(Contact information updated 7/1998)

Contact Name:

Alvin Takeshita
Hawaii Dept. of Transportation
Traffic Safety Engineer
601 Kamokila Blvd.
Kapolei, HI  96707

Phone: (808) 692-7684

E-Mail:

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

Reporting Threshold:  $500

This version of the State Crash Forms was posted on this site on 11/2000, and revised by the state on 8/1996.

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 - Occupant & Vehicle Information
Page 2 - Narrative & Diagram
Page 3 - Injured Persons Report