Fill in a Valid Oklahoma Traffic Collision Report Template
The Oklahoma Traffic Collision Report form is a crucial document that captures essential details surrounding traffic incidents within the state. This form includes vital information such as the date and time of the collision, the location, and the parties involved. It records the number of vehicles, injuries, and fatalities, ensuring a comprehensive account of the event. Specific sections address the conditions of the roadway, the actions of the drivers, and any contributing factors to the collision. Additionally, it collects data on vehicle details, insurance information, and the involvement of any commercial vehicles. The report also allows for the documentation of witness information and provides a space for law enforcement to indicate any citations issued. Overall, this form serves as an official record that aids in investigations and helps to establish accountability in the aftermath of traffic accidents.
Document Properties
| Fact Name | Description |
|---|---|
| Official Use | The Oklahoma Traffic Collision Report form is designated for official use only, ensuring that the information collected is utilized for law enforcement and insurance purposes. |
| Governing Law | This form is governed by Oklahoma Statutes Title 47, Section 24-101, which outlines the requirements for reporting traffic collisions. |
| Data Collection | The form collects comprehensive data, including details about the vehicles involved, the conditions of the collision, and information about the individuals affected, ensuring a thorough investigation. |
| Submission Guidelines | Completed reports must be submitted to the appropriate law enforcement agency, which then maintains a record for future reference and statistical analysis. |
Common mistakes
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Incomplete Information: Failing to fill out all required sections can lead to delays and complications in processing the report.
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Incorrect Dates: Entering the wrong date of the collision can create confusion and may affect insurance claims.
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Missing Vehicle Information: Not providing complete details about the vehicles involved, such as make, model, and VIN, can hinder the investigation.
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Omitting Witness Information: Not including contact details for witnesses can limit the ability to gather additional evidence.
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Neglecting to Document Injuries: Failing to report injuries accurately can affect medical treatment and insurance claims.
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Inaccurate Location Details: Providing vague or incorrect location information can complicate the investigation process.
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Confusing Unit Designations: Mislabeling the units involved in the collision can lead to misunderstandings in the report.
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Ignoring Traffic Control Devices: Not noting the presence or absence of traffic signals or signs can affect liability determinations.
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Failure to Indicate Weather Conditions: Omitting weather details can impact the analysis of contributing factors to the collision.
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Not Signing the Report: Forgetting to sign the report can render it invalid and delay processing.
Popular PDF Documents
Free Oklahoma Child Custody Forms - Parents or guardians may be notified of the proceedings depending on the case.
In order to facilitate a smooth transaction when engaging in real estate activities, utilizing the Texas Real Estate Purchase Agreement form is essential, as it provides a clear framework for the agreement between the parties involved. Additionally, for further resources and information about this important document, you can visit UsaLawDocs.com.
Licensed Handyman - Journeyman license holders are required to pay $75 for renewal, which also incurs a late fee after 30 days from expiration.
Misconceptions
- Misconception 1: The Oklahoma Traffic Collision Report is only for serious accidents.
- Misconception 2: Only law enforcement can fill out the report.
- Misconception 3: The report is not necessary if the police do not arrive at the scene.
- Misconception 4: The report is only used for legal purposes.
This report is utilized for all types of traffic collisions, regardless of severity. It serves as a comprehensive documentation tool for minor incidents as well as major accidents. Every collision, no matter how minor, is important for record-keeping and analysis.
While law enforcement typically completes the report at the scene, individuals involved in the collision can also provide information. This ensures that all perspectives are included, which can be vital for accuracy.
While the report can be used in legal proceedings, it also plays a critical role in traffic safety analysis. Authorities use the data to identify patterns, improve road safety, and implement necessary changes to prevent future collisions.
Preview - Oklahoma Traffic Collision Report Form
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Incident Report |
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OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT |
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(1) Reporting Agency |
Case Number (Agency Use) |
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Motor Vehicles Involved
Number Injured
Number Killed
(2) Date of Collision (mm/dd/yyyy) |
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County Number and Name |
Nearest City or Town Number and Name |
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Distance from Nearest City or Town Limits |
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(6) |
Address |
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(7) Driver License Number |
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Drv./Ped. Cond. OP Use
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To Medical Facility |
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License |
Plate Number |
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(9) VIN |
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Vehicle Year |
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Make |
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(10) |
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Insurance Company Name |
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Policy Number |
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Insurance |
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Verification |
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(11) Vehicle Removed by |
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Owner's Last Name |
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First |
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State Month Year
Model |
Veh. Conf. |
Extent of
Damage
Insurance Telephone (Use Area Code)
Middle Initial
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(12) Owner's Address |
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Same as Driver
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(13) |
Citation |
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Statute/Ordinance |
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Citation |
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Number |
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(14) |
Unit |
Occupants |
Type |
Hit & |
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Date of Birth (mm/dd/yyyy) |
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(15) |
Address |
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City |
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(16) Driver License Number |
State |
Class Endorsement(s) |
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Restriction(s) |
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Inj. Sev. Type of Injury |
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Drv./Ped. Cond. OP Use
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(17) |
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Ejected Extricated Test |
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(% BAC) Transported by |
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To Medical Facility |
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License |
Plate Number |
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(18) |
VIN |
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Vehicle Year |
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Color |
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2nd Color |
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Make |
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(19) |
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Insurance Company Name |
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Policy Number |
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Insurance |
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Verification |
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(20) |
Vehicle Removed by |
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Owner's Last Name |
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First |
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State Month Year
Model |
Veh. Conf. |
Extent of
Damage
Insurance Telephone (Use Area Code)
Middle Initial
Driver
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(21) Owner's Address |
City |
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Same as Driver
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State |
Zip |
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Towed Veh. Type |
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Oversized |
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Rolled |
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Phone present |
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Load |
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Phone in use |
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Burned |
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(22) Citation |
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Statute/Ordinance |
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Citation |
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Statute/Ordinance |
