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Free Oregon Dmv Accident Report PDF Template

The Oregon DMV Accident Report form is a crucial document for drivers involved in crashes under certain conditions, such as when damages exceed $2500, there's an injury, death, or a vehicle is towed due to damage. Oregon law mandates that this report be filed within 72 hours of the incident to avoid potential suspension of driving privileges. This step is necessary even if a police report has been filed, emphasizing its importance in the post-accident procedure.

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Free Oregon Dmv Accident Report PDF Template

Outline

Navigating the aftermath of a traffic accident in Oregon requires drivers to take specific steps, including completing the Oregon Traffic Crash and Insurance Report if certain conditions apply. This report is a crucial document for drivers involved in accidents resulting in property damage over $2500, injury, death, or when a vehicle is towed due to damage. Oregon law mandates the submission of this report within 72 hours of the accident, emphasizing its importance in the process of dealing with the consequences of traffic incidents. The form serves multiple purposes, including notifying the DMV about the crash details, which can affect driving records, and ensuring compliance with state laws to avoid potential suspension of driving privileges. Additionally, the form collects information about the vehicles, drivers, and insurance, which is vital for verifying insurance coverage and addressing any claims or legal matters that may arise. For accidents involving commercial vehicles or requiring more detailed documentation, supplemental forms and reports are also required, demonstrating the thorough process Oregon has established for handling traffic accidents comprehensively. With strict requirements for filing and penalties for non-compliance, understanding and completing the Oregon Traffic Crash and Insurance Report accurately is essential for any driver involved in a traffic accident within the state.

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OREGON TRAFFIC CRASH AND INSURANCE REPORT

Tear this sheet off your report, read and carefully follow the directions.

ONLY drivers involved in a crash resulting in any of the following MUST file a Crash & Insurance Report:
•	Damage to your vehicle is over $2500	•	Damage to any one person’s property over $2500
•	Injury (No matter how minor)	•	Any vehicle has damage over $2500 and any vehicle is
•	Death	•	towed from the scene as a result of damages

Oregon law requires these reports be filed within 72 hours of the crash. If you are not able to file within the 72 hours, submit it as soon as possible. If you fail to report the crash to DMV, it may result in suspension of your driving privileges. If the police department files a police report, you are still required to file your own Crash and Insurance Report with DMV. When required to report, even if you are licensed in another state, or you are not an Oregon resident, you still must file a report with Oregon DMV. DMV does not determine fault in a crash, but does post the crash to the driving record of those drivers required to report, unless the vehicle is parked. If you have questions, please call DMV Crash Reporting Unit at (503) 945-5098.

INSTRUCTIONS

PRINT OR TYPE ALL INFORMATION. (Use black or dark blue ink and press firmly.)

• Complete both sides of the form.

• If additional vehicles were involved in the crash, complete the attached Supplemental Report (Form 735-32B), or on a blank piece of paper, write all the information as requested in Section 4, the “Other Driver” Section.

• DMV Headquarters will verify the insurance information submitted. Complete the insurance section or a suspension of your driving privileges may occur.

SECTION 1

DATE, LOCATION AND TIME — Clearly identify the date, location and time of the crash. The correct date, location and time is critical to processing your report. If you are unsure of the county, contact any local law enforcement agency for assistance.

SECTION 2

Your vehicle is Vehicle #1. Complete ALL fields. Provide Insurance company name (not agent), policy number, and Vehicle identification number (VIN). Failure to provide complete insurance and vehicle information may result in DMV issuing Notice of Suspension due to incomplete information.

SECTION 3

Failure to complete this section may result in DMV sending Notice of Suspension for failure to file a report. Principle purpose of driving and being paid to drive does not mean driving to reach a destination to perform a service. Property: Includes, but is not limited to, fixed or real property, landscaping, signs, parked vehicles, and animals.

COMMERCIAL MOTOR VEHICLE OPERATORS: In addition to this report, Oregon Administrative Rule requires that Form

735-9229, Motor Carrier Crash Report, MUST be filed within 30 days of a commercial motor vehicle crash when there is a FATALITY, INJURY (requiring treatment away from the scene), or when a vehicle is TOWED from the scene because of disabling damage. Form 735-9229 (attached on back) MUST be submitted with Oregon Traffic Crash and Insurance Report (Form 735-32) to DMV. Call (503) 986-3507 for questions regarding the Motor Carrier Crash Report.

You may now file the Motor Carrier Crash Report at: www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/

SECTION 4

OTHER VEHICLE (# 2) — Completion of this information will help DMV match all driver's crash reports more efficiently. If additional vehicles were involved in the crash, complete attached Supplemental Report (Form 735-32B).

SECTION 5

DESCRIPTION AND SIGNATURE — Describe what happened. It is important for you to sign and date the form. Only a family member may sign and date this form on behalf of a driver when the driver is incapacitated or physically unable to sign. No other signatures will be accepted.

COMPLETING AND FILING REPORT

HOW TO SUBMIT A REPORT TO DMV:

•Email to OregonDMVAccidents@odot.oregon.gov

•Fax to 503-945-5267

•Mail to DMV Crash Reporting Unit 1905 Lana Ave NE, Salem, Oregon 97314

•Deliver to a DMV office

Keep a copy of the report and documentation that shows when you submitted your report to Oregon DMV. Under ORS 802.220(5), DMV is not authorized to provide you with a copy of the report that you file. If submitting by:

•Email, DMV sends an autoreply that your email was received. Save that autoreply.

