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TABLE OF CONTENTS
SECTION PA G E
Preface ................................................................................................... 3
Regulations . ........................................................................................................... 5
Fatal Collisions . ..................................................................................................... 7
Civilian Tr affic Collision Report . .......................................................................... 8Classification and T erminology . ............................................................................ 9Traffic Collision Report Design . ........................................................................... 11
Cover Code Sheet . ................................................................................................. 13
Kentucky Uniform Police Tr affic Collision Report . .............................................. 17
Kentucky Uniform Police Tr affic Collision Supplemental Report . ....................... 23Kentucky Uniform Police Tr affic Collision Report Instructions . .......................... 27
Page 1
Collision Location . ........................................................................ 28
Collision Information . ................................................................... 32Injury Information . ......................................................................... 35Collision Description . .................................................................... 37Officer Information . ....................................................................... 37
Page 2
Agency Information . ...................................................................... 39
Property Damage Information . ...................................................... 39
Collision Diagram. ......................................................................... 40
Pages 3 and 4
Unit Page Information . .................................................................. 41
Agency Information . ...................................................................... 42Operator Information . .................................................................... 42
Pedestrian Information. .................................................................. 44
Involved Persons Information. ....................................................... 45
Vehicle Information . ...................................................................... 49
Commercial V ehicle Information . ................................................. 53
Violation Information . ................................................................... 55Unit Information ( On the Left and Right Sides of the Unit
Pages). ............................................................................................ 57
Supplemental Report Instructions . ........................................................................ 63
Original Report Submission . ..................................................................... 63
Updating/Correcting an Original Tr affic Collision Report . ....................... 64
Supporting Documents . ......................................................................................... 65
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TABLE OF CONTENTS
APPENDICES PAGE
A. Civilian Tr affic Collision Report . ........................................................... 67B. City/T own Codes . ................................................................................... 71C. Gore Diagrams . ....................................................................................... 95D. Trafficway Diagrams . ............................................................................. 99E. States and T erritorial Possessions - Abbreviations . ................................ 103F. Estimated Speeds from Skids . ................................................................ 107G. W ork Zone Area Diagram. ...................................................................... 111H. Vehicle Type Codes (NCIC) . .................................................................. 115
D ATA ELEMENT/PAGE CROSS REFERENCE INDEX ................................ 119
5
PREFA C E
The revised Commonwealth of Kentucky Uniform Police Tr affic Collision Report has beenprepared by the Kentucky State Police, Kentucky T ransportation Cabinet, local lawenforcement agencies, and other federal and state governmental agencies pursuant to thestatutory provisions in KRS189.635. The Records Section of Kentucky State Police hasprepared this “field manual” for the Collision Report Analysis for Safer Highways (CRASH)System.
The continuous and rapid escalation in the use of motor vehicles constantly creates a majorpublic health and safety hazard. Tr affic collisions producing death, serious injury, andproperty damage pose an ever -present threat to the public’s safety and well being. Professionalinvestigation and reporting of traf fic collisions are universally recognized and acceptedfunctions necessary for the maintenance of a modern day transportation system. Traditionallyspeaking, police officers have been the designated authorities to carry out this publicresponsibility, and police readily accept collision investigation as a basic part of their everydayduties.
The detection and skillful recording of detailed data, which covers all the events surroundinga t raffic collision, are much more valuable than merely offering opinionated statements.Factual data is essential to ensure that adjudication of civil and criminal proceedings isbased upon fact instead of fiction. In addition, the statistical product, which is derived froma well-constructed uniform reporting system, is necessary for all types of traff i c s afetyprograms.
A number of codes, especially those involving contributing factors are based upon the off icer’ sown personal opinion and not necessarily upon factual evidence. It is important however,than an opinion be based upon the very best evidence possible. Ask questions, r echeckphysical evidence. There may be a combination of contributing factors involved.
The original t raff i c col l i sion report should be sent to Kentucky State PoliceRecords Section within 10 days of the collision date. The color-codedoriginal and any supplemental r eport s are required for the scanning,imaging, and editing pr ocesses to be pr operly performed. Do not staple orfold the r eport s.
Do not t ear pages apart if you choose to copy the r eport s.
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The traffic collision reports are not designed to restrict or hamper the quality of in-depthinvestigations. Any reporting agency, through its administrative process, may establish itsown investigative procedures, but off icial traffic collision reports may not be in conflictwith KRS 189.635 and those administrative regulations pursuant thereto.
The success of Kentucky’s CRASH System depends upon all reporting agencies. TheKentucky State Police Records Section wishes to express its appreciation to all the manyinvolved agencies and individuals for their contribution and continued cooperation in thereporting and collection of traf fic collision data.
Mai l al l traffic collision reports and supporting documents to:
Kentucky State Police Information Services1250 Louisville RoadFrankfort, KY 40601Attn: Records Section/Traffic Collision Report s
Only include traffic collision reports and supporting documents in the envelopes.
Regulations set forth in this manual are effective January 1, 2000.