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Number |
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Number |
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Number |
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Number |
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(23) Investigating Officer |
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Badge Number |
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Troop/Div. |
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Reviewed by (Init.) |
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Reviewer Badge Number |
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Date of Report (mm/dd/yyyy) |
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Unit Type |
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Injury Severity |
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Type of Injury |
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Driver/Pedestrian Condition |
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Occupant Protection (OP) In Use |
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D Driver |
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Z Other Cyclist |
0 |
N/A |
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4 |
Incapacitating |
0 |
N/A |
3 |
Trunk - |
00 |
Not Applicable |
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05 Under the |
08 |
Ill (Sick) |
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00 |
Not Applicable |
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05 |
Child Restraint Type Unknown |
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10 Booster Seat |
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P Pedestrian |
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C Parked Car |
1 |
No Injury |
5 |
Fatal |
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1 Head |
4 |
Internal |
01 |
Apparently Normal |
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Influence of |
09 |
Dizzy/Faint |
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01 None Used |
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06 |
Restraint Type Unknown |
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11 Other |
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X Pedestrian |
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A Animal |
2 |
Possible |
6 |
Unknown |
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2 Trunk - |
Arms |
02 |
Drinking - Ability Impaired |
Medications |
10 |
Emotional |
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02 |
Lap Belt Only |
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07 |
Helmet |
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99 Unknown |
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Conveyance |
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T Train |
3 |
Non - |
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External |
5 |
Legs |
03 |
Odor of Alcohol Beverage 06 |
Very Tired |
11 |
Other |
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03 |
Shoulder Belt Only |
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08 |
Child Restraint - Forward Facing |
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B Bicyclist |
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incapacitating |
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6 |
Unknown |
04 |
Illegal Drugs |
07 |
Sleepy |
99 |
Unknown |
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04 |
Shoulder and Lap Belt |
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09 |
Child Restraint - Rear Facing |
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Air Bag Deployed |
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Ejected |
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Extricated |
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Chemical Test |
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Extent of Damage |
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Insurance Verification |
Oversized Load |
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Towed Vehicle Type |
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0 |
Not Applicable |
4 |
Deployed - Other (knee, |
0 |
Not Applicable 3 |
Ejected, |
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0 N/A |
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0 |
N/A |
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4 Test Refused |
0 N/A |
3 |
Functional |
0 |
N/A |
3 |
Operator |
0 N/A |
00 |
N/A |
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05 |
Another Vehicle |
09 |
Cattle Trailer |
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1 |
Not Deployed |
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air belt, etc.) |
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1 |
Not Ejected |
Totally |
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1 No |
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1 |
Blood |
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5 None Given |
1 None |
4 |
Disabling |
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1 |
No |
4 |
Exempt |
N Not Permitted |
01 |
Boat Trailer |
06 |
Utility Vehicle |
10 |
No Trailer in Tow |
||||||||||||||||||||||||||||||||||||||||
2 |
Deployed - Front 5 |
Deployed - Combination |
2 |
Ejected, |
9 |
Unknown |
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2 Yes |
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2 |
Breath |
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6 Other |
2 Minor |
9 |
Unknown |
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2 |
Owner |
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P Permitted |
02 |
House Trailer |
07 |
Homemade |
11 |
Other |
||||||||||||||||||||||||||||||||||||||
3 |
Deployed - Side |
9 |
Deployment Unknown |
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Partially |
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3 |
Blood/Breath |
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03 |
Farm Trailer |
08 |
Trailer |
99 |
Unknown |
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04 |
Horse Trailer |
Box Trailer |
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WARNING - STATE LAW |
|
Use of contents for commercial solicitation is unlawful |
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234
Case Number |
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Pg |
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of |
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(24) Unit |
Pos in Veh. Last Name |
First |
Middle Initial |
Date of Birth (mm/dd/yyyy) |
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Sex |
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Injured
Witness
(25) Address
Passenger 
Prop. Owner 
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City |
State |
Zip |
Telephone (Use Area Code)
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Same as Driver |
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(26) |
Injury Severity / Type |
|
OP Use Air Bag Ejected |
Extricated Transported by |
|
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To |
Medical |
|
Facility |
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Property Type |
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(27) |
Unit |
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Pos in Veh. Last |
Name |
First |
Middle Initial |
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Date of Birth (mm/dd/yyyy) |
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Sex |
|||||||||||||||||||||||||||||
Injured
Witness
(28) Address
Passenger 
Prop. Owner 
|
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City |
State |
Zip |
Telephone (Use Area Code)
|
Same as Driver |
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(29) |
Injury Severity / Type |
|
OP Use Air Bag Ejected |
Extricated Transported by |
|
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To Medical |
|
Facility |
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Property Type |
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(30) |
Unit |
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Pos in Veh. Last |
Name |
First |
Middle Initial |
|
Date of Birth (mm/dd/yyyy) |
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Sex |
|||||||||||||||||||||||||||||
Injured
Witness
(31) Address
Passenger 
Prop. Owner 
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City |
State |
Zip |
Telephone (Use Area Code)
|
Same as Driver |
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(32) |
Injury Severity / Type |
|
OP Use Air Bag Ejected |
Extricated Transported by |
|
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To Medical |
|
Facility |
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Property Type |
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(33) |
Unit |
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Pos in Veh. Last |
Name |
First |
Middle Initial |
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Date of Birth (mm/dd/yyyy) |
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Sex |
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Injured |
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Passenger |
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Witness |
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Prop. Owner |
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(34) Address |
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City |
State |
Zip |
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Same as Driver
Telephone (Use Area Code)
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(35) Injury Severity / Type |
|
OP Use Air Bag Ejected Extricated Transported by |
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To Medical Facility
Property Type
Complete information below if this vehicle is being used for COMMERCE/BUSINESS and has a GVWR/GCWR IN EXCESS OF 10,000 LBS., or has a HAZMAT PLACARD, or is a BUS WITH SEATING FOR NINE OR MORE INCLUDING THE DRIVER
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(36) |
Unit |
Carrier Name |
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Address |
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(37) |
City |
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State |
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Zip |
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GVWR |
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0 - 10K lbs. |
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Axle Qty. Cargo Body |