•Fax, many fax machines provide the option to generate a fax confirmation report. Save that report.

•DMV Field Office, request and save that receipt.

PURSUANT TO OREGON INSURANCE LAW, AN INSURANCE COMPANY CAN NOT REQUIRE REPAIRS BE MADE TO A MOTOR VEHICLE BY A PARTICULAR PERSON OR REPAIR SHOP.

735-32 (3-23)

STK# 300009

INSTRUCTIONS

TOTALED VEHICLE NOTICE

DEFINITIONS AND INSTRUCTIONS FOR TOTALED VEHICLES

IF YOUR CRASH HAS RESULTED IN A “TOTALED” VEHICLE, YOU ARE REQUIRED BY LAW TO

FOLLOW APPROPRIATE INSTRUCTIONS IN THIS NOTICE.

DEFINITION OF “TOTALED” VEHICLE

“Totaled Vehicle” or “Totaled” as defined in Oregon law (ORS 801.527) means:

•A vehicle that is declared a total loss by an insurer who is obligated to cover the loss or a vehicle that the insurer takes possession of or title to.

•A vehicle that has sustained damage that is not covered by an insurer and the estimated cost to repair the vehicle is equal to at least 80% of the retail market value prior to the damage. “Retail market value” is defined as the amount shown in publications used by financial institutions (banks or lenders) in this state.

•A vehicle that is stolen, if it is not recovered within 30 days of theft and the loss is not covered by an insurer. In this situation, you must notify DMV within 60 days of the theft.

▼ FOLLOW THESE INSTRUCTIONS IF YOUR VEHICLE IS TOTALED ▼

If your vehicle is totaled, in addition to completing the crash report, follow the instruction that is applicable to your case. Either:

1.SURRENDER the title to the insurer if the damage is covered by an insurer who declares the vehicle to be a “total loss,” and the insurer takes possession of the vehicle; or

2.SURRENDER the title to DMV and apply for salvage title if the damage is covered by an insurer who declares the vehicle to be a “total loss,” but you keep possession of the vehicle; or

3.SURRENDER the title to DMV and apply for salvage title if the damage was not covered by an insurer and the estimated cost of repair is at least 80% of the retail market value of the vehicle before the damage; or

4.NOTIFY DMV that your vehicle has been totaled if, for some reason, you are unable to obtain the title for surrender. You must provide DMV with a signed statement which includes:

•A description of the vehicle which includes the year model, make, plate number and vehicle identification number.

•A statement indicating the vehicle has been totaled.

•A statement that you are unable to obtain the title and why.

DO NOT SUBMIT THE TITLE WITH THE CRASH REPORT. You can obtain the Application for Salvage Title (Form 735-229) from any DMV office, by calling (503) 945-5000, or on-line at www.oregondmv.com. Application instructions and fee information are on the back of the form 735-229. If you have questions about salvage titles, call (503) 945-5122.

NOTE: It is a Class A misdemeanor with a penalty of imprisonment and/or fine if you fail to comply with the above requirements. (ORS 819.012)

OREGON TRAFFIC CRASH AND INSURANCE REPORT

COMPLETE BOTH SIDES

Print Form

Reset Form

Complete this form if the traffic crash occurred on a highway or premise open to the public and meets at least one of the reporting requirements outlined in Section 3. Failure to report when required may result in DMV issuing Notice of Suspension. Call 503-945-5098 for assistance in completing the report.

SECTION 1

CRASH DATE

DAY OF WEEK TIME OF DAY

COUNTY

DMV USE ONLY

M T W TH F

CRASH REF # _________________________________ ALIR

INS CO

S SN

ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )

MILE POST

TYPE OF CRASH - The crash involved one or more of the following:

(Mark all that apply)

Two vehicles

ATV / Snowmobile

Parked vehicle

NAME OF NEAREST INTERSECTING ROAD

WITHIN

FEET

More than two vehicles

Motorcycle

Overturned vehicle

Motor Home / RV

NEAR

MILES

Fatality

Animal

Motorized Scooter

NAME OF NEAREST CITY / TOWN

WITHIN

FEET

Bicycle

Personal (assisted)

Fixed object / property

NEAR

MILES

Pedestrian

mobility device

Other ____________________

Train

SECTION 2 (YOUR INFORMATION)

Complete ALL fields. Failure to provide complete information may result in DMV issuing Notice of Suspension.

DRIVER’S LAST NAME

FIRST NAME

MIDDLE NAME

DRIVER’S LICENSE NUMBER

STATE DATE OF BIRTH

GENDER

			M	F	X
DRIVER’S RESIDENCE ADDRESS	CITY	STATE	ZIP CODE	CHECK BOX
				IF ADDRESS
MAILING ADDRESS (IF DIFFERENT THAN RESIDENCE)	CITY	STATE	ZIP CODE	CHANGE

VEHICLE OWNER’S NAME AND ADDRESS		CITY	STATE	ZIP CODE
SAME
RENTAL?
INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS		CITY	STATE	ZIP CODE
POLICY NUMBER	VEHICLE IDENTIFICATION NUMBER		STATE VEHICLE PLATE NUMBER	YEAR MAKE & MODEL

Check all statements that apply:

SECTION 3

Damage to your vehicle was more than $2500.

Damage to any one person’s property (other than vehicle) was more than $2500.

Your vehicle was towed from the scene as a result of damages.

You or passengers in your vehicle were injured.

Collision with a parked vehicle.

The crash occurred while you were driving your employer’s vehicle.

