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LA - Louisiana
(Contact information updated 7/2000)
Contact Name:
Charles Miller
Statistician
Highway Safety Commission
P.O. Box 66336
Baton Rouge, LA 70896
Phone: (225) 925-6045
Fax: (225) 922-0517
E-Mail: emiller@dps.state.la.us
For more information on this state please visit
http://24.123.50.125/trsystems
Reporting Threshold: $100
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.
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Page 1
Occupant & Vehicle Information |
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Page 2
Occupant & Vehicle Information |
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Page 3
Contributing Factors & Conditions |
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Page 4
Narrative & Diagram |
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Page 5
Vehicle/Pedestrian Supplement |
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Page 6
Vehicle/Pedestrian Supplement |
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Page 7
Additional Occupant Supplement |
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Page 8
Commercial Vehicle Supplement |
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Page 9
Narrative Supplement |
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Page 11
Driver/Witness Voluntary Statement |
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Page 12
Railroad Crossing Supplement |
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Select the appropriate page number below to view a printable Acrobat (.pdf)
version. 
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Page 1 - Vehicle
& Operator Information |
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Page 2 -
Vehicle & Operator Information |
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Page 3 -
Environment Information |
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Page 4 -
Narrative & Diagram |
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Page 5 -
Pedestrian Supplement |
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Page 6 -
Pedestrian Supplement (environment) |
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Page 7 -
Additional Occupant Information |
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Page 8 - Truck
& Bus Supplement |
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Page 9 -
Narrative |
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Page 10 -
Diagram |
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Page 11 -
Driver/Witness Voluntary Statement |
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Page 12 -
Railroad Crossing Supplement |
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