Vehicle Use |
||||||||||||||||||||||||||
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10,001 - 26K lbs. |
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Interstate Commerce |
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GCWR |
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26K+ lbs. |
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Intrastate Commerce |
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(38) |
U.S. DOT Number |
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Vehicle Inspection Number |
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Placard Number |
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Haz. Mat. Class Haz. Mat. Involved |
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Haz. |
Mat. |
Release |
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Other |
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OK |
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Yes |
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Yes |
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No |
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No |
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Government |
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(39) |
Unit |
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Carrier Name |
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Address |
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State |
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(40) |
City |
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(41) |
U.S. DOT Number |
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Vehicle Inspection Number |
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OK |
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Zip |
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GVWR |
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0 - 10K lbs. |
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Axle Qty. Cargo Body |
Vehicle Use |
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10,001 - 26K lbs. |
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Interstate Commerce |
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GCWR |
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26K+ lbs. |
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Intrastate Commerce |
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Placard Number |
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Haz. Mat. Class Haz. Mat. Involved |
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Haz. |
Mat. |
Release |
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Yes |
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Yes |
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Other |
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No |
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No |
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Government |
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Position in Vehicle
00.Not Applicable
18.Front Row - Other
28.Second Row - Other
38.Thrid Row - Other
48.Fourth Row - Other
Vehicle Configuration
00. |
N/A |
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07. School Bus |
13. Bus/Large Van |
18. |
Farm |
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Machinery |
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01. |
Passenger |
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including driver |
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08. Truck/Trailer |
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02. |
Passenger |
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03. |
Passenger |
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14. Bus 16+ |
19. |
ATV |
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Veh. Conv. |
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09. |
occupants |
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including driver |
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(Bobtail) |
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20. SUV |
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04. |
Pickup |
10. |
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15. Motorcycle |
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21. |
Passenger Van |
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05. |
Single Unit |
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22. |
Truck more |
11. |
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than 10,000 |
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Truck, 2 axles |
16. Motor Scooter/ |
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Double |
Moped |
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lbs., Cannot |
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Classify |
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23. |
Van 10,000 |
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lbs. or Less |
06. |
Single Unit |
12. |
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24. |
Other |
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Truck, 3+ axles |
Triple |
17. Motor Home |
99. |
Unknown |
Cargo Body Type
00. |
N/A |
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06. |
Intermodal |
11. |
Hopper (grain/ |
01. |
Bus |
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chips/gravel) |
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07. |
Dump Truck/ |
12. |
Pole Trailer |
02. |
Bus 16+ seats |
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Trailer |
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03. |
Van/Enclosed |
08. |
Concrete Mixer |
13. |
Log Trailer |
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Box |
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04. |
Cargo Tank |
09. |
Auto Transporter |
14. |
Vehicle Towing |
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Vehicle |
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15. |
Other |
05. |
Flatbed |
10. |
Garbage/Refuse |
99. |
Unknown |
235
Case Number |
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OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT |
Pg |
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of |
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Total Lanes |
Legal |
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Pedestrian / Pedalcyclist Only |
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Was the collision in or near a construction, maintenance or utility |
Yes |
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Unit |
Actions Prior |
Location at Time |
Safety |
Unit Number of |
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in Roadway |
Speed |
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work zone? (If yes, complete this section) |
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No |
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This unit will |
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to Collision |
of Collision |
Equip. |
Vehicle Striking |
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correspond |
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Type of Work Zone |
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Location of the Work Zone |
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to 'Unit 1' |
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Collision |
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This unit will |
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1 |
Lane Closure |
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1 Before the First Work |
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correspond |
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2 |
Lane Shift/Crossover |
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Zone Warning Sign |
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to 'Unit 2' |
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3 Work on Shoulder or Median |
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2 |
Advance Warning Area |
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Light |
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What |
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Unit 1 |
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Unit 2 |
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Underride/ |
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Unit 1 |
Unit 2 |
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4 Intermittent or Moving Work |
3 |
Transition Area |
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9 |
Unknown |
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4 |
Activity Area |
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Vehicle |
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Override |
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5 |
Termination Area |
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1 |
Daylight |
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Was Going |
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9 |
Unknown |
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2 |
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to Do |
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0 |
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Not Applicable |
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3 |
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00 |
Not Applicable |
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1 |
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No Underride or Override |
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Workers Present Yes |
No |
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Unknown |
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4 |
Dawn |
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01 |
Go Ahead |
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2 |
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Underride, Compartment |
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5 |
Dusk |
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02 |
Turn Left |
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Intrusion |
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Unit 1 |
Unit 2 |
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Unit 1 |
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Unit 2 |
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6 |
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03 |
Turn Right |
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3 |
