To complete this template, replace the bracketed text with the relevant information. Note that a formal motor vehicle crash report will have additional details.
This template is to be completed based on the information provided in the scenario.
1. Date of Crash Jan 07, 2019
2. Time of Crash 0230
(Military Time)
3. Day of Week Monday
4. Date of Report 12/13/24
5. Type of Crash 01
02
List all that apply from these options: 99(DUI)
O1 Fatality
02 Injury
03 Property Damage Only
04 Hit and Run
05 Pedestrian
06 Non-collision
07 Commercial Vehicle
99 Other (Specify)
6. Location westbound from Beachside City into Main City across the Central Bridge
Indicate direction (north, south,
east, or west) from bridge—e.g.,
north from Center Street Bridge.
7. Number of Vehicles Involved 1
8. Number of Injured Persons 2