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REGULATIONS
KRS 189.635 V ehicle accident reports by operators, law enforcement officers, and agencies;availability to parties to accident and news-gathering organizations
(1) The Justice Cabinet, Department of State Police, shall be responsible for maintaininga reporting system for all vehicle accidents which occur within the Commonwealth.Such accident reports shall be utilized for such purposes as will improve the traff icsafety program in the Commonwealth involving the collection, processing, storing,and dissemination of such data and the establishment of procedures by administrativeregulations to insure that uniform definitions, classifications, and other federalrequirements are in compliance.
(2) Any person operating a vehicle on the highways of this state who is involved in anaccident resulting in fatal or nonfatal personal injury to any person or damage to thevehicle rendering the vehicle inoperable shall be required to immediately notify alaw enforcement of ficer having jurisdiction. In the event the operator fails to notifyor is incapable of notifying a law enforcement of ficer having jurisdiction, suchresponsibility shall rest with the owner of the vehicle or any occupant of the vehicleat the time of the accident. A law enforcement of ficer having jurisdiction shallinvestigate the accident and file a written report of the accident with his lawenforcement agency.
(3) Every law enforcement agency whose of ficers investigate a vehicle accident of whicha report must be made as required in this chapter shall file a report of the accidentwith the Department of State Police within ten (10) days after investigation of theaccident upon forms supplied by the department.
(4) Any person operating a vehicle on the highways of this state who is involved in anaccident resulting in any property damage exceeding five hundred dollars ($500) inwhich an investigation is not conducted by a law enforcement off icer s hal l f i le awritten report of the accident with the Department of State Police within ten (10)days of occurrence of the accident upon forms provided by the department.
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(5) All accident reports filed with the Department of State Police in compliance withsubsection (4) above shall remain confidential except that the department may disclosethe identity of a person involved in an accident when his identity is not otherwiseknown or when he denies his presence at an accident. All other accident reportsrequired by this section, and the information contained in the reports, shall beconfidential and exempt from public disclosure except when produced pursuant to aproperly executed subpoena or court order, or except pursuant to subsection (6) ofthis section. These reports shall be made available only to the parties to the accident,the parents or guardians of a minor who is party to the accident, and the insurers ofany party who is the subject of the report, or to the attorneys of the parties.
(6) The report shall be made available to a news-gathering or ganization, solely for thepurpose of publishing or broadcasting the news. The news-gathering or ganizationshall not use or distribute the report, or knowingly allow its use or distribution, for acommercial purpose other than the news-gathering or ganization’s publication orbroadcasting of the information in the report. A newspaper, periodical, or radio ortelevision station shall not be held to have used or knowingly allowed the use of thereport for a commercial purpose merely because of its publication or broadcast.
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FATAL COLLISIONS
Every death resulting from a motor vehicle collision shall be investigated by the police toofficially determine whether the event was a collision death due to a motor vehicle collision.For the purpose of compiling statistics, any time a person dies as a result of a traff i c col l i sionwithin thirty days from the date of the collision, the death will be classified as a traff icfatal i ty. (Regulation effective 1/1/85)
KRS 311.247 Duty of Law Enforcement and Medical Personnel in Accident and Coroners’Cases states the following: Law enforcement and medical personnel involved with theinvestigation of accidents and coroners’ cases shall make a reasonable ef fort to ascertainif the victim has elected to give all or any part of his body as provided in KRS 311.175 andshall make a reasonable ef fort to send that information on to the coroner, medicalexaminer, or hospital personnel.
Every investigative agency shall notify Kentucky State Police in Frankfort of traff ic fatalities.The fatal collision information should be relayed as soon as practical through regular policecommunication channels - radio, teletype, etc., and consist of the following information:
• Name, age, race, sex, and address of person(s) killed• Date and time of death• Safety restraint used by the victim(s) identified by the following:
S = Seat BeltH = HelmetC = Child RestraintNA = Not Applicable (For example, pedestrian, bicyclist, or an occupant of a vehicle where safety restraint is not installed.U = UnknownN = Installed but not used
• Whether or not the use of alcohol and/or drugs was suspected (preliminaryindication), as identified with a Y or N
• Whether or not a commercial vehicle was involved as identified by Y or N. If Yes,report the motor carrier name and address, the driver name, and operator licensenumber.
• The location of the collision by county and roadway, inside city limits or the distancefrom the nearest town
• Brief description of the traffic collision, such as collision with another vehicle,pedestrian, train, animal, fixed objects, left roadway and overturned, etc.
• Name and unit number of investigating of ficer and the reporting agency. Thisinformation is necessary for the Kentucky State Police Records Section to link allfuture cross-references and audits.
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CIVILIAN TRAFFIC COLLISION REPORT
Any person operating a motor vehicle upon the public traf ficway who is involved in a collisionresulting in any property damage exceeding five-hundred dollars ($500) shall file a writtenreport of the collision with the Kentucky State Police within ten days from the date ofoccurrence of the collision when an investigation is not conducted by a law enfor cementoff icer.