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Underride, No |
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Trafficway |
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Unsafe / Unlawful |
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Lighting |
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04 |
Make “U” Turn |
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Compartment Intrusion |
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Contributing Factors |
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7 |
Other |
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05 |
Stop |
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4 |
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Underride, Compartment |
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||||||||||||||||||||||||||||||
9 |
Unknown |
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06 |
Slow for Cause |
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Intrusion Unknown |
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0 |
Not Applicable |
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FAILED TO YIELD |
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49 |
Tires |
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07 |
Start from Park/Stop |
5 |
|
Override, Motor Vehicle in |
1 |
|
01 |
From Stop Sign |
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50 |
Suspension |
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08 |
Change Lanes |
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Transport |
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2 |
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02 |
From Yield Sign |
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51 |
Headlights |
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Weather |
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09 |
Overtake |
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6 |
|
Override, Other Motor |
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with a Continuous Left |
|
03 |
Private Drive |
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52 |
Tail Lights |
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10 |
Pass |
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Vehicle |
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Turn Lane |
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04 |
County Road at |
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53 |
Stop Lights |
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|||||||||||||||||||||||||||
01 |
Clear |
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11 |
Back |
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9 |
|
Unknown |
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3 |
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Through Highway |
|
54 |
Wheel |
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||||||||||||||||||||||||||||||
02 |
Fog/Smog/Smoke |
|
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12 |
Remain Stopped |
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Unprotected (painted > 4 |
|
05 |
From Signal Light |
|
55 |
Exhaust System |
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||||||||||||||||||||||||||||||||||||||
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Traffic |
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|||||||||||||||||||||||||||||||||||||||||||||||||||
03 |
Cloudy |
|
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13 |
Remain Parked |
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Unit 1 |
|
Unit 2 |
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feet) Median |
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06 |
From Alley |
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56 |
Windshield Wipers |
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||||||||||||||||||||||||||||||||||||||||||
04 |
Rain |
|
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14 |
Enter/Merge in Traffic |
|
|
Control |
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4 |
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07 |
To Pedestrian |
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57 |
Other Mechanical Defects |
||||||||||||||||||||||||||||||||||||||||||||||
05 |
Snow |
|
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15 |
Negotiate a Curve |
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Positive Median Barrier |
|
08 |
To Vehicle on Right |
|
LEFT OF CENTER |
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|||||||||||||||||||||||||||||||||||||||
06 |
Sleet/Hail (Freezing |
16 |
Park |
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00 |
No Control |
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5 |
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09 |
To Vehicle in |
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58 |
In Meeting |
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Intersection |
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59 |
No Passing Zone (Unmarked) |
|||||||||||||||||||||||||||||||||||||||||||||||||
|
Rain/Drizzle) |
|
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17 |
Other |
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01 |
Stop Sign |
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Barrier |
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07 |
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10 |
To Emergency |
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60 |
Marked Zone |
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|||||||||||||||||||||||||||||||||
Severe Crosswind |
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99 |
Unknown |
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02 |
Traffic Signal |
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6 |
9 Unknown |
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Vehicles |
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61 |
Other |
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|||||||||||||||||||||||||||||||||||||||||||||||||
08 |
Blowing Snow |
|
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|
Unit 1 |
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Unit |
2 |
|
03 |
Flashing Traffic Signal |
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12 |
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||||||||||||||||||||||||||||||||
09 |
Blowing Sand, Soil, |
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What |
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|
Unit 1 |
Unit 2 |
|
Other |
|
|
|
IMPROPER OVERTAKING |
|||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Dirt |
|
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Vehicle |
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04 |
School Zone Signs |
|
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Vehicle |
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FOLLOWED TOO |
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62 |
In Marked Zone |
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|||||||||||||||||||||||||||||||
10 |
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Did |
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05 |
Yield Sign |
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|
Removal |
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CLOSELY |
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63 |
On Hill/Curve |
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Other |
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06 |
Warning Sign |
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13 |
Human Element |
|
64 |
At Intersection |
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|||||||||||||||||||||||||||
99 |
Unknown |
|
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00 |
Not Applicable |
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07 |
Railroad Advance |
|
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0 |
Not Applicable |
|
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14 |
Traffic Condition |
|
65 |
Without Sufficient Clearance |
|||||||||||||||||||||||||||||||||||||||||||||||
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|||||||||||||||||||||||||||||||||||||||||||||||||
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|
01 |
Went Ahead |
|
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|
|
Warning Sign |
|
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|
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1 |
Towed Due to |
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|
15 |
Weather Condition |
|
66 |
Other |
|
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||||||||||||||||||||||||||||||
|
Locality |
|
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02 |
Turned Left |
|
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|
08 |
Railroad Cross Bucks |
|
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|
|
Vehicle Damage |
|
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|
|
UNSAFE SPEED |
|
|
|
IMPROPER PARKING |
|
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||||||||||||||||||||||||||||||||||||||||
|
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03 |
Turned Right |
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09 |
Railroad Gates |
|
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|
|
|
2 |
Towed For Reasons |
|
16 |
Driver's Ability (Age) |
|
67 |
On Roadway |
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||
1 |
Residential |
|
|
04 |
Entered “U” Turn |
|
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|
|
10 |
Railroad Signal |
|
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|
|
Other Than Damage |
|
17 |
Inexperienced Driver - |
68 |
Where Prohibited |
|
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|||||||||||||||||||||||||||||||||||||||||||||||||
2 |
Business |
|
|
05 |
Stopped |
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11 |
No Passing Zone |
|
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3 |
Remained at Scene |
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|
Young |
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69 |
Other |
|
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|
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|||||||||||||||||||||||||||||||||||||
3 |
Industrial |
|
|
06 |
Slowed |
|
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|
|
12 |
Person (including flagger, |
4 |
Driven from Scene |
|
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|
|
18 |
Exceeding Legal Limit |
