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.

Page 1 - Occupants & Vehicle Information

Page 1

Occupant & Vehicle Information

Page 2 -  Occupant & Vehicle Information

Page 2

Occupant & Vehicle Information

Page 3 - Contributing Factors & Conditions

Page 3

Contributing Factors & Conditions

Page 4 - Narrative & Diagram

Page 4

Narrative & Diagram

Page 5 - Vehicle/Pedestrian Supplement

Page 5

Vehicle/Pedestrian Supplement

Page 6 - Vehicle/Pedesdrian Supplement

Page 6

Vehicle/Pedestrian Supplement

Page 7 - Additional Occupant Supplement

Page 7

Additional Occupant Supplement

Page 8 - Commercial Vehicle Supplement

Page 8

Commercial Vehicle Supplement

Page 9 - Narrative Supplement

Page 9

Narrative Supplement

Page 10 - Diagram

Page 10

Diagram

Page 11 - Driver/Witness Voluntary Statement

Page 11

Driver/Witness Voluntary Statement

Page 12 - Railroad Crossing Supplement

Page 12

Railroad Crossing Supplement

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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