You were driving on your job and being paid for the principal purpose of driving.

You were being paid to drive and/or deliver persons or property.

You were operating a government owned vehicle marked for transporting mail in accordance with government rules. You were operating an authorized emergency vehicle.

The crash occurred in a work or maintenance zone. ORS 811.230
A police officer came to the scene.	City	County	State Police
Name of police department: __________________________

You were operating a commercial motor vehicle requiring you to have a commercial driver license. You were transporting hazardous material.

A citation was issued to you. The citation was: ________________________________________________________

SECTION 4 (OTHER VEHICLE # 2)

DRIVER’S NAME (LAST, FIRST, MIDDLE)	DRIVER’S LICENSE NUMBER	STATE	DATE OF BIRTH		GENDER
					M F X

DRIVER’S ADDRESS	CITY		STATE	ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS	CITY		STATE	ZIP CODE

SAME

INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS
POLICY NUMBER	VEHICLE IDENTIFICATION NUMBER	STATE VEHICLE PLATE NUMBER YEAR MAKE & MODEL

IF ADDITIONAL VEHICLES WERE INVOLVED IN THE CRASH, USE ATTACHED SUPPLEMENTAL REPORT (Form 735-32B).

DESCRIBE WHAT HAPPENED: (IF MORE SPACE IS NEEDED, SUBMIT ADDITIONAL PAGE)

5
SECTION	I certify all information given on this report is true and accurate to the best of my knowledge.

	SIGNATURE OF PERSON MAKING REPORT	PRINTED NAME OF PERSON MAKING REPORT
	X	REASON DRIVER IS UNABLE TO SIGN REPORT
	IF NOT DRIVER’S SIGNATURE, STATE RELATIONSHIP	REASON DRIVER IS UNABLE TO SIGN REPORT

735-32 (3-23) COMPLETE THE OTHER SIDE OF THIS PAGE

DMV COPY

DAYTIME PHONE #				DATE SIGNED
DAYTIME PHONE #				DATE SIGNED
(	)
		PHONE NUMBER OF DRIVER
		(	)

					STK# 300009

WEATHER CONDITIONS

YOU INTENDED TO...

YOUR VEHICLE

YOUR RESIDENCE

Go straight ahead

Passenger car, pickup, van

Clear

Local resident

Make right turn

Military vehicle

Raining

(within 25 miles of crash site)

Make left turn

Taxicab

Snowing

Residing elsewhere in state

Make “U” turn

Emergency vehicle

Fog

Non–resident of this state:

Back–Up

Any of the above and trailer

Other

College student

Enter driveway (also

Private or public agency

ROAD SURFACE

Military

mark left or right turn)

transit vehicle

Dry

Temporary job

Remain stopped in traffic

Bus

Wet

YOU WERE HEADED

Enter parked position

School bus

Snowy

North

East

Slow or Stop

Other publicly-owned veh.

Icy

South

West

Leave driveway (also

Motorcycle

Other

On: ____________________

mark left or right turn)

Motor Home / RV

LIGHT CONDITIONS

Start in traffic lane

Motor–scooter/bike

Daylight

(name of street, road or route)

OTHER DRIVER WAS HEADED

Leave parked position

Personal (assisted) mobility device

Dawn or dusk

North

East

Truck tractor & semi trailer

Remain parked

Darkness (lighted)

South

West

Overtake and pass

Truck/truck tractor

Darkness (unlighted)

Other truck combination

Other

On: ____________________

Farm tractor/farm equip.

(name of street, road or route)

WITNESS INFORMATION:

If this crash involved a pedestrian or

bicyclist, complete the following:

PEDESTRIAN NAME

BICYCLIST NAME

Pedestrian or bicyclist was going:

OCCUPANT INJURY AND SAFETY EQUIPMENT INFORMATION

SAFETY EQUIPMENT CODES

INJURY CODE FOR OCCUPANTS

ALONG OR ACROSS: (name of street, road or route)

WRITE one of the codes (0–10) in column C

WRITE one of the codes (1–5) in column D

0 No seat belt available

Fatal

From:

1 Seat belt available but NOT used

Suspected Serious: severe laceration, broken

2 Seat belt available and in use

or distorted limb, crush injury, significant burns,

3 Child restraint device available but NOT used

unconsciousness, paralysis

To:

4 Child restraint device in use

3 Suspected Minor: lump, abrasions, bruises,

5 Child restraint device not available

minor lacerations

EXAMPLE: (From: NE corner To: SE corner (or) From: East side To: West side, etc.)

6 Helmet NOT in use

4 Possible

Helmet in use

5 No apparent

Gender and age of pedestrian / bicyclist:

Air bag deployed

Age: _____

Air bag available - NOT deployed

Air bag NOT available

GENDER CODE

Extent of pedestrian / bicyclist injury:

WRITE M, F or X in column A

Fatal

Complaint of Pain

SEAT

OCCUPANTS' NAMES

(your vehicle)

Suspected Serious

No apparent injury

POSITION

GENDER

AGE

SFTY

AIR

INJURY

EQP

BAG

Visible injury

(or none noted)

DRIVER

Pedestrian / bicyclist action: (mark one)

FRONT

CENTER

Crossing at intersection or crosswalk

FRONT

Crossing not at intersection or crosswalk

RIGHT

MIDDLE

Walking / riding in roadway with traffic

LEFT

Walking / riding in roadway against traffic

MIDDLE

CENTER

Standing in roadway

MIDDLE

Pushing or working on vehicles in roadway

RIGHT

Other working in road

REAR

LEFT

Playing in road

REAR

Hitchhiking

CENTER

REAR

Not in roadway

RIGHT

Other________________________________

*Use only for vehicles with middle row of seats (i.e., vans, SUVs, etc.)