INATTENTION |
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||
4 |
School |
|
|
07 |
Started From Park/Stop |
|
|
law enforcement, crossing |
9 |
Unknown |
|
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|
|
19 |
For Traffic Conditions |
70 |
Distracted by Passenger in |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
5 |
Not |
|
|
08 |
Entered Other Lane |
|
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13 |
guard, etc.) |
|
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|
20 |
For Type of Roadway |
71 |
Vehicle |
|
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||||||||||||||||||||||||||||
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|
Unit 1 |
Unit 2 |
|
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|
||||||||||||||||||||||||||||||||||||||||||||||
6 |
Mixed Use |
|
|
09 |
Overtaking |
|
|
|
|
|
|
|
|
|
Abnormal Control |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Gravel, Dirt, etc.) |
|
Other Distraction Inside |
||||||||||||||||||||||||||||||||||||||||||||||||
7 |
Other |
|
|
10 |
Passing |
|
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|
14 |
Posted Speed |
|
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|
|
Vehicle |
|
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|
|
21 |
For Ice or Snow on |
|
72 |
Vehicle |
|
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|||||||||||||||||||||||||||||||
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9 |
Unknown |
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11 |
Backed |
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15 |
Other |
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Condition |
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Roadway |
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Distraction From Outside |
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12 |
Remained Stopped |
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99 |
Unknown |
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22 |
Rain or Wet Roadway |
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Vehicle |
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Type of |
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13 |
Remained Parked |
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00 |
Not Applicable |
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23 |
Wind |
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73 |
Other |
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Intersection |
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14 |
Entered/Merged |
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Road |
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Unit 1 |
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Unit |
2 |
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01 |
Apparently Normal |
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24 |
Other Weather |
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WRONG WAY |
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0 |
Not an Intersection |
15 |
Departed |
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Surface |
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02 |
Brakes |
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Conditions |
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74 |
On One Way |
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16 |
Departed |
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Conditions |
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03 |
Headlights |
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25 |
Vehicle Condition |
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75 |
On Exit Ramp |
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1 |
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17 |
Swerved Right |
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01 |
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04 |
Steering |
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26 |
View Obstruction |
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76 |
On Entrance Ramp |
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Dry |
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2 |
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18 |
Swerved Left |
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05 |
Tail Lights |
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27 |
On Curve/Turn |
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77 |
Other |
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3 |
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19 |
Parked |
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02 |
Wet |
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06 |
Brake Lights |
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28 |
Impeding Traffic |
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IMPROPER START FROM |
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4 |
Intersection |
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20 |
Other |
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03 |
Ice/Frost |
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07 |
Tires/Wheels |
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29 |
Other |
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78 |
Parked Position |
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99 |
Unknown |
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04 |
Snow |
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08 |
Suspension |
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IMPROPER TURN |
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79 |
Other |
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5 |
Intersection as Part |
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05 |
Mud, Dirt, Gravel |
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09 |
Signal lights |
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30 |
From Wrong Lane |
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80 |
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of Interchange |
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Visibility Unit 1 |
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Unit 2 |
06 |
Slush |
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10 |
Windows |
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31 |
From Direct Course |
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81 |
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6 |
Traffic Circle |
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Obscured |
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07 |
Water (standing, moving) |
11 |
Truck Coupling/Trailer |
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32 |
Right |
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OTHER IMPROPER ACT/ |
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7 |
Roundabout |
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by |
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08 |
Sand |
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Hitch/Safety Chains |
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33 |
Left |
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MOVEMENT |
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9 |
Unknown |
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09 |
Oil |
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12 |
Mirrors |
15 |
Other |
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34 |
Turn |
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82 |
Failed to Signal |
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00 |
Not Applicable |
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10 |
Other |
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13 |
Wipers |
99 Unknown |
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35 |
To Enter Private Drive |
83 |
Disregarded Warning Signal |
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Incident Type |
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01 |
Trees |
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99 |
Unknown |
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14 |
Power Train |
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36 |
In Front of Oncoming |
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84 |
Improper Use of Lane |
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02 |
Embankment |
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Traffic |
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85 |
Improper Backing |
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00 |
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03 |
Building |
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Road Character |
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Special |
|
Unit 1 |
Unit 2 |
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37 |
Other |
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86 |
Apparently Sleepy |
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Not an Incident |
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04 |
Signs |
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Function |
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38 |
CHANGED LANES |
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87 |
Failed to Secure Load |
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51 |
Private Property |
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05 |
Parked Vehicles |
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Grade |
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Unit 1 |
Unit 2 |
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of Vehicle |
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UNSAFELY |
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88 |
Other |
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52 |
Deliberate Intent |
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1 |
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06 |
High Weeds |
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Level |
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39 |
STOPPED IN |
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UNKN./NO IMPROPER ACT |
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53 |
Medical Condition |
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00 |
Not Applicable |
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07 |
Fences |
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2 |
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Hillcrest |