The Civilian Tr affic Collision Report, Form KSP-232, revised January 1, 2000, is the off icialform adopted for this purpose (See Appendix A). This report can be obtained from theKentucky State Police.
The use of the Civilian Tr affic Collision Report is discouraged because the informationis not used for statistical purposes.
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CLASSIFICATION AND TERMINOLOGY
The ANSI D16.1 Manual on Classification of Motor V ehicle Traffic Accidents is followed toensure that uniform definitions, classification, and other federal requirements are incompliance. The manual is used as a standard guide in the structuring of data for compilationof statistics concerning collision experiences.
1. Repor table Collision must be classified as a motor vehicle traf fic collision under theguidelines of Kentucky Statutes. When in doubt about the reportable status of a traff iccollision, contact the Records Section within Kentucky State Police for a finaldetermination.
2. Motor Vehicle Tr affic Collision is any motor vehicle collision where the unstabilizedsituation originates on a traf ficway or a harmful event occurs on a traf ficway.
Examples of motor vehicle collisions are:
• An object being transported by a vehicle falls from that vehicle and strikes another,such as rock being transported
• A part of the traf ficway itself, such as a drainage grate is hit by another vehicle, isthen dislodged and strikes another vehicle causing damage
Examples of non-motor vehicle collisions are:
• A person unintentionally opens their car door into a parked car and causes damage• A vehicle runs over an object lying on the roadway such as a rock causing it to hit
another vehicle causing damage• A train strikes a pedestrian crossing the tracks• A collision involving an airplane or a watercraft
1. Collision is an unintended event that produces injury, including fatal injuries, and/orvehicle/property damage.
2. Motor Vehicle is any mechanically or electrically powered device, not operated onrails, upon which or by which any person or property may be transported or drawn upona highway. For purposes of classification, any object such as a trailer, coaster, sled, orwagon being towed by a motor vehicle is considered a part of the motor vehicle, includingthese devices which have become detached but are still in motion, or set in motion by amotor vehicle (such as during pushing).
3. Contact Motor Vehicle is any motor vehicle that comes in contact with one or moremotor vehicles, non-motorists, or property in a traf fic collision, or has a non-collisiontraff i c accident. A contact vehicle is directly involved in a traff i c col l i sion.
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4. Non-Contact Motor Vehicle is any motor vehicle other than a contact motor vehicle.A non-contact motor vehicle is indirectly involved in a traff ic col l ision. A non-contactmotor vehicle is not counted as one of the units in the traffic collision and is not countedfor statistical purposes.
5. Roadway i s t he part of t he t rafficway that is designed, improved, and ordinarily usedfor vehicular travel. Separate roadways may be provided for northbound and southboundtraffic, or for trucks and automobiles.
8. Road i s that part of a trafficway which includes both the roadway and any shoulder alongthe side of the roadway.
9. Unstabilized Situation is a set of events not under human control. It originates whenthe driver loses control and ends when control is regained or, in the absence of personswho are able to regain control, when all persons and property are at rest.
The following two explanations for Resubmission and Replacement are notrefer enced in the ANSI D-16 Manual. If you need fur ther information, r efer topage 27 of this manual.
••••• Resubmission indicates you are returning a corrected original traf fic collision reportthat was previously rejected due to errors. Examples of when a resubmission isnecessary:(1) A report has been rejected and returned due to errors, corrections can be made on
the original using white-out and correcting the error(s)(2) A resubmission report may be used if any changes are made and an agency does
not wish to use the supplemental report. (This is not required)
••••• Replacement indicates you are submitting a totally new traf fic collision report toreplace a report previously submitted. Examples of when to send in a replacementreport are:(1) If the original report is damaged(2) If the original report is unavailable(3) If there are numerous errors on the original report, which would justify completing
a new traf fic collision report
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TRAFFIC COLLISION REPORT DESIGN
Each traffic collision report pad contains a cover code sheet, 20 four-page original reports,and 5 supplemental reports.
Use a black or blue ballpoint pen to complete the traff i c col l i sion report. Please do not usepencils, markers, felt tips, or other color ink pens. Use all CAPITA L l etters t o f i l l i n t extinformation. If a data element listed on the report is not applicable to the collision, do notprint N/A, leave this area blank.
MASTER FILE NUMBER
The Master File Number is the unique identifier for the traff ic c ol l ision. This number ispre-printed on the four page original report. The Master File Number must be written on thesupplemental reports to “link” all traffic collision information together.
REPORT COLORS
The Tr affic Collision Report is color coded to identify various areas of information needed.The colors are listed below:
ORANGE Information required for all collisionsG R AY Information required for injury collisionsBLUE Information required for commercial vehiclesRED Information required for fatal collisions
BUBBLES
The marksense bubbles on the traf fic collision report must be filled in corr ectly. Theaccuracy of the extracted data is dependent upon the correct darkening of the bubbles.
Correct way: W r ong way:
To correct an error, use a minimal amount of correction fluid (white-out), then darken thecorrect bubble. The “dry” white-out works best.
