(Contact information updated 7/2000)

Contact Name:

Jim Williams
AZ Department of Transportation
Manager, Traffic Records
2828 N. Central Avenue, Suite 880
Phoenix, AZ  85004-1025

Phone: (602) 712-7132

E-Mail: jdwilliams@dot.state.az.us

For more information on this state please visit  http://24.123.50.125/trsystems

Reporting Threshold:  $1000

This version of the State Crash Forms was posted on this site on 7/2000, and revised by the state on 4/2000.

Click on the thumbnails below to view a full sized image.

Select the appropriate page number below to view a printable Acrobat (.pdf) version. 

Page 1 - Vehicle & Occupant Information          
Page 2 - Fatal Supplement           
Page 3 - Diagram
Page 4 - Truck/Bus Supplement