(specify)

Vehicle Damage

Diagram

Number each vehicle:

street,

route)

FRONT

Show path by:

(nameof roador

Show pedestrian/bicyclist by:

Show railroad tracks by:

USE ARROW TO SHOW

Vehicle towed

Show fixed object by:

FIRST IMPACT (SHADE

Rollover

IN DAMAGED AREA)

Under car

Totaled

Unknown

Your Vehicle (No. 1) damage: $ __________ .

(name of street,

road or route)

SUPPLEMENTAL REPORT

OREGON TRAFFIC CRASH

Supplemental for more than two drivers involved in the crash.

Attach this form to your OREGON TRAFFIC CRASH AND INSURANCE REPORT.

CRASH DATE

DAY OF WEEK

TIME OF DAY

COUNTY

M T W TH F

DO NOT WRITE

S SN

IN THIS SPACE

ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )

MILE POST

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

DRIVER’S ADDRESS

CITY

STATE

ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS

CITY

STATE

ZIP CODE

SAME

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

DRIVER’S ADDRESS

CITY

STATE

ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS

CITY

STATE

ZIP CODE

SAME

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

DRIVER’S ADDRESS

CITY

STATE

ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS

CITY

STATE

ZIP CODE

SAME

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

DRIVER’S ADDRESS

CITY

STATE

ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS

CITY

STATE

ZIP CODE

SAME

VEHICLE

INSURANCE COMPANY NAME (NOT AGENCY)

POLICY NUMBER

VEHICLE IDENTIFICATION NUMBER

VEHICLE PLATE NUMBER

STATE

YEAR

MAKE & MODEL

OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)

DRIVER’S LICENSE NUMBER

STATE

DATE OF BIRTH

GENDER

DRIVER’S ADDRESS

CITY

STATE

ZIP CODE

VEHICLE OWNER’S NAME AND ADDRESS

CITY

STATE

ZIP CODE

SAME

735-32B (3-23)

SUPPLEMENTAL REPORT – USE IF MORE THAN TWO VEHICLES

CRASH ANALYSIS & REPORTING UNIT OREGON DEPARTMENT OF TRANSPORTATION POLICY, DATA & ANALYSIS DIVISION

555 13th ST NE STE 2 SALEM OR 97301 TELEPHONE 503-986-3507 FAX 503-986-3592

MOTOR CARRIER CRASH REPORT

(For CMV Drivers Only)

INSTRUCTIONS: IF YOU CHECKED A BOX UNDER THE QUALIFYING VEHICLE COLUMN AND A BOX UNDER THE CRITERIA COLUMN, COMPLETE THE MOTOR CARRIER CRASH REPORT AND SUBMIT TO THE ADDRESS SHOWN ABOVE. IF YOU HAVE ANY QUESTIONS REGARDING FILLING

OUT THE MOTOR CARRIER CRASH REPORT, PLEASE CALL (503) 986-3507. www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/

QUALIFYING VEHICLE

CRITERIA

COMMERCIAL TRUCK (GVWR OVER 10,000 LBS OR ACTUAL WT

ANY PERSON SUSTAINING A FATALITY (WITHIN 30 DAYS OF THE

AT TIME OF CRASH EVEN IF GVWR IS SET UNDER 10,000 LBS )

CRASH)

HAZARDOUS MATERIAL PLACARD

ANY PERSON SUSTAINING INJURIES REQUIRING TREATMENT AWAY

COMMERCIAL BUS (DESIGNED FOR 8 OR MORE PASSENGERS)

FROM THE SCENE

FARM TRUCK INTERSTATE (OVER 10,000 LBS.)

ANY VEHICLE INCURRING DISABLING DAMAGE REQUIRING

FARM TRUCK FOR-HIRE (4 OR MORE AXLES)

REMOVAL FROM THE SCENE BY A TOW TRUCK OR ANOTHER

FARM TRUCK TOWING TRIPLE TRAILERS

MOTOR VEHICLE

FARM TRUCK (OVER 80,000 LBS.)

MOTOR CARRIER NAME

US DOT NUMBER

AUTHORITY/FILE NUMBER

ADDRESS

CITY

STATE

ZIP CODE

DRIVER INFORMATION

DRIVER NAME (LAST, FIRST, MIDDLE)

DATE OF BIRTH

LENGTH OF EMPLOYMENT

MONTHS

YEARS

CDL / DL NUMBER

STATE

LICENSE CLASS

EXPIRATION DATE OF MEDICAL CERTIFICATE

COMPLETE THE FOLLOWING TWO QUESTIONS AS IF DOING A RECAP OF HOURS IN TIME DOCUMENTS AT TIME OF THE CRASH.

AT TIME OF THE CRASH, TOTAL HOURS

TOTAL HOURS ON DUTY DURING THE PREVIOUS

7 CONSECUTIVE DAYS ____________

DRIVING SINCE LAST OFF-DUTY PERIOD.

(FILL OUT ONE ONLY, BASED ON TIME DOCUMENTS)

8 CONSECUTIVE DAYS ____________

DOES YOUR DRIVER HAVE A MEDICAL WAIVER

TYPE OF WAIVER (SIGHT, DIABETES, AMPUTEE, ETC.)

