Alabama Uniform Traffic Crash Report

1
Alabama Uniform Traffic Crash Report
Once the Traffic Crash Report Form has been
successfully completed, it can be entered in to
this Accident Report Database.
Simply copy all information as it is recorded on
the Crash Report into the corresponding Titles
and categories within this program.
To Begin Click NEXT
Page 1
The TAB key will cycle your cursor from one text
field to the next, and the NEXT and BACK buttons
will let you move freely both forward and
backwards through the program.
2
Section 1 Location and Time
Page 2

• 10. On Street, Road, or Hwy?
• 11. At Intersection or Between? (node 2)
• 12. And (Node 2)
• 13. (On) Street/Road/Hwy Code
• 14. Node Code (1) ?
• Node Code (2) ?
• 15. Feet/Miles From Node (1)

Check if Amendment
Check if Error Correction

• DPS Case
• Local Case
• Date
• Time am pm
• 5. M T W R F
• County
• City
• Local Zone
• Hwy Class

(Check Day of Week)
3
Section 1 Location and Time
Page 3

• Continue Filling in all applicable information.

1. Mile Post
2. Control Access Hwy Loc
3. Primary Contrib. Circums
4. Primary Contrib. Unit No
5. Manner of Crash

1. 1st Harmful Event
2. 1st Harmful Event Loc
3. Most Harmful Event
4. Clearance to Fixed Object
5. Roadway Junction Feature

1. Manner of Crash
2. Lat. Coordinates
3. Long Coordinates
4. Primary Contrib. Unit No
5. Highway Side

(feet)
Proceed to Section 2 (Driver / Vehicle Info) upon
completion of this page
4
Section 2 Driver / Vehicle
Page 4

• The Driver/Vehicle details found here in Section
  2 directly correspond to the 2nd section of the
  Alabama Uniform Traffic Crash Report

Drivers Information

• Driver Last Name
• Driver First Name
• Street Address
• City
• State
• Zip Telephone
• DOB Race
• Sex

Drivers License Information

• Drivers License No DL State
  DL Class CDL Status
• DL Status List
  Restrictions
• List Endorsements Less Than 25 Miles Yes
  No

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Section 2 Driver / Vehicle
Page 5
Additional Details on Driver
Driver Information

• Place of Employment
• Liability Insur Comp
• Social Security No
• Driver Condition
• Sobriety/Officer Opinion
• Alcohol Drugs
• Type of Test Given
• Addtl Tests
• Travel Road Name
• Road Code
• Travel Direction
• Other Contrib. Circum

Sequence of Events

1. Event 1
2. Event 2
3. Event 3
4. Event 4
5. First Harmful Event Location

When Complete, Continue on to Vehicle Information.
6
Section 2 Driver / Vehicle
Page 6
Details of Vehicle Involved in Accident
Vehicle Information
Additional Vehicle Info

• Vehicle Yr Make
• Model Body
• VIN Number
• Owners Name
• License Tag No
• State Year
• Street or RFD
• City State
• Zip Type
• Usage Emergency St
• Placard Reqd
• Hazard Cargo

• Haz. Cargo Released?
• Attachment
• Oversized Load (Req Permit?) Yes No
• If Yes, Did Owner Have Permit? Yes No
• Contrib Defect Speed Limit
• Est Speed Limit Citation
• Damage Severity
• Under/Over Towed?
• Vehicle Towed by Whom?
• To Where?

Proceed to Section 3 once this section has been
successfully completed.
7
Section 3 Driver / Vehicle
Page 7

• The Driver/Vehicle details found here in Section
  2 directly correspond to the 2nd section of the
  Alabama Uniform Traffic Crash Report

Drivers Information

• Driver Last Name
• Driver First Name
• Street Address
• City
• State
• Zip Telephone
• DOB Race
• Sex

Drivers License Information

• Drivers License No DL State
  DL Class CDL Status
• DL Status List
  Restrictions
• List Endorsements Less Than 25 Miles Yes
  No

8
Section 3 Driver / Vehicle
Page 8
Additional Details on Driver
Driver Information

• Place of Employment
• Liability Insur. Comp
• Social Security No
• Driver Condition
• Sobriety/Officer Opinion
• Alcohol Drugs
• Type of Test Given
• Addtl Tests
• Travel Road Name
• Road Code
• Travel Direction
• Other Contrib. Circum

Sequence of Events

1. Event 1
2. Event 2
3. Event 3
4. Event 4
5. First Harmful Event Location

When Complete, Continue on to Vehicle Information.
9
Section 3 Driver / Vehicle
Page 9
Details of Vehicle Involved in Accident
Vehicle Information
Additional Vehicle Info

• Vehicle Yr Make
• Model Body
• VIN Number
• Owners Name
• License Tag No
• State Year
• Street or RFD
• City State
• Zip Type
• Usage Emergency St
• Placard Reqd
• Hazard Cargo

• Haz. Cargo Released?
• Attachment
• Oversized Load (Req Permit?) Yes No
• If Yes, Did Owner Have Permit? Yes No
• Contrib Defect Speed Limit
• Est Speed Limit Citation
• Damage Severity
• Under/Over Towed?
• Vehicle Towed by Whom?
• To Where?

Proceed to Section 3 once this section has been
successfully completed.