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Department of Transportation & Public Facilities

Transportation Information Group

Instructions for filling out a 12-209 driver report

Step 1: Collect all your information

In order to completely fill out this form you will need to provide the following:

  • Your Driver's License number
  • Your insurance information (company, address, phone number, policy number, etc.). This information can usually be found on your insurance card.
  • Your vehicle information (year, make, model, license plate number and registration state, VIN (vehicle ID number). Also usually found on your insurance card.
  • Information for the owner of your vehicle (if you are not the owner).
  • The other driver's information (owner name, address, driver name, address, license number, insurance information, vehicle information, etc.) – whatever they gave you when you had the crash and you exchanged information.

Step 2: Print the form

You must be able to print the form in order to complete the submittal process.

Step 3: Fill out the form

As best you as you can, in your own words, explain everything you know about the crash. Information on your vehicle, the other vehicle (if there was one), any occupants, etc. Pay particular attention to the crash narrative. Paint a good picture of what happened.

Step 4: Sign the form

You must sign the form.

Step 5: Mail the form to DMV

Make a copy of the form. Mail the original to the Alaska Division of Motor Vehicles (DMV). The copy is for your own records. Your crash form is not retrievable from the Department of Transportation once it is completed.

  • DMV Main Office
  • State of Alaska
  • Division of Motor Vehicles
  • ATTN: Driver Services
  • 1300 W. Benson Blvd Ste. 100
  • Phone: (907) 269-5551

Still need help?

For inquiries regarding the form, submission deadlines, driver license or insurance, please contact the DMV: