• • Check your vehicle occupants for injury
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• • If possible move your vehicle from the roadway to a safe location. Even if you have a flat tire or some other issue that would normally make the vehicle disabled try to move it from the roadway. The roadway is not a safe place to be! If you can steer it and it runs, clear it from the roadway!
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• • Check the other vehicle(s) occupants for injuries
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• • Contact Emergency Medical Services if there are any injuries
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• • If the vehicles involved are operable and no wreckers are needed exchange personal information, including name, phone number, address and driver’s license number.
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• • Exchange insurance information. Be sure to verify expiration date and get the telephone
  number(s) for the insurance company.

• • You cannot remove the vehicle(s) from the roadway
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• • Any party is injured
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• • Any driver does not have a driver’s license
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• • Any driver does not have proof of insurance
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• • Any disturbance ensues

The traffic accident is not investigated by a law enforcement agency, AND the accident resulted in injury or death of a person, OR damage to the property of any one person is at least one thousand dollars $1,000.

Please read the instructions on the form carefully before submitting.