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|
TRAFFIC LANE |
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89 |
Deer in Roadway |
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||||||||||||||||||||||||||||||||||||
54 |
Legal Intervention |
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08 |
Shrubbery |
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3 |
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Uphill |
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01 |
School Bus |
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FAILED TO STOP |
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90 |
Animal in Roadway |
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55 |
Suicide |
|
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09 |
Ice, Snow or Frost on |
4 |
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Downhill |
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02 |
Transit Bus |
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40 |
For Stop Sign |
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91 |
Domestic Animal in Rdwy |
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57 |
Drowning |
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Windows |
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5 |
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Sag (bottom) |
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03 |
Intercity Bus |
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41 |
For Traffic Signal |
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92 |
Avoiding Other Vehicle |
||||||||||||||||||||||||||||||||||||||||
58 |
Other |
|
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10 |
Smoke |
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04 |
Charter Bus |
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42 |
For School Bus |
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93 |
Avoiding Pedestrian |
|||||||||||||||||||||||||||||||
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11 |
Fog |
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Horizontal |
|
|
Unit 1 |
Unit 2 |
05 |
Other Bus |
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43 |
For Railroad Gates/ |
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94 |
Object/Debris in Roadway |
|||||||||||||||||||||||||||||||||||
Location of |
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12 |
Dust |
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Alignment |
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06 |
Military |
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Signal |
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95 |
Defect in Roadway |
|
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|||||||||||||||||||||||||
First Harmful |
|
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13 |
Rain |
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1 |
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Straight |
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07 |
OHP |
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44 |
For Officer/Flagman |
|
96 |
Abnormal Traffic Control |
||||||||||||||||||||||||||||
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|||||||||||||||||||||||||||||||||||
|
Event |
|
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14 |
Sun |
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08 |
Other Police |
|
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45 |
At Sidewalk/Stopline |
|
97 |
Improper Bicyclist Action |
|||||||||||||||||||||||||||||||||||
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2 |
|
Curve - Left |
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01 |
On Roadway |
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15 |
Other |
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09 |
Other Law Enforcement |
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46 |
Other |
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98 |
NO IMPROPER ACTION BY |
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3 |
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Curve - Right |
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02 |
Shoulder |
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99 |
Unknown |
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10 |
Ambulance |
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UNSAFE VEHICLE |
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DRIVER |
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03 |
Median |
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11 |
Fire Truck |
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47 |
Brakes |
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99 |
PEDESTRIAN ACTION |
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04 |
Roadside |
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Driver |
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Unit 1 |
Unit 2 |
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Road |
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Unit 1 |
Unit 2 |
12 |
Public Owned Vehicle |
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48 |
Steering |
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05 |
Gore |
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Distracted |
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Surface |
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13 |
Highway Equipment |
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Unit |
1 |
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Unit |
2 |
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06 |
Separator |
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by |
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Type |
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14 |
Special Mobilized Machine |
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Point of First |
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07 |
Parking Lane/Zone |
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1 |
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Concrete |
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15 |
Other |
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99 Unknown |
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Contact on |
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0 |
Not Applicable/None |
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08 |
Off Roadway, |
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Vehicle |
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1 |
Electronic Communication |
2 |
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Asphalt |
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Emergency |
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Unit 1 |
Unit 2 |
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Location Unknown |
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Unit 1 |
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Unit 2 |
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09 |
Outside |
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Devices |
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3 |
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Gravel |
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Vehicle |
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Most Damaged |
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2 |
Other Electronic Device |
4 |
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Dirt |
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Responding to |
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Area |
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Way |
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10 |
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3 |
Other Inside Vehicle |
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5 |
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Brick |
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an Emergency |
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Other |
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0 |
N/A |
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2 |
No |
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13 |
Top |
15 |
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4 |
Other Outside Vehicle |
6 |
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Other |
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99 |
Unknown |
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9 |
Unknown |
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9 |
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Unknown |
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1 |
Yes |
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9 |
Unknown |
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14 |
Undercarriage |
99 Unknown |
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236
Case Number
Latitude
.
Longitude
N
.
Railroad Crossing Number
W
Pg of
Direction of Travel Before Collision
Unit |
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N E |
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Unit |
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N E |
Number |
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S W |
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Number |
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S W |
Indicate North
by Arrow
COLLISION EVENTS
Unit |
First Event |
Second Event |
Third Event |
Fourth Event |
First Harmful Event |
First Harmful |
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Event for the |
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Entire |
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Collision |
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Unit |
First Event |
Second Event |
Third Event |
Fourth Event |
First Harmful Event |
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37 |
Work Zone/Maintenance |
56 |
Pavement |
38 |
Equipment |
57 |
Ditch |
Other |
58 |
Embankment |
|
FIXED OBJECT: |
59 |
Tree (Standing) |
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40 |
Barrier (Cable) |
60 |
Dividing Strip |
41 |
Barrier (Concrete) |
61 |
Retaining Wall |
42 |
Barrier (Other) |
62 |
Bridge Abutment |
43 |
Fence Pole |
63 |
Bridge Pier or Support |
44 |
Fence |
64 |
Bridge Rail |
10Overturn/Rollover
11Fire/Explosion
12Immersion
13Jackknife
14Cargo/Equipment Loss or Shift
15Equipment Failure (Blown Tire, Brake Failure, etc.)
