address panel shows to outside – tape bottom edge closed and mail – Do not staple)
Important – Please print your return address:
TRAFFIC ACCIDENT SECTION
WISCONSIN DEPT OF TRANSPORTATION
PO BOX 7919
MADISON WI 53707-7919
______
PLACE STAMP HERE
Clear Form
WISCONSIN
DRIVER REPORT
CONTINUE ONLY ...if there was $1000 or more damage to any one person’s property,
OF ACCIDENT
OR ...if anyone was injured,
OR ...if there was $200 or more damage to government property, other than vehicles.
(See instructions on reverse side
before completing – Please Print)
Hit and Run Accident?
ACCIDENT
County of
City, Village or Township of
ACCIDENT Month
Day
Year
Day of Week
Time
a.m.
YES
DATE
p.m.
Total Units Involved
Total Injured *
LOCATION
Name and Number of Street(s) or Highway or Parking Lot
TYPE OF
(Please check one)
Hit another motor
Hit a parked vehicle
Hit a deer
Hit a bicyclist
Other
1 vehicle in operation
2
3
4/5 or pedestrian
9
U Driver Full Name (Last, First, MI)
Sex
NI
Address
Birth Date
T
City, State
ZIP Code
Daytime Telephone Number
(
)
1 Driver License Number
Issuing State
2 Driver License Number
Vehicle Legally Parked
Operating a commercial vehicle?
If yes, check
appropriate classification
A B C
Owner Full Name (Last, First, MI)
License Plate Number
Exp Yr
Vehicle Make
Color
Vehicle Identification Number
Was a motor vehicle liability insurance policy
Policy Holder’s Name
in effect on the day of the accident?
YES NO
NO
Exact Name of Insurance Company
*INJURED Important:
Number of injuries reported must equal number entered in “Total Injured” box above.
For additional injuries, provide the information on a separate piece of paper and attach. Injury Codes: A=Severe, B=Moderate, C=Minor
Unit No.
Name (Last, First, MI)
Injury Code
VEHICLE Unit 1 Important: Circle the numbers closest to the damaged areas.
Unit 2 Important: Circle the numbers closest to the damaged areas.
DAMAGE Damage Estimate
6
7
8
Damage Estimate
(Required)
5
REAR
FRONT
1
(If Known)
$______________
4
PROPERTY Describe what was damaged. Property damage includes structures, trees, fences, towed items, etc. Do NOT include vehicle damage.
DAMAGE
Property Owner Full Name (Last, First, MI)
NARRATIVE Print a brief description of the accident.
DIAGRAM Draw a basic picture of
Indicate NORTH by putting
the accident and location.
an arrow in the circle.
X
(Signature Required)
Print
Filling out the Wisconsin Driver Report of Accident is a vital step following a vehicle incident, particularly if it involves significant property damage, injury, or government property damage. This document records the details of the accident and ensures that all relevant information is systematically collected. This process helps in the management of claims, legal responsibilities, and maintaining accurate records for all parties involved. Below are concise steps to complete your report properly and efficiently.
After submitting the report, it is processed by the Wisconsin Department of Transportation. They may contact you if further information is required or to provide updates on your report's status. Keeping a copy for your records is crucial for any future reference or in case you need to discuss the accident with your insurance agent, attorney, or during any legal proceedings.
When should I complete the Wisconsin Driver Report of Accident?
You must complete this report if any of the following conditions apply to your accident: There was $1,000 or more damage to any one person's property, anyone was injured, or there was $200 or more damage to government property, other than vehicles.
What happens if a law enforcement officer has already completed a report for my accident?
If a law enforcement officer completed a Wisconsin Motor Vehicle Accident Report for your accident, you do not need to fill out the Wisconsin Driver Report of Accident. The officer's report will suffice.
How do I submit the Wisconsin Driver Report of Accident once I have filled it out?
After completing the report, retain a copy for your records. Then, fold the report so the address panel shows on the outside, tape the bottom edge closed (do not staple), and mail it to the Traffic Accident Section, Wisconsin Department of Transportation (WisDOT), at the address provided on the form. Ensure a stamp is placed on the envelope before mailing.
What information is required on the Wisconsin Driver Report of Accident?
You are required to provide comprehensive details about the accident. This includes your information as "Unit 1," signing the report, detailing other drivers or owners involved, using the narrative and diagram sections to explain the accident, and providing additional pages if more space is required. Incomplete reports might be returned for further information.
Where can I find assistance if I have trouble completing the report?
If you need help completing the form, you can contact your insurance agent, your local law enforcement agency, or the Wisconsin Department of Transportation directly at (608) 266-8753 for assistance.
Is there a charge for the Wisconsin Driver Report of Accident form?
No, there is no charge for the Wisconsin Driver Report of Accident form. It can be obtained online at the Wisconsin Department of Transportation's website or through other means provided by WisDOT, usually without any cost.