YES

DRIVER INJURY INFORMATION

YOUR DRIVER KILLED

YOUR DRIVER INJURED

RELIEF DRIVER KILLED

RELIEF DRIVER INJURED

TOTAL NUMBER OF PASSENGERS

YES

_____KILLED

_____ INJURED

OTHER DRIVER INJURY INFORMATION

TOTAL NUMBER OF OTHER DRIVERS

_____KILLED

_____ INJURED

TOTAL NUMBER OF OTHER PASSENGERS		TOTAL NUMBER OF PEDESTRIANS		TOTAL NUMBER OF BICYCLISTS
_____KILLED	_____ INJURED	_____KILLED	_____ INJURED	_____KILLED	_____ INJURED

OTHER MOTOR CARRIER INFORMATION (IF 2 OR MORE MOTOR CARRIERS WERE INVOLVED)

MOTOR CARRIER NAME

VEHICLE LICENSE # AND STATE

DRIVER'S NAME

DRIVER'S LICENSE # AND STATE

MOTOR CARRIER VEHICLE INFORMATION

YEAR

MAKE

UNIT NUMBER

LICENSE PLATE # & STATE - TRUCK/TRACTOR/BUS	TOTAL NO. OF AXLES
	INCLUDING TRAILERS

	TRACTOR TYPE (SELECT APPROPRIATE TYPE)
1				5	Standard		9	Heavy Haul
			Triples (tractor with 3 trailers


				6	Tractor/Semi Trailer			Bus/Van (8 or more
					Tractor/Semi Trailer
2			Triples (truck with 2 trailers)		Straight Truck	10


3				7		11		passenger capacity)
								passenger capacity)
			Straight truck-full trailer					Auto/Pickup



4			Doubles (any)	8	Saddlemount
4				8




	735-9229 (3-23)	COMPLETE REVERSE SIDE

SUPPLEMENTAL – MOTOR CARRIER CRASH REPORT

TRAILER TYPE (CHECK ONE)

VAN

FLATBED

TANKER

CONTAINER

POLE/LOG

DUMP

BELLY-DUMP

CAR CARRIER

LIVESTOCK

MOBILE HOME TOTER

PASSENGER

DROP-BOX

GARBAGE

BULK-HOPPER

MIXER

SADDLEMOUNT

WRECKER

FIXED LOAD

HEAVY HAUL

UTILITY

COMMODITY INFORMATION

COMMODITY BEING TRANSPORTED AT TIME OF CRASH

WAS A HAZARDOUS COMMODITY BEING HAULED

YES NO

WAS HAZARDOUS MATERIAL RELEASED FROM THE VEHICLE CARGO(NOT A FUEL RELEASE)

YES NO

HAZARD CLASS

CRASH INFORMATION

LOCATION OF CRASH (NEAREST CITY OR TOWN)

HIGHWAY AND MILEPOINT/STREET/COUNTY ROAD

DIRECTION OF YOUR VEHICLE (CHECK)

DATE OF CRASH

TIME

DAY OF THE WEEK (CHECK ONE)

MON

TUES WED THU

FRI

SAT

SUN

CONDITIONS AT TIME OF CRASH

WEATHER (CHECK ONE)

1. CLEAR

2. RAIN

3. SNOW

4. CLOUDY

5. SLEET

6. FOG

7. OTHER

ROAD SURFACE (CHECK ONE)

1. DRY

2. WET

3. SNOWY

4. ICY

5. OTHER

LIGHT CONDITION (CHECK ONE)

1. DAY

2. DAWN

3. DUSK

4. ARTIFICIAL LIGHTS

5. DARK

6. OTHER

DESCRIBE WHAT HAPPENED BY CHECKING ALL BOXES THAT APPLY. YOUR VEHICLE IS ALWAYS NO.1. IF OTHER VEHICLES WERE INVOLVED, COMPLETE COLUMNS 2 & 3 TO CORRESPOND TO THE ACTIONS OF THE SAME NUMBERED VEHICLES LISTED ABOVE UNDER "OTHER DRIVER INFORMATION".

VEHICLES 1 2 3

ACTION

SLOWING - STOPPING

STOPPED

REAR-END

BACKING

MAKING RIGHT TURN

MAKING LEFT TURN

MAKING U TURN

PROCEEDING STRAIGHT

INTERSECTION

ENTERING TRAFFIC (FROM SHOULDER, MEDIAN, PARKING STRIP OR PRIVATE DRIVE)

VEHICLES 1 2 3

ACTION

PASSING

CHANGING LANES

SIDESWIPE

HEAD-ON

SKIDDING

VEHICLE OUT OF CONTROL

ROLL-AWAY

CONTROLLED RR CROSSING

UNCONTROLLED RR CROSSING

RAN OFF ROAD

VEHICLES 1 2 3

ACTION

JACKKNIFE

OVERTURN

SEPARATION OF UNITS

FIRE

EXPLOSION

CARGO SHIFT

CARGO SPILL (HAZARDOUS)

CARGO SPILL (NON-HAZARDOUS)

OTHER (DEER, GUARDRAIL, ETC)

DID YOUR VEHICLE STRIKE A PARKED VEHICLE

YES NO

WAS YOUR PARKED VEHICLE STRUCK BY ANOTHER VEHICLE

YES NO

DESCRIPTION OF CRASH (BY CARRIER OR DRIVER)

NAME AND TITLE OF PERSON SIGNING REPORT	TELEPHONE NUMBER(S)

SIGNATURE I CERTIFY THE INFORMATION PROVIDED IS TRUE AND ACCURATE	DATE
X

Get PDF Form

Document Attributes

Fact	Detail
Filing Requirement	Drivers must file this report if damage to any vehicle is over $2500, there's injury regardless of severity, death, or any one person's property is damaged over $2500.
Time Frame for Filing	The report must be filed within 72 hours of the crash. If not possible, it should be submitted as soon as possible thereafter.
Consequence of Non-Compliance	Failing to report can result in the suspension of driving privileges.
Police Report	Even if a police report is filed, drivers are still required to file their Crash and Insurance Report with the DMV.
Applicability to Out-of-State Drivers	Non-residents and drivers licensed in other states must still file a report with Oregon DMV if involved in a crash within Oregon.
DMV's Role	The DMV does not determine fault but posts the crash to the driving record of drivers required to report.
Insurance Verification	DMV Headquarters will verify the insurance information submitted. Failure to complete the insurance section might lead to suspension of driving privileges.
Definition of "Totaled" Vehicle	A "totaled" vehicle is defined by Oregon law (ORS 801.527) as a vehicle declared a total loss by an insurer, or one that's stolen and not recovered within 30 days.
Commercial Motor Vehicle Operators	Operators must file an additional Motor Carrier Crash Report (Form 735-9229) within 30 days of a commercial vehicle crash in specific scenarios.
Filing Methods	Reports can be submitted via email, fax, mail, or delivered to a DMV office.
Governing Law	These requirements are mandated under Oregon Revised Statutes (ORS), including ORS 802.220 for reporting obligations.

How to Fill Out Oregon Dmv Accident Report

Filling out an Oregon DMV Accident Report form is a crucial step for drivers involved in a crash that meets certain criteria, such as property damage exceeding $2500, any injury, death, or if a vehicle is towed due to damage. It's not only about documenting the incident but also about fulfilling a legal requirement to avoid potential suspension of driving privileges. Oregon law mandates this report be filed within 72 hours of the accident. However, submitting it as soon as possible is advised if the 72-hour window is missed. Note that police reports do not negate the need for this DMV report, even for non-Oregon residents or those licensed in another state.

Start by ensuring you have a clear understanding of the accident details, including exact location, time, date, and involved parties.
Use black or dark blue ink to PRINT OR TYPE ALL INFORMATION on the form, pressing firmly to ensure legibility.
In SECTION 1, accurately fill in the details regarding the crash date, day of the week, time of day, and location. This section requires precise details to process your report effectively.
Proceed to SECTION 2, where you'll document your vehicle information as Vehicle #1. Fill out all required fields, including insurance company name, policy number, and your vehicle identification number (VIN). Remember, full insurance and vehicle information is crucial to avoid suspension notices from the DMV.
In SECTION 3, describe the principal purpose of driving at the accident time and check the appropriate boxes that apply to your situation. This section helps classify the nature and cause of the accident.
If there were more vehicles involved, use the SECTION 4 to provide details about the other vehicle(s). For more than two vehicles, attach a Supplemental Report (Form 735-32B) or write the information on a separate piece of paper as directed.
In SECTION 5, provide a descriptive narrative of the accident occurrence. Sign and date the form to authenticate the information provided. If the driver is incapacitated, a family member may sign on their behalf.
Review the entire form for accuracy and completeness. Any missing or incomplete information can result in processing delays or a suspension notice.
Choose a submission method: email, fax, mail, or in-person delivery to a DMV office. Keep copies of the report and any acknowledgment of submission receipt (email auto-reply, fax confirmation, or DMV receipt) for your records.

After submitting the Oregon DMV Accident Report, it's important to maintain a copy of the report and any proof of submission. This documentation can be useful for insurance claims or further inquiries. Remember, the DMV uses this report for record purposes and does not determine fault. For questions or assistance with completing the report, contacting the DMV Crash Reporting Unit is recommended.

More About Oregon Dmv Accident Report

Who needs to file an Oregon Traffic Crash and Insurance Report?

Drivers must file this report if their accident involves any of the following: damage to their vehicle exceeding $2500, damage to any one person's property over $2500, any injury regardless of severity, if any vehicle has damage over $2500 and is towed from the scene, or in cases of death.

What is the deadline for filing the Oregon Traffic Crash and Insurance Report?

Oregon law mandates filing the report within 72 hours of the crash. Should it be impossible to file within this timeframe, it should be submitted as soon as possible thereafter.

What could happen if I don't report the crash to DMV?

Failing to report a qualifying crash might lead to the suspension of driving privileges.

If a police report is filed, do I still need to file this report with DMV?

Yes, even if a police report is filed, you are required to file your own Crash and Insurance Report with the Oregon DMV.

Does the DMV determine fault in a crash based on the Crash and Insurance Report?

No, the DMV does not determine fault in a crash. However, the crash will be posted to the driving records of those required to report, unless the vehicle was parked.

How can I submit my Crash and Insurance Report to the Oregon DMV?

Reports can be submitted via email to OregonDMVAccidents@odot.oregon.gov, by fax to 503-945-5267, by mail to DMV Crash Reporting Unit 1905 Lana Ave NE, Salem, OR 97314, or delivered to any DMV office.

What should I do if my vehicle is declared "totaled" as a result of the crash?

If your vehicle is totaled, you must comply with specific instructions based on your situation. This might include surrendering the title to the insurer, surrendering the title to DMV and applying for a salvage title, or notifying DMV with a signed statement if unable to obtain the title.