16Separation of Units
17Departed Road Right
18Departed Road Left
19Cross Median/Centerline
20Downhill Runaway
21Fell/Jumped From Motor Vehicle
22Thrown Or Falling Object
23Other
PERSON, MOTOR VEHICLE, OR NON-
FIXED OBJECT:
30 Pedestrian
31 Pedal Cycle
32 Railway Vehicle (train, engine)
33 Animal
34 Motor Vehicle in Transport
35 Parked Motor Vehicle
36 Struck by Falling, Shifting Cargo or Anything Set in Motion by Motor Vehicle
45 |
Traffic Signal Support |
65 |
Bridge Post |
46 |
Traffic Sign Support |
66 |
Bridge Curb |
47 |
Utility Pole/Light Support |
67 |
Bridge Super Structure (Beams) |
48 |
Other Post/Pole/Support |
68 |
Bridge Overhead Structure |
49 |
Guardrail/Guardrail Face |
69 |
Delineator |
50 |
Guardrail End |
70 |
Mailbox |
51 |
Culvert |
71 |
Other Fixed Object |
52 |
Curb |
72 |
Other Highway Structure |
53 |
Island |
73 |
Ground |
54 |
Sand Barrels |
99 |
Unknown |
55 |
Impact Attenuator/ Crash |
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Cushion |
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Remarks
237
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OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT |
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Pg |
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of |
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Case Number |
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PERSONS SUPPLEMENTAL |
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(42) |
Unit |
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Pos in Veh. |
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Last Name |
First |
Middle Initial |
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Date of Birth (mm/dd/yyyy) |
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Sex |
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Injured |
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Passenger |
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Witness |
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Prop. Owner |
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(43) |
Address |
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City |
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State |
Zip |
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Telephone |
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(Use Area |
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Code) |
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Same as Driver |
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(44) |
Injury Severity / Type |
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OP Use |
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Air Bag Ejected Extricated Transported by |
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To |
Medical |
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Facility |
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Property Type |
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(45) |
Unit |
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Pos in Veh. |
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Last Name |
First |
Middle Initial |
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Date of Birth (mm/dd/yyyy) |
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Sex |
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Injured |
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Passenger |
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Witness |
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Prop. Owner |
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(46) |
Address |
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City |
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State |
Zip |
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Telephone |
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(Use Area |
|
Code) |
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Same as Driver |
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(47) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
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|
|
Property Type |
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(48) |
Unit |
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Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
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|
Date of Birth (mm/dd/yyyy) |
|
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|
Sex |
||||||||||||||||||||||||||||||
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Injured |
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Passenger |
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Witness |
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Prop. Owner |
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||||
(49) |
Address |
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City |
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State |
Zip |
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Telephone |
|
(Use Area |
|
Code) |
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|||||||||||||||||||
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Same as Driver |
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(50) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
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|
|||||||||||||||||||||||||||||||||||
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(51) |
Unit |
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|
Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
|
|
|
|
|
Date of Birth (mm/dd/yyyy) |
|
|
|
|
|
Sex |
||||||||||||||||||||||||||||||
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Injured |
|
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Passenger |
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||||
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Witness |
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Prop. Owner |
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||||
(52) |
Address |
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City |
|
|
State |
Zip |
|
Telephone |
|
(Use Area |
|
Code) |
|
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|
|||||||||||||||||||
|
Same as Driver |
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|
(53) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
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|
|||||||||||||||||||||||||||||||||||
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(54) |
Unit |
|
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|
|
Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
|
|
|
|
|
Date of Birth (mm/dd/yyyy) |
|
|
|
|
|
Sex |
||||||||||||||||||||||||||||||
|
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Injured |
|
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Passenger |
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||||
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|
Witness |
|
|
Prop. Owner |
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||||
(55) |
Address |
|
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|
City |
|
|
State |
Zip |
|
Telephone |
|
(Use Area |
|
Code) |
|
|
|
|
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|
|||||||||||||||||||
|
Same as Driver |
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|||||||
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|
(56) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||
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|
(57) |
Unit |
|
|
|
|
|
|
|
Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
|
|
|
|
|
Date of Birth (mm/dd/yyyy) |
|
|
|
|
|
Sex |
||||||||||||||||||||||||||||||
|
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|
|
Injured |
|
|
Passenger |
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||||
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|
Witness |
|
|
Prop. Owner |
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||||
(58) |
Address |
|
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|
City |
|
|
State |
Zip |
|
Telephone |
|
(Use Area |
|
Code) |
|
|
|
|
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|
|||||||||||||||||||
|
Same as Driver |
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|||||||
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|
(59) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||
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|
(60) |
Unit |
|
|
|
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|
|
|
Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
|
|
|
|
|
Date of Birth (mm/dd/yyyy) |
|
|
|
|
|
Sex |
||||||||||||||||||||||||||||||
|
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|
Injured |
|
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Passenger |
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||||
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|
Witness |
|
|
Prop. Owner |
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||||
(61) |
Address |
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|
City |
|
|
State |
Zip |
|
Telephone |
|
(Use Area |
|
Code) |
|
|
|
|
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|
|||||||||||||||||||
|
Same as Driver |
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|||||||
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|
(62) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||
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|
(63) |
Unit |
|
|
|
|
|
|
|
Pos in Veh. |
|
Last Name |
First |
Middle Initial |
|
|
|
|
|
|
Date of Birth (mm/dd/yyyy) |
|
|
|
|
|
Sex |
||||||||||||||||||||||||||||||
|
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|
Injured |
|
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Passenger |
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||||
|
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|
Witness |
|
|
Prop. Owner |
|
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||||
(64) |
Address |
|
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|
City |
|
|
State |
Zip |
|
Telephone |
|
(Use Area |
|
Code) |
|
|
|
|
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|
|||||||||||||||||||
|
Same as Driver |
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|||||||
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|
(65) |
Injury Severity / Type |
|
OP Use |
|
Air Bag Ejected Extricated Transported by |
|
|
To |
Medical |
|
Facility |
|
|
|
|
Property Type |
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||
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(66) |
Unit |
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OP Use |
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238
OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT
DIAGRAM SUPPLEMENTAL
Case Number
Pg of
Indicate North
by Arrow
239
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OFFICIAL OKLAHOMA TRAFFIC COLLISION REPORT |
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240
FAQ
What is the Oklahoma Traffic Collision Report form used for?