Filling out the Wisconsin Accident Form requires careful attention to details. Mistakes can potentially delay claims processes or result in inaccuracies that could impact the outcome of insurance or legal proceedings. Here is a breakdown of common mistakes people make when completing this form:
Understanding these common pitfalls and encountering them with attention to detail can greatly improve the accuracy and effectiveness of an accident report submission. A well-documented accident form not only speeds up the insurance claim process but also ensures that all parties have a clear understanding of the event, which is essential for any necessary legal proceedings.
When involved in a vehicle accident in Wisconsin, completing the Wisconsin Accident Report is just the first step in a series of important actions and documentation to ensure everything is properly reported and to facilitate the resolution of any claims that may arise. Additionally, there are several other forms and documents that often accompany the Wisconsin Accident Report form, each serving a crucial role in the comprehensive documentation and reporting process post-accident.
Together, these documents support your account of the accident, detail the financial and personal impact it has had, and play a crucial role in the resolution of any insurance claims or legal matters that may arise. Gathering and organizing them promptly and accurately is essential to ensure that your rights are protected and that you receive any compensation you're entitled to for damages or injuries.
The Wisconsin Accident form is notably similar to the California Traffic Accident Report, a document used by drivers to report vehicular accidents within the state of California. Both forms require detailed information about the accident, including the date, location, and description of the event, as well as the parties involved. They both aim to gather comprehensive data to assess the accident details, with sections dedicated to vehicle and driver information, insurance details, and a narrative account of the incident. However, specific instructions and state laws referenced in each form highlight the tailored nature of these documents to meet individual state requirements.
Another document resembling the Wisconsin Accident form is the New York Motor Vehicle Crash Report. This form is completed when a vehicle crash occurs in New York, involving injury, death, or significant property damage. Similar to the Wisconsin form, it collects data on the crash circumstances, vehicle specifics, and participant information. Both forms emphasize the importance of reporting to determine fault, compile statistical data, and inform road safety measures. Though they cater to different state laws, the foundational goal of documentation and accountability remains consistent across both.
The Texas Peace Officer’s Crash Report mirrors the Wisconsin Accident form in its purpose to record accidents involving vehicles within the state. Both documents collect extensive information about the involved parties, the accident scene, and the vehicles. They are crucial for legal, insurance, and statistical purposes, aiding in the investigation process and future preventive measures. While the Texas report is typically filled out by a law enforcement officer, the content and structure are parallel, highlighting a uniform approach to accident reporting across states.
The Florida Traffic Crash Report shares similarities with the Wisconsin Accident form, including sections for detailed narratives and diagrams of the accident scene. Both forms necessitate information about the accident, vehicles, and individuals involved, and are essential for insurance claims and legal proceedings. The incorporation of a diagram and narrative provides a visual and descriptive understanding of the incident, a key factor in determining fault and liability in the aftermath of an accident. Despite state-specific regulations, both documents serve the common purpose of capturing accident details comprehensively.
The Illinois Motorist Report provides a comparable blueprint to the Wisconsin Accident form by requiring motorists involved in certain accidents to self-report the incident. Both states require reporting when there is significant property damage or injuries, emphasizing the role of these documents in insurance and legal matters. The forms instruct individuals on providing accurate and detailed information about the accident scene, vehicles, and parties involved—facilitating a clearer understanding of the event for all stakeholders.
The Oregon Traffic Accident and Insurance Report also resembles the Wisconsin Accident form in its requirement for drivers to report specific accidents to the state's transportation department. Each form collects vital data on drivers, vehicles, insurance coverage, and the accident details, underscoring the necessity of reporting for safety evaluations, insurance claims, and legal review. Both documents play a pivotal role in documenting incidents for individual and public safety accountability, demonstrating a unified aim across states to ensure thorough accident reporting.
When it comes to filling out the Wisconsin Accident form, it's important to strike a balance between being thorough and concise. Here are some dos and don'ts to guide you through the process:
By adhering to these guidelines, you'll help ensure that your Wisconsin Accident form is filled out accurately and completely, aiding in a smoother processing of your report.
When dealing with the Wisconsin Accident form, several misconceptions commonly arise, leading to confusion and, at times, incorrect form submissions. It's essential to demystify these misunderstandings for accurate and efficient reporting of vehicle accidents in Wisconsin.
Clarifying these misconceptions is crucial for individuals involved in vehicle accidents in Wisconsin. Understanding the correct circumstances under which to complete the Wisconsin Driver Report of Accident, and how to do so properly, ensures that all necessary information is accurately conveyed to the Wisconsin Department of Transportation. This, in turn, enables effective and timely processing of accident reports for all parties involved.
Filling out the Wisconsin Accident Form is an important step if you've been involved in a vehicle accident within the state. Here are six key takeaways to guide you through the process:
Remember, accurately completing and submitting the Wisconsin Accident Form is crucial for the proper documentation and handling of the incident. It serves as a key document for insurance claims, legal inquiries, and personal records. taste-and-smell disorders can dramatically affect daily life. However, adjustments to diet, therapy options, and seeking support can help manage the condition and improve quality of life. Feel comfortable reaching out to healthcare providers for guidance and assistance.
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