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
&
STATE CRASH REPORTING THRESHOLDS

STATECONTACTPHONEREPORTING*
THRESHOLD
AlabamaWin Peacock(334) 242-4423$250
AlaskaRonald Otte(907) 465-4322$500
ArizonaJim Williams(602) 255-7132$1000
ArkansasMike Selig(501) 569-2642$500
CaliforniaTerry Burke(916) 657-7432$500
ColoradoSandy Sellers(303) 572-5824$1000
ConnecticutMario Tonarelli(806) 594-2073$1000
DelawareDouglas Hancock(302) 739-5938$500
Dist. of ColumbiaLionel Millard(202) 727-4443All Crashes
FloridaDick Zeller(904) 488-5686$500
GeorgiaBrenda Raines(404) 624-7835$500
HawaiiPaul Hamamoto(808) 587-2171$500
IdahoMarie Bishop(208) 334-8101$750
IllinoisRick Meyers(217) 782-2575$500
IndianaDwayne James (317) 494-7011$750
IowaScott Falb (515) 237-3154$500
KansasNancy Mattson(913) 296-7452$500
KentuckyMark Haynes(502) 227-8700$500
LouisianaDan Magri(504) 925-6991$100
MaineMike Martin(207) 624-8756$500
MarylandManu Shaw(410) 787-5825$500
MassachusettsPat Halloran(617) 351-9414$1000
MichiganJudy Snow(517) 334-5198$400
MinnesotaKaren Spratler(612) 296-9490$500
MississippiRon Sennett(601) 359-7880$250
MissouriJim Watson(314) 526-6113$500
MontanaRay Jenkins(406) 444-3278 $400
NebraskaBob Grant (402) 479-4545$500
NevadaIrene Letiaio(702) 687-3469$500
New HampshireEd Crabtree(603) 271-2131$1000
New JerseyAl Tindal(609) 633-9028$500
New MexicoH. Allen Fenner(505) 827-0360$500
New YorkHelen Shufon(518) 474-0646$1000
North CarolinaRosa Gill(919) 733-2725$500
North DakotaTom Tooley(701) 328-4397$1000
OhioRichard Paddock(614) 466-3250$150
OklahomaBill Hollars(405) 425-2192$300
OregonShirley St. John(503) 945-5030$500
PennsylvaniaWilliam Hunter(717) 783-8135All Crashes
Rhode IslandRobert Connors(401) 277-4640$500
South CarolinaMax Young (803) 896-8387$400
South DakotaCreighton Miller(605) 773-4108$500
TennesseeBen Daley(615) 251-5315$400
TexasJames Templeton(512) 465-2299Vehicle Towed
UtahMarilee Gomez(801) 225-0573$750
VermontBonnie Rutledge(802) 828-2066All Crashes
VirginiaDavid Mosley(804) 367-1143$1000
WashingtonDebra Cole(360) 705-5182$500
West VirginiaCarlin Kendrick(304) 558-3063All Crashes
WisconsinMike Schumacher(608) 267-1856$1000
WyomingDee West(307) 777-4274$500
Puerto RicoAlbert Gonzalez(809) 723-3590All Crashes
Virgin IslandsHeratio Kier(809) 772-3025All Crashes