TEXT INFORMATION
Use all CAPITAL letters. Do not use special characters; for example, . – , ”. Do nothyphenate names.
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KENTUCKY UNIFORM POLICETRAFFIC COLLISION REPORT INSTRUCTIONS
(This report title and the Commonwealth of Kentucky State Seal identify the report as theoff icial traffic collision report completed only by investigative officers. It is not to be usedby drivers, owners, or insurance representatives as their report of a traff i c col l i sion.)
USE ALL CAPITAL LETTERS TO FILL IN TEXT INFORMATION.
RESUBMISSION: Darken this bubble when you are returning a corrected original traff iccollision report that was previously rejected due to errors.
REPLACEMENT: Darken this bubble when you are submitting a totally new traff iccollision report to replace a report previously submitted. This could be necessary if theoriginal report was accidentally damaged, or if the original report is unavailable, or there arenumerous errors on the original report, which would justify completing a new traff i c col l i sionreport.
ORIGINAL MASTER FILE #: Fill in this area only if you are submitting a replacementtraffic collision report and have darkened the Replacement bubble. Print the Master File #from the original traffic collision report being replaced.
INVESTIGATING A G E N C Y: Print the name of the agency investigating the traff iccollision and submitting the report.
AGENCY ORI NUMBER: Print t he 7-digit ORI number of the agency submitting thetraffic collision report.
LOCAL CODE: If your agency has an identifying “local code” (a number assigned touniquely identify the traffic collision report), enter it in this space. If your agency does notissue unique identifiers, leave this area blank.
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COLLISION LOCATION
R O A D WAY NAME: Print the name of the local street or road on which the collisionoccurred (location of impact). Do not abbr eviate. Some roadways such as Louisville Roadare also identified by a route number, in this case, print the roadway name in this area andalso the number of the roadway in Roadway #. Include the house/business number or blocknumber if applicable.If the collision occurs on private pr opert y, print the business name and/or addre ss i n t heRoadway Name and darken the bubble for “private pr oper ty” in Land Use. Do not entermilepoint information for private property traff i c c ol l i sions.
PARKING LOT: Darken the appropriate bubble to indicate whether the collision occurredin a parking l ot. If the traffic collision occurred in a parking lot, also include the name ofthe business in the “Roadway Name” to help clarify the collision location. Do not entermilepoint information for parking lot collisions.
INTERSECTION WITH: Darken the appropriate bubble for “Intersection W i th” to indicatewhether the collision occurred at an intersection and the roadway name or roadway numberof the trafficway that was intersected. Only one roadway name o r one roadway number canbe reported.
BETWEEN STREETS: Darken the bubble “Between Streets” if applicable and print theroadway name or number of both streets. If the collision location is in a rural area and thistype of information is not appropriate, leave the area blank.
R O A D WAY #: The Roadway # is required for all interstates, US routes, and all statemaintained roads. The highest class traf ficway will take precedence in listing a roadwaynumber on the collision report. If a US route and a KY route run concurrently, the US routewill be the number to use on the collision report. If two KY routes or two US routes runconcurrently, the lower numbered route will take precedence. Do not use Roadway # forparking lots and private pr opert y.
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Always use the identifying pr efix such as I 75, US 127, K Y 51.For parkways, use the pre fix P before the parkway number, for example:
Parkway Name Route NumberAudubon P 9005Bluegrass P 9002Cumberland/Louie B. Nunn P 9008Daniel Boone P 9006Mountain/Mountain Extension P 9000 or P 9009*Pennyrile P 9004Purchase P 9003W estern Kentucky P 9001W illiam Natcher P 9007
*Use the r oute number that is displayed on the parkway.
In an intersection collision involving vehicles traveling on dif ferent roadways of diff erentclasses, assign the collision to the roadway of the higher function class. In other words, if avehicle is traveling on a Kentucky route and collides at the intersection with a vehicle travelingon a US route, assign the collision to the US route. If the vehicles are traveling on diff erentroadways of equal class, assign the collision to the lower roadway number. Use roadwaynumbers when a collision occurs in areas directly connected with roadways such as restareas, roadside picnic areas, and emergency pull-off s.
MILES/FEET: I f the traffic collision occurred on a numbered route, but did not occur at aspecific milepoint, enter feet or miles, in tenths of miles, from the nearest milepoint reference.Always use a milepoint and if needed, miles-feet reference whenever a collision occurs onan interstate, US, or state numbered roadway. Milepost directional references (North, South,East, or W est) should be utilized in urban as well as rural areas to pinpoint location.
MILEPOINT #: Enter the milepoint at which the traf fic collision occurred. Al l i nterstates,US routes, and state numbered routes have milepoints (in urban as well as rural areas). Themilepost sign may be missing, but the milepoint should still be reported. The KentuckyTransportation Cabinet DMI Route Log should be utilized to obtain the milepoint in thesecases.
INJURED: Print the total number of persons injured, excluding fatal injuries. If notapplicable, this block may be left blank.
KILLED: Print the total number of fatalities in the collision. If not applicable, this blockmay be left blank.
# UNITS INVO L VED: Darken one bubble to indicate the number of units involved in thetraffic collision. Darken the plus (+) bubble for traf fic collisions involving more than fourunits and print the number of units in the space provided. Anything listed under Item B,Unit T ype Code on the Cover Code Sheet is considered a unit. Do not include Unit X (non-contact) motor vehicles.
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HIT & RUN: Darken the appropriate bubble indicating “Y es” or “No”. A collision isclassified as hit and run when the driver leaves the collision scene with the intent to evaderesponsibility. Supplement the report if additional information becomes available on a hitand run case. (See Supplemental Report Instructions Section, pages 63 - 64 for supplementaltraffic collision report instructions.)
• For hit and run collisions, the data elements in this section must be completedregar dless if information is known about the vehicle or the operator
• If the hit and run collision location is unknown, enter the Roadway Name/Numberwhere you are dispatched to
• If limited information is known about a hit and run vehicle, submit a unit pagecompleting the information that is known
• If there is no information known about the hit and run vehicle, it is not necessary tocomplete a unit page. All four pages of an original report need to be submittedeven if unit pages 1 & 2 are not completed.
ONE W AY: Darken the appropriate bubble indicating “Yes” or “No.” (A divided highwayis not considered a one-way street.)
SPEED LIMIT: Enter the maximum legal speed limit that applies to the roadway wherethe collision occurred. Refer to the speed limit that is operational at the time and place ofthe collision, whether physically displayed or not. The bubble labeled “K” indicateskilometers; darken this bubble if the speed limit is posted solely in kilometers. Do not enterthe advisory speed limit in this area. Enter the advisory speed limit in the Description ofCollision.
IN CITY LIMITS: Indicate whether the collision occurred within the city limits bydarkening the appropriate bubble “Y” or “N.”
MILES FROM CITY: Locate the collision to the nearest tenth of a mile to the limits of thenearest town (if the collision did not occur within the city limits). Use a decimal instead ofa fraction (example .5 instead of 5/10). Darken one bubble for North, East, South, or W e stof the nearest town.
CITY/T OWN: Print the name of the city/town in which the collision occurred or thenear est city/town having a five-digit city/town code ( see Appendix B). Print the city/towncode in the blocks, as well as darkening the appropriate corresponding bubbles. ( If t hecollision occurred in a city/town, which does not have a code, make sure the city/town youlist as the nearest is in the same county where the collision occurred.)
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L ATITUDE/LONGITUDE: Latitude is the angular distance measured North and South.Longitude is the angular distance measured East or W est. If this information is reported, itmust be in the form of degrees, minutes, and seconds. If unknown or non-applicable, leavethis area blank.
Latitudinal and longitudinal coordinates need to be entered on the traf fic collision reportexactly as they are displayed on the GPS (global positioning system) device. Not all GPSdevices display the coordinates the same way. Examples of how latitude and longitude canbe displayed are:
GPS Screen Display Enter on the Traf fic Collision Report42 ° 20.267 ¢ Deg. 42 Min. 20. 267 Sec.081° 52 ¢ 15.5 ² Deg. 081 Min. 52 Sec. 15.539° 07 ¢ 30 ² Deg. 39 Min. 07 Sec. 30
L ATITUDE/LONGITUDE DOES NOT REPLACE MILEPOINT DATA.
RAMP: Darken the “Y” bubble if the collision occurred on a ramp and complete theinformation listed in the “From/To” block. If the Ramp bubble “Y” is darkened, then donot darken the bubbles indicating Intersection W ith or Between Stre ets.
FROM/TO: If the collision occurred on a ramp, fill in the From and To information. Thisincludes the roadway number/name and directions North, South, East, or W e st from t heroadway the vehicle was leaving to the roadway the vehicle was entering connected by thatramp.
COLLISION DATE (MONTH, DAY, YEAR): Darken the bubbles for the month, day,and last two positions of the calendar year which indicates the collision date. For example,February 25, 2000 would have the bubbles 02/25/00 darkened. Also print the same numbersin the blocks at the top of the bubbles, being sure to use zeros in front of single digit monthsand days; for example, the 9 th month or 9 th day would be listed 09 instead of 9. If thecollision date is unknown, enter the date the traffic collision was reported.
COLLISION TIME: Darken the b ubbles for the time of the collision using military timeand print the time in the spaces provided. Valid military times begin with 0000 and endwith 2359. For example 12:00 a.m. is 0000; 1:30 p.m. is 1330. If the collision time isunknown, leave blank.
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COLLISION INFORMATION
MANNER OF COLLISION: Darken one bubble which best describes the action taken atthe time of the 1st event. (Refer to the bottom section of the Cover Code Sheet for Mannerof Collision diagrams.) Manner of collision indicates how the motor vehicles came togetherwithout regard to the direction of force. A traf fic collision involving only one motor vehicleis considered a single vehicle collision (for example, a motor vehicle colliding with a fixedobject, a pedestrian, or overturning).
L O C ATION 1ST EVENT: Darken one bubble which best describes the location of thefirst harmful event regardless of the degree of seriousness. The following explains thechoices available: Refer to diagrams within the appendices.
(1) Gore - if the first event happened on an area of land where two roadways separate ormeet. The area is bounded on two sides by the edges of the roadways, which join at thepoint of diver gence or conver gence. The direction of traf fic must be the same on both sidesof these roadways. The area includes shoulders or marked pavement, if any, between theroadways. The third side is 60 meters (approximately 200 feet) from the point of diver genceor convergence or, if any other road is within 70 meters (230 feet) of that point, a line 10meters (33 feet) from the nearest edge of such road.
Inclusions for Gore (See Appendix C for diagrams.)• Areas at rest area entry or exit ramps• Areas at truck weigh station entry or exit ramps• Areas where a ramp and another roadway, two ramps, or two frontage roads
separate or come together
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Some exclusions for “gore” include, but are not limited to:• Raised islands for channeling vehicle movements at channelized intersections• Raised triangular shaped islands used by pedestrians to stand on when waiting
to cross at a crosswalk
(2) Median - Darken this bubble if the first event happened on the portion of a dividedhighway separating the roadways for traf fic traveling in opposite directions. Mediansmay be depressed, raised, or flush. A median should be four or more feet wide.Refer to diagram in Appendix D.
(3) On Roadway – Darken this bubble if the first event happened on the traveled portionof the roadway designed and used for vehicular travel. Refer to diagram in AppendixD.
(4,5) Outside Shoulder, Left; Outside Shoulder, Right – Darken these bubbles if the firstevent happened outside of the shoulder, on the left or right side of the roadway.
(6) Shoulder – Darken this bubble if the first event happened on the portion of thetrafficway to the left or right of the roadway. It is used for the accommodation ofstopped vehicles, for emergency use, and for lateral support of the roadway structure.Refer to diagram in Appendix D.
(7) Other Property – Darken this bubble if the location of the first event occurred at alocation other than any of the options already given; for example, parking lot. If“other property” is darkened, it should be explained in the narrative.
TRAFFIC CONTROL: Darken the appropriate bubble(s) which describe the traff iccontrols at the collision location. A limit of 3 bubbles may be darkened. For example, if acollision occurs at a stop and go signal and the roadway also has a center line and a median,be sure to darken the stop and go signal, center line, and median. Darken the “other” bubbleonly if a control, other than one of the choices given, exists at the collision location. If“other” is darkened, it should be explained in the narrative.
R O A D WAY TYPE: Darken the bubble for the type of roadway on which the collisionoccurred, allowing the highest class of traf ficway to take precedence. (See definition andexamples under “ROADWAY #”, pages 28 - 29.)
Anytime a frontage road is indicated, it can be used by itself or in combination with one ofthe other roadway type choices resulting in two bubbles being darkened. An example of afrontage road is a two-lane undivided roadway with traffic controls and a 35 mph speedlimit which is within the property lines of an interstate or a state highway.
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Frontage road refers to a roadway which generally parallels an expressway, freeway, parkway,or through street, designed to facilitate accessibility to property which otherwise would beisolated as a result of the controlled-access created by the expressway, freeway, etc. Thefrontage road may be within the same trafficway as the main roadway or in a separatetrafficway. See Appendix D for diagram.
TO TAL LANES: Darken one bubble that gives the total number of thru travel lanes thatrun in both directions for the roadway named in the Collision Location Section. A four-lanetrafficway divided by a median should be coded as 4 lanes, not 2 lanes. Do not countmandatory turn lanes. In the event that there are more than 12 lanes running in both directions(not including emergency lanes), darken the “+” bubble and enter the number of lanes in thespace provided.
R O A D WAY CHARACTER: Darken one bubble which best describes the roadwaycharacter at the point where the first harmful event occurred. If the collision occurre d offthe roadway, Roadway Character should be the r oadway character where the vehicle leftthe roadway. Roadway Character does not apply to parking lots or private propert y.
R O A D WAY SURFACE: Darken one bubble which best describes the roadway surfacewhere the collision occurred. If “other” is darkened, it should be explained in the narrative.If the collision occurre d off the roadway, Roadway Surface should be the r oadway surfacewhere the vehicle left the roadway.
R O A D WAY CONDITION: Darken one bubble which best describes the condition of theroadway at the time of the collision. If a condition exists other than the choices given,darken the “other” bubble. If “other” is darkened, it should be explained in the narrative. IfRoadway Condition is unknown, leave blank. If the collision occurre d off t he roadway,Roadway Condition should be the r oadway condition where the vehicle left the roadway.
W E ATHER: Darken one bubble which best describes the existing weather conditions atthe time of the collision. The bubble entitled “other” would be marked only if a predominantweather condition existed other than any of the choices listed. If “other” is darkened, itshould be explained in the narrative. If weather is unknown, leave blank.
LIGHT CONDITION: Darken one bubble which best describes the light condition at thetime of the collision. If light condition is unknown, leave blank.
LAND USE: Darken one bubble which best describes the main use of the land in the areathe collision occurred.
SCHOOL BUS RELATED: Darken one bubble indicating whether a school bus waseither directly involved in the collision (a unit in the collision) or indirectly involved in thecollision (a factor in the collision, but no contact), or not applicable.
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INJURY INFORMATION
FIRST AID AT SCENE: Darken the appropriate bubble “Y es” or “No” indicating if FirstAid was administered at the scene of the collision.
FIRST AID GIVEN BY: I f First Aid was administered at the scene of the traff i c col l i sion,print the name of the administering party or the ambulance agency. If First Aid was refused,print “REFUSED TREATMENT.”
INJURED REMOVED TO: Print the name of the hospital, clinic, or other facility orplace where the injured were taken. If the individual(s) refused transport, print “REFUSEDTRANSPORT.”
EMS AGENCY AND RUN #: Print the unique number from the run sheet of the ambulanceservice which removed the injured or deceased. Kentucky EMS run numbers start with thenumbers “65”. Print the next four digits which represent the agency’s license number.After the dash, print the actual run number. There is space for three run numbers on thereport. If more than three emergency r uns were needed, they should be written in the“Description of Collision.” If unable to obtain the Run Number, just enter the EMS AgencyNumber.
THE FOLLOWING TIMES ARE REQUIRED FOR FATAL COLLISIONSValid Military Times are 0000 – 2359
If more than one EMS is at the scene, all three times listed shall be recorded for eachambulance unit for collisions involving fatalities.
EMS NOTIFIED TIME: Print the time (military) that the Emer gency Medical Serviceswere notified of the collision.
EMS ARRIVED TIME: Print the time (military) that the EMS arrived on the collisionscene. IF EMS is called but does not arrive on the scene due to cancellation, etc., print“CANCELLED” in this blank. If the individual dies prior to the arrival of EMS, arrivaltime should still be recorded.
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EMS TIME AT HOSPITAL: Print the time (military) that EMS arrived at the hospital. IfEMS is at the scene, but there is no transport to a hospital, print “NO TRANSPORT.”
INJURED OR DECEASED REMOVED BY: Darken the appropriate bubble(s) whichidentifies how the injured or deceased were removed from the scene of the collision. If“other” is darkened, it should be explained in the narrative.
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COLLISION DESCRIPTION
DESCRIPTION OF COLLISION: Describe the collision in this area. Identify anythingrelevant to the collision which has not already been entered on the report.
Examples of what to enter in the Description of Collision include: the posted advisoryspeed, explanations for why “other” bubbles were darkened, and Unit X (non-contact motorvehicle) information. If a non-contact motor vehicle (Unit X) was indir ectly involved in thetraffic collision, enter all known information about Unit X in the Description of Collision.
The Description of Collision is based upon the off icer’ s opinion.
OFFICER INFORMATION
INV. COMP. (Investigation Complete): Darken the bubble “Y es” if, in the investigator’ sopinion, no further investigation is necessary. Darken the bubble “No” when additionalinvestigation will be needed, such as hit and run collisions, fatality collisions, etc. Iftoxicology reports are pending and no further investigation is necessary, the traff i c col l i sioninvestigation is considered complete.
P H O TOS: Fill in the appropriate bubble for “Yes” or “No” as to whether or not photographswere taken of the collision scene.
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P H O TOGRAPHER UNIT NO: If photos were taken, enter the unit I.D. Number of theofficer who took the photographs; if a non-off icer, print his/her last name.
INVESTIGATOR: The investigator should print his first initial and last name.
I.D. NUMBER: The investigator’ s I.D. Number (unit number or badge number) should bewritten in this block.
BEAT OR POST NO: The Beat or Post Number of the collision investigator should beprinted in this area. (This may not always be the same as the location of the collision.)
TIME NOTIFIED: Print the time (military) that the investigator first learned about thecol l i sion.
TIME ARRIVED: Print the time (military) that the investigators arrived at the scene ofthe collision.
R D W Y OPENED: Print the time (military) that the roadway was opened for traff ic t oreturn to its normal movement, if this applies. This does not mean the time that the on-scene investigation was concluded. If the traffic flow was not obstructed at the time ofthe off icer’ s arrival, leave this area blank.
REVIEWED BY: The person r eviewing and appr oving the report should print his/herinitials or identification number.
PAGE OF PAGES: Print the total number of pages being submitted with this report. Thisincludes all supplement pages and attachments. For example, a 3 car collision will have aminimum of 5 pages. If the unit page is blank, do not include this page in the total numberof pages. This data element is very important in the event that the pages of the traff iccollision report become separated either in mailing or when processed by Kentucky StatePolice.
MASTER FILE #: This is a unique number identifying each traff ic col l ision. This uniquenumber will be pre-printed on all pages of an original traffic collision report.
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AGENCY INFORMATION
Page 2 of the Tr affic Collision Report
Print the Local Code if applicable.
PROPERT Y DAMAGE INFORMATION
There are three numbered Pr operty Damage Sections (1,2, and 3) to identify each piece ofproperty that is damaged.
PROPERT Y DAMAGE-OTHER THAN VEHICLES: Darken the appropriate bubbleY (yes), N (no), or U (unknown) to indicate if any property is damaged other than vehicles.This applies to both public and private property on the roadway and off the roadway such asguardrails, signs, signals, fences and buildings. This does not apply to items inside thevehicle. If there is no property damage, darken the “N” bubble in the first section.
OWNER/ADDRESS: Print the name and address of the individual or business who ownsthe damaged property.
PROPERT Y: Darken one bubble which indicates the ownership of the property damaged:LG (Local government), OG (Other Government), PP (Private Property), TC (T ransportationCabinet), UT (Utility). If there is no property damage, leave this area blank.
Traffic signs, guardrails, stop signs, etc. are usually the pr operty of the KentuckyTranspor tation Cabinet.
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COLLISION DIAGRAM
DIAGRAM: Use the diagram space to draw a diagram of the traff ic col l ision. Diagramsare required for all Injury and Fatal Collisions. If the collision is minor, without injuries,the Manner of Collision can be used instead of drawing a diagram. If the Manner of Collisionis used, print the legend number of the appropriate Manner of Collision diagram in thisarea.
PAGE OF PAGES: Print the total number of pages being submitted with this report. Thisincludes all supplement pages and attachments. For example, a 3 car collision will have aminimum of 5 pages. If the unit page is blank, do not include this page in the total numberof pages. This data element is very important in the event that the pages of the traff iccollision report become separated either in mailing or when processed by Kentucky StatePolice.
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UNIT P AGE INFORMATION
The Unit Pages are Pages 3 and 4 of the Original and the Supplemental Report (front andback sides). A unit can be any of the codes listed on the Cover Code Sheet under Unit TypeCode. Complete a Unit Page for each unit involved in the collision. For example, a unitpage is required for each motor vehicle involved in a traf fic collision as well as each bicyclistor pedestrian.
Unit 1 is generally the at-fault vehicle based on the off icer’ s opinion.
The information on the Unit Pages consists of:
• Agency Information
• Operator Information
• Involved Persons Information
• Vehicle Information
• Commercial V ehicle Information
• Violation Information
• Unit Cover Code Sheet Information (bubbles on the left and right side of unit pages)
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AGENCY INFORMATION
Pages 3 and 4
Print the Local Code if applicable.
OPERATOR INFORMATION
Do not enter operator information for bicyclists, pedestrians,train engineer, or riding animal/animal-drawn vehicle.
TOWED: Darken the appropriate bubble “Y” or “N” indicating whether the vehicle wastowed from the scene of the collision.
REMOVED TO: Print the name of the garage or the specific location to which the vehiclewas removed to. If the vehicle was left at the scene, print “REMAINED AT SCENE.” If thevehicle was driveable, print “REMAINED IN SER VICE.”
# OCCUPANTS: Print the total number of people in or on the vehicle including the operator.This total should correspond with the total listed in INVOLVED PERSONS INFORMATION.
OPERATOR’S LIC. NO: Print the operator’ s license number. If in doubt about a license,check to confirm validity (since a number of people possess a revoked license). If youcannot obtain the operator’ s license number, leave this blank. If the operator does not havea license, print “NONE” in this blank. Do not enter an operator’ s license number for a trainengineer, go-cart, or farm tractor and/or farm equipment.
STATE: If a Kentucky license, darken the bubble beside KY. Abbreviate the State orTerritory from which the license was issued, if not a Kentucky license. See Appendix E forvalid abbreviations.
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O P E R ATOR’S LICENSE RESTRICTIONS: Darken the bubble(s) indicatingrestriction(s) shown on the operator’ s l icense. Bubbles 1 - 8 apply to a regular license andare listed by these same numbers on the back of the license. The letters F , I, J, K, L, O, Sand Z are to be used for Commercial Vehicles only and are also listed by the same letters onthe back of the license. If the restriction code differs from those listed on the collisionreport, print the code(s) in the boxes provided.
COMP (Compliance): If an operator with license restrictions is involved in a traff ic col l ision,the bubble “Y” or “N” should be darkened to indicate whether he/she is in compliance withthe restriction(s) at the time of the collision.
CDL: Darken the appropriate bubble, “Y” or “N” to indicate if this vehicle operator has avalid commercial driver’ s l icense. This element applies to all drivers.
CO. RESIDENT (County Resident): If the operator lives in Kentucky, darken theappropriate bubble “Y” or “N”, to indicate if the operator is a resident of the county wherethe collision occurred. The Kentucky operator’ s license displays the driver’ s county ofresidence. The investigating officer should confirm the county of residence with the driver.
OWNER: Darken the appropriate bubble, “Y” or “N” indicating if the operator of thevehicle is also the owner of the vehicle. If “N” is indicated, then list the owner informationin the Involved Persons Information.
OPERATOR LAST NAME/FIRST NAME/M.I