State Crash Report Forms
Catalog
1998 Update
The State Crash Report Forms Catalog consolidates crash report forms from all 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The purpose of the Catalog is to provide a comparative crash data reference document for use by the states, the National Highway Traffic Safety Administration (NHTSA) Headquarters and Region offices, other Federal agencies, and private organizations and groups. The Catalog also contains the list of all state coordinators for the state crash report as well as the state crash reporting threshold. The last Catalog was published in 1995.
As an added convenience to our NHTSA customers and partners, the crash report forms are provided on the Internet. Forms can be accessed on the NHTSA Web Site (http://www.nhtsa.dot.gov/people/perform/trafrecords/), but note that adobe acrobat.pdf is required to view the forms. Use of the adobe acrobat zoom function facilitates reading of small text.
We would like to inform our users that since the state crash report forms were provided in hard copy, the resolution of some forms, especially those with detailed graphics, may not be clear. In some instances, printing the form improves the resolution. In the future, every effort will be made to obtain electronic versions of the state crash report forms. This should remedy problems with form resolution. As crash report forms are revised by states and provided to us, we will include them on the Internet.
NHTSA supports the use of uniform police crash report form data elements and encourages the use of ANSI D-16 and D-20 standards. The purpose of ANSI D-16, Manual On Classification Of Motor Vehicle Traffic Accidents, is to provide a common language for collectors and users of traffic crash data. The purpose of ANSI D-20, Data Element Dictionary For Traffic Records Systems, is to provide a common set of data element coding instructions as these relate to traffic safety, driver licensing and vehicle registration.
NHTSA in collaboration with the Federal Highway Administration and the National Association of Governors' Highway Safety Representatives is developing a guideline for crash data collection. To facilitate this effort, an expert panel has been formed consisting of representatives from law enforcement, Emergency Medical Services, traffic engineering, Departments of Motor Vehicles, academia, and a number of private organizations and groups interested in highway and traffic safety. The guideline is referred to as the Model Minimum Uniform Crash Criteria (MMUCC). MMUCC, when completed, is intended to be a guideline for collecting crash data. MMUCC is endorsed by a number of highway safety groups and organizations. The draft MMUCC can be accessed on the NHTSA Web Site address (http://www.nhtsa.dot.gov/people/ncsa/codes/mindata/guideline.pdf.).
We wish to thank all state and local personnel who contributed and assisted in compiling the Catalog. We hope that it will assist states in improving their crash data collection and analysis.
STATE COORDINATORS FOR STATE CRASH REPORT FORMS
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STATE CRASH REPORTING THRESHOLDS
| STATE | CONTACT | PHONE | REPORTING* THRESHOLD |
|---|---|---|---|
| Alabama | Win Peacock | (334) 242-4423 | $250 |
| Alaska | Ronald Otte | (907) 465-4322 | $500 |
| Arizona | Jim Williams | (602) 255-7132 | $1000 |
| Arkansas | Mike Selig | (501) 569-2642 | $500 |
| California | Terry Burke | (916) 657-7432 | $500 |
| Colorado | Sandy Sellers | (303) 572-5824 | $1000 |
| Connecticut | Mario Tonarelli | (806) 594-2073 | $1000 |
| Delaware | Douglas Hancock | (302) 739-5938 | $500 |
| Dist. of Columbia | Lionel Millard | (202) 727-4443 | All Crashes |
| Florida | Dick Zeller | (904) 488-5686 | $500 |
| Georgia | Brenda Raines | (404) 624-7835 | $500 |
| Hawaii | Paul Hamamoto | (808) 587-2171 | $500 |
| Idaho | Marie Bishop | (208) 334-8101 | $750 |
| Illinois | Rick Meyers | (217) 782-2575 | $500 |
| Indiana | Dwayne James | (317) 494-7011 | $750 |
| Iowa | Scott Falb | (515) 237-3154 | $500 |
| Kansas | Nancy Mattson | (913) 296-7452 | $500 |
| Kentucky | Mark Haynes | (502) 227-8700 | $500 |
| Louisiana | Dan Magri | (504) 925-6991 | $100 |
| Maine | Mike Martin | (207) 624-8756 | $500 |
| Maryland | Manu Shaw | (410) 787-5825 | $500 |
| Massachusetts | Pat Halloran | (617) 351-9414 | $1000 |
| Michigan | Judy Snow | (517) 334-5198 | $400 |
| Minnesota | Karen Spratler | (612) 296-9490 | $500 |
| Mississippi | Ron Sennett | (601) 359-7880 | $250 |
| Missouri | Jim Watson | (314) 526-6113 | $500 |
| Montana | Ray Jenkins | (406) 444-3278 | $400 |
| Nebraska | Bob Grant | (402) 479-4545 | $500 |
| Nevada | Irene Letiaio | (702) 687-3469 | $500 |
| New Hampshire | Ed Crabtree | (603) 271-2131 | $1000 |
| New Jersey | Al Tindal | (609) 633-9028 | $500 |
| New Mexico | H. Allen Fenner | (505) 827-0360 | $500 |
| New York | Helen Shufon | (518) 474-0646 | $1000 |
| North Carolina | Rosa Gill | (919) 733-2725 | $500 |
| North Dakota | Tom Tooley | (701) 328-4397 | $1000 |
| Ohio | Richard Paddock | (614) 466-3250 | $150 |
| Oklahoma | Bill Hollars | (405) 425-2192 | $300 |
| Oregon | Shirley St. John | (503) 945-5030 | $500 |
| Pennsylvania | William Hunter | (717) 783-8135 | All Crashes |
| Rhode Island | Robert Connors | (401) 277-4640 | $500 |
| South Carolina | Max Young | (803) 896-8387 | $400 |
| South Dakota | Creighton Miller | (605) 773-4108 | $500 |
| Tennessee | Ben Daley | (615) 251-5315 | $400 |
| Texas | James Templeton | (512) 465-2299 | Vehicle Towed |
| Utah | Marilee Gomez | (801) 225-0573 | $750 |
| Vermont | Bonnie Rutledge | (802) 828-2066 | All Crashes |
| Virginia | David Mosley | (804) 367-1143 | $1000 |
| Washington | Debra Cole | (360) 705-5182 | $500 |
| West Virginia | Carlin Kendrick | (304) 558-3063 | All Crashes |
| Wisconsin | Mike Schumacher | (608) 267-1856 | $1000 |
| Wyoming | Dee West | (307) 777-4274 | $500 |
| Puerto Rico | Albert Gonzalez | (809) 723-3590 | All Crashes |
| Virgin Islands | Heratio Kier | (809) 772-3025 | All Crashes |