KS - Kansas

 (Contact information updated 7/2000)

Contact Name:

Rosalie Thornburgh
Kansas DOT - Bureau of Traffic Safety
Bureau Chief
217 SE 4th Street
Topeka, KS  66603-3504

Phone: (785) 236-3756

E-Mail: rosalie@ksdot.org

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 7/2000, and revised by the state on 1/1995.

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

Page 1 - Occupant Information

Page 1

Occupant Information

Page 2 - Environment Information

Page 2

Environment Information

Page 3 - Narrative

Page 3

Narrative

Page 4 - Collision Diagram

Page 4

Collision Diagram

Page 5 - Commercial Vehicle Supplement

Page 5

Commercial Vehicle Supplement

Page 6 - Contributing Circumstances

Page 6

Contributing Circumstances

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

bullet

Page 1 - Occupant Information

bullet

Page 2 - Environment Information

bullet

Page 3 - Narrative

bullet

Page 4 - Collision Diagram

bullet

Page 5 - Commercial Vehicle Supplement

bullet

Page 6 - Contributing Circumstances

Click Back in your browser for the previous page.