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Department of Transportation & Public Facilities

Transportation Information Group

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Form Checklist

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CRASH SUMMARY



Crash Date:      
Time of Crash: :        
Crash Occurred In:
Street:
Distance/Direction:      
Cross Street:
Weather:
Lighting:
Roadway Junction:
Initial Impact:
Location of Initial Impact:
Road Surface Condition:
Did Police Investigate?:
Crash Narrative:
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