The Oklahoma Traffic Collision Report form is used to document details of traffic accidents that occur in the state. It captures essential information such as the date, time, and location of the collision, as well as the vehicles and individuals involved. This report helps law enforcement agencies analyze traffic incidents and provides necessary documentation for insurance claims and legal proceedings.
How can I obtain a copy of the Oklahoma Traffic Collision Report?
To obtain a copy of the Oklahoma Traffic Collision Report, you can contact the law enforcement agency that responded to the accident. They will guide you through the process of requesting a report. Typically, you may need to provide details such as the date of the accident and the case number, if available. There may be a small fee associated with obtaining a copy.
What information is required on the report?
The report requires a variety of information, including the names and contact details of the drivers and passengers involved, vehicle information (like make, model, and license plate numbers), and details about injuries and damages. It also includes information about the accident location, weather conditions, and any citations issued. Accurate and complete information is crucial for the report's validity.
What should I do if I disagree with the report?
If you disagree with the information in the Oklahoma Traffic Collision Report, you should contact the law enforcement agency that prepared the report. You can request a review of the report and provide any evidence or statements that support your position. It’s important to address discrepancies promptly, as they can affect insurance claims and any legal matters related to the accident.
Documents used along the form
When involved in a traffic collision in Oklahoma, several forms and documents may be necessary in addition to the Oklahoma Traffic Collision Report. These documents help clarify the details of the incident, facilitate insurance claims, and ensure compliance with state laws. Below is a list of commonly used forms and documents that may accompany the collision report.
- Driver's Exchange of Information Form: This form is used by drivers involved in a collision to exchange essential information, such as names, contact details, and insurance information. It helps ensure that all parties have the necessary data for follow-up.
- Power of Attorney Form: For situations requiring legal authority, our customizable Power of Attorney document template allows you to designate someone to make decisions on your behalf efficiently.
- Insurance Claim Form: After a collision, this form is often submitted to an insurance company to initiate a claim. It includes details about the incident, damages, and injuries sustained.
- Witness Statements: These documents collect accounts from witnesses who observed the collision. They can provide valuable insights and corroborate the events leading up to the accident.
- Medical Reports: If injuries occurred, medical reports from healthcare providers may be necessary. These documents detail the nature and extent of injuries, which can be crucial for insurance claims and legal proceedings.
- Police Report: Apart from the collision report, a police report may be generated by law enforcement. This document contains an official account of the incident, including any citations issued and the officer's observations.
- Vehicle Repair Estimates: After a collision, obtaining repair estimates is important for insurance claims. These documents outline the costs associated with fixing vehicle damages.
- Traffic Citations: If any driver received a citation during the incident, this document would detail the violation and potential penalties. It can impact insurance claims and liability determinations.
- Accident Scene Photographs: Photos taken at the scene can serve as visual evidence of the accident. They may include images of vehicle damages, road conditions, and any relevant signage.
- Release of Liability Form: This form may be used if parties agree to settle matters privately. It releases one party from further claims related to the incident, often in exchange for compensation.
- Settlement Agreement: If the parties reach a settlement regarding damages or injuries, this document outlines the terms of the agreement, including compensation and any waivers of future claims.
Gathering and maintaining these documents can significantly impact the outcome of any claims or legal actions following a traffic collision. It is crucial to act promptly and ensure that all necessary paperwork is completed accurately to protect your interests.
Guide to Using Oklahoma Traffic Collision Report
Completing the Oklahoma Traffic Collision Report form is essential for documenting the details of a traffic incident. Properly filling out this form ensures that all relevant information is captured, which can be critical for insurance claims, legal proceedings, or statistical analysis. Here are the steps to follow when filling out the form:
- Section 1: Incident Information - Indicate whether the investigation was completed and provide the reporting agency case number.
- Section 2: Collision Details - Enter the date and time of the collision, along with the county and nearest city or town.
- Section 3: Location - Describe the exact location of the incident, including street names and distances from intersections.
- Section 4: Vehicles Involved - Record details about each vehicle involved, including the make, model, year, color, VIN, and license plate number.
- Section 5: Driver Information - Fill in the driver’s name, address, date of birth, and driver's license number for each vehicle.
- Section 6: Occupants - List all occupants of the vehicles, including their names, ages, and any injuries sustained.
- Section 7: Injury Severity - Indicate the severity of injuries for each occupant and whether they were transported to a medical facility.
- Section 8: Insurance Information - Provide the insurance company name and policy number for each vehicle involved.
- Section 9: Witness Information - If there are any witnesses, include their names, addresses, and contact information.
- Section 10: Officer Information - Document the investigating officer’s name, badge number, and the date of the report.
- Section 11: Additional Details - Complete any additional sections that apply, such as citations issued or special conditions at the time of the collision.
Once the form is filled out, it should be submitted to the appropriate authorities. Ensure that all information is accurate and complete to avoid delays or complications in processing the report.