Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Welcome Officer,
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Name
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Location and Time
Date and time when incident occurred:
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Incident report issued by:
Mr/Ms/Mrs
First Name
Middle Name
Last Name
Incident Location (Please provide specific details):
Incident details
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Driver Information
Driver's Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Social Security Number
Further Comments
Enter the Vehicle's VIN, the driver was driving
Any other Driver Involved in Accident
*
Yes
No
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Vehicle Information
Owner's Name
First Name
Last Name
Owner's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Details
Upload the Vehicle's Image
Any other Vehicle's Involved in Accident
*
Yes
No
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Accident's Narrative
Seating Information
Victim's Information
Name
Seat Position
Age
Sex
Taken By
Take To
Victim1
Victim2
Victim3
Victim4
Upload the Narrative and Diagram
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Road Environment
Contributing Road Defects
4-None
1-Shoulders Low
2-Shoulders High
3-Holes,Bumps
Surface Construction
Asphalt
Concrete
Brick
Unpaved
Other
Condition
Dry
Wet
Icy
Snowy
Muddy
Other
Accident in or related to road construction zone?
Yes
No
Material Service
Not Applicable
Already in Road
Dropped from Vehicle
Natural Environment
Vision Obscured By
Not Obscured
Buildings
Signborad
Hill Crest
Fog
Parked Vehicle
Other
Unknown
Traffic Control
Police Officer
Traffic Signal
Stop Sign
Yield Sign
No Passing Zone
Flagger
Other
Opposing Lanes Seperated By
None
Paved Surface
Unpaved Surface
Broken Painted Line
Solid Painted Line
Other Barrier
One Way Street
Yes
No
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Investigation
Light
Daylight
Dawn
Dusk
Darkness
Weather
Clear
Cloud
Rain
Snow
Fog
Other
Locale
Open
Resdential
School
Playground
Other
Date and time when police notified:
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Date and time when police arrived:
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Witness Information
Name
Adress
Phone
Investigation Officer Name
Officer ID
Witness1
Witness2
Witness3
Witness4
Supervisor's Signature
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Alabama Uniform Traffic Accident Report
To report the incident, please provide the following information
Additional Accidental Victims Supplemental Sheet
Victims Information
Name
Adress
Age
Sex
Taken By
Taken To
Victim5
Victim6
Victim7
Victim8
Victim9
Victim10
Victim11
Victim12
Describe What Happened (Describe Vehicles by Numbers)
Submit
Print Report
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