What if I need to add information about additional vehicles involved in the crash?

Complete the attached Supplemental Report (Form 735-32B) for each additional vehicle involved. Include all the information as requested in Section 4, the "Other Driver" section, on a separate piece of paper if more space is needed.

What is the penalty for not complying with the instructions for totaled vehicles?

Failure to follow the instructions for a totaled vehicle is a Class A misdemeanor, which may result in imprisonment and/or a fine.

Common mistakes

When it comes to completing the Oregon DMV Accident Report form, it's essential to avoid common errors that can lead to unforeseen complications. Here is an informative guide to help steer clear of such pitfalls:

Not reporting within 72 hours: Oregon law mandates filing this report within 72 hours post-collision if it meets certain criteria. Delays can result in a suspension of driving privileges, which emphasizes the urgency of timely submission.
Incomplete or inaccurate insurance information: Failing to provide complete and correct insurance details can lead to a suspension notice from the DMV. It's crucial to double-check the insurance company name, policy number, and vehicle identification number (VIN) for accuracy.
Omitting information on other vehicles if applicable: If more than one vehicle was involved, the form provides space for detailing information about the additional vehicle(s). Skipping or incorrectly completing this section can hinder the DMV’s ability to efficiently process your report.
Vague description of the crash: The form includes a section for describing the crash circumstances. Providing a clear, detailed account helps in the accurate recording of events and can be crucial for insurance purposes and legal considerations.
Incorrect date, time, or location: Precise information on the date, time, and location of the crash is critical. Mistakes here can complicate record-keeping and potentially affect the outcome of insurance claims or other related processes.
Not retaining proof of submission: Upon submitting your report, whether via email, fax, or in person, it's essential to keep a copy of the report and any confirmation of submission receipt. This serves as evidence of compliance with the law, protecting against possible disputes or misunderstandings.

Remember: Adhering to these guidelines not only fulfills legal obligations but also supports a smoother post-accident resolution process. Whether it's dealing with insurance claims or managing the aftermath of an accident, attention to detail and prompt action are key.

Documents used along the form

When involved in a vehicular accident in Oregon, the requirement to fill out and submit an Oregon DMV Accident Report is just the beginning of the documentation process. Often, this incident may necessitate additional forms and documents, which are crucial for a comprehensive legal and insurance filing. Here is a list of other forms and documents often used in conjunction with the Oregon DMV Accident Report form:

Police Report: A document filed by the responding officer at the scene of the accident, detailing their observations, statements from witnesses, and other relevant information.
Medical Records: Documentation of any medical treatment received as a result of injuries sustained in the accident. This may include ambulance service records, hospital records, and records from follow-up visits with healthcare providers.
Auto Insurance Policy: The current insurance policy covering the vehicle involved in the crash. This document is necessary for insurance claims.
Proof of Insurance at Time of Accident: Evidence, often required by law, to be carried in vehicles to prove that the vehicle is insured.
Witness Statements: Written accounts from individuals who witnessed the accident. These can provide additional perspectives on how the accident occurred.
Photographs of the Accident Scene: Pictures taken at the scene can document the positions of vehicles, damage incurred, and environmental conditions that may have contributed to the accident.
Repair Estimates: Documentation from auto repair shops estimating the cost of repairing damage to the vehicle(s) involved in the accident.
Vehicle Appraisal Report: A professional assessment of the vehicle's value before and after the accident, often required to determine if a vehicle is a total loss.
Supplemental Report (Form 735-32B): Required if more than two vehicles are involved in the accident, providing additional space to detail the involvement of each vehicle.
Motor Carrier Crash Report (Form 735-9229): For accidents involving commercial motor vehicles, this report must be filed in addition to the DMV crash report.

Accumulating all relevant documents and forms can be a significant undertaking but is essential for legal and insurance processes following an accident. It ensures all aspects of the incident are duly recorded and can be referenced for any necessary claims or legal action. Keeping thorough records can greatly aid individuals in navigating the aftermath of a vehicular accident.

Similar forms

The Oregon DMV Accident Report form is a crucial document for drivers involved in accidents within the state. It shares similarities with other types of documentation used in incidents, legal matters, or processes requiring detailed reporting or claims. Below is a list outlining five documents with similar functions or requirements, shedding light on how they associate with the Oregon DMV Accident Report form.

Police Incident Report: Like the DMV Accident Report, a Police Incident Report is filled out in the aftermath of an incident, detailing the events as they occurred, parties involved, and any initial findings. Both serve as official records of the event and are used for further investigation, insurance claims, and legal proceedings.
Insurance Claim Form: This document is used to request compensation or coverage from an insurance company after an incident. Similarly, the DMV Accident Report often provides necessary details that the insurance claim form requires, such as date, time, parties involved, and extent of damages or injuries.
Property Damage Report: In scenarios where property is damaged, this report form is completed to document the extent of damage, similar to how vehicle damage is detailed in the DMV Accident Report. Both forms help in assessing the value of the damages for repair, compensation, or for legal evidence.
Personal Injury Claim Form: Used when filing for compensations due to injuries sustained in an incident. The information from the DMV Accident Report, such as details of injuries and involved parties, is crucial for substantiating injury claims and determining the compensation amount.
Motor Carrier Crash Report: Required for commercial vehicle incidents involving fatalities, injuries, or significant vehicle damage. Similar to the DMV Accident Report, it collects detailed information about the crash for compliance with regulatory reporting, insurance, and liability assessments.

Understanding these documents highlights the importance of accurate and comprehensive reporting following an incident. The documentation not only serves legal and regulatory purposes but also aids in the smooth processing of insurance claims and dispute resolutions.

Dos and Don'ts

Filing the Oregon DMV Accident Report form correctly and promptly is crucial to ensuring that the aftermath of a traffic crash is handled appropriately. Here are essential dos and don'ts to guide you through the process:

Do ensure all information is complete and accurate. Missing or incorrect details can lead to delays or complications in processing your report.
Do report within 72 hours if your crash involves injury, death, vehicle damage over $2500, or any vehicle is towed due to the crash. Timely filing is legally required and helps in the swift handling of your case.
Do use black or dark blue ink and press firmly to ensure the information is legible, facilitating a smoother processing of your report.
Do include all necessary information about additional vehicles involved by completing the Supplemental Report (Form 735-32B) if needed.
Do describe the accident clearly in the description section. A detailed account supports the DMV and insurance companies in understanding the circumstances better.
Do verify and provide accurate insurance information. Failure to do so may result in a suspension of your driving privileges.
Do keep a copy of the report and any proof of submission (email autoreply, fax confirmation, or DMV receipt) as a record and for use in any future proceedings.

Don't submit incomplete forms. Ensure every required section is filled out to avoid a Notice of Suspension from the DMV.
Don't delay your submission beyond 72 hours if your situation requires it. Late filings can lead to penalties or suspension of your driving privileges.
Don't overlook the insurance section. Incomplete insurance information can lead to unnecessary complications with your case.
Don't neglect to sign and date the report form. Digital submissions require a digital signature, while mailed forms need a handwritten signature.
Don't forget to add a family member's signature and your relationship if you are incapacitated or unable to sign the report yourself.
Don't include irrelevant or extraneous information. Stick to the facts and pertinent details of the incident.
Don't hesitate to contact the DMV Crash Reporting Unit if you have questions about filling out the form. They can provide guidance and ensure your report is correctly submitted.

Misconceptions

Many drivers in Oregon hold misconceptions about the DMV Accident Report form, leading to confusion and potential legal consequences. Clarifying these misunderstandings is crucial for ensuring that individuals comply with state laws and protect their driving privileges. Below are eight common misconceptions about the Oregon DMV Accident Report form.

Only Oregon residents need to file the form. This is incorrect. Any driver involved in an accident in Oregon that meets the reporting criteria must file the report, regardless of their residency.
If the police file a report, I don’t need to. Even if the police file a report, drivers involved in the accident are still required to file their own Crash and Insurance Report with the DMV.
DMV will determine who was at fault in the crash. The DMV does not determine fault in a crash. Its role is to record the crash information on the driving records of those required to report.
I only need to report if my vehicle was damaged. You must file a report if there is $2500 or more in damage to any vehicle or property, if there was any injury, death, or if any vehicle was towed from the scene.
I can wait to file the report until my insurance claim is settled. Oregon law requires the report to be filed within 72 hours of the crash. Waiting for an insurance claim to be settled can lead to penalties, including suspension of driving privileges.
Completing the insurance section is optional. Failure to complete the insurance information section can result in the suspension of your driving privileges. It is mandatory to provide this information.
I don’t need to report if no one was injured. Injury is just one of the criteria for reporting. Damage exceeding $2500, towing due to damage, or death, among others, are all situations that necessitate filing a report.
If my vehicle is “totaled,” I only need to notify my insurance. If your vehicle is declared a total loss, you must follow specific instructions related to the DMV, such as surrendering the title or notifying DMV, in addition to completing the crash report.

Understanding and addressing these misconceptions are key to fulfilling legal obligations after a traffic accident in Oregon. The requirements are designed not only to keep the roads safe but also to protect drivers from unnecessary legal problems. It's important for all drivers to read the form carefully and ensure all sections are completed accurately to comply with Oregon law.

Key takeaways

Filling out the Oregon DMV Accident Report form is obligatory for drivers involved in a crash in Oregon under certain conditions. It's crucial to understand these conditions to ensure compliance with state laws and to avoid potential penalties. Here are some key takeaways about completing and using this form:

Drivers must file a Crash & Insurance Report if the damage to any vehicle is over $2500, damage to property exceeds $2500, there is an injury regardless of severity, a vehicle is towed from the scene due to damage, or in the event of a death.
The report must be filed with the Oregon DMV within 72 hours of the accident. If it's not possible to meet this deadline, submitting the form as soon as possible is advised. Failure to do so may lead to the suspension of driving privileges.
Even if a police report is filed, drivers are still required to file their Crash and Insurance Report with the DMV. This requirement applies to all drivers involved in the accident, including those not residing in Oregon or licensed in another state.
Completeness and accuracy when filling out the form are crucial, including insurance information. Incomplete submissions can lead to a Notice of Suspension from the DMV.
If a vehicle is determined to be "totaled," specific instructions provided in the report must be followed, including possibly surrendering the title to the DMV or insurer, applying for a salvage title, or notifying the DMV if unable to obtain the title for surrender.
The form offers several submission options, including email, fax, mail, or delivery to a DMV office. Regardless of the chosen submission method, keeping a copy of the report and any confirmation of submission is important for records.

Understanding these guidelines can help ensure that drivers are in compliance with Oregon's rules following an accident, helping to streamline the reporting process and avoid complications with vehicle repairs or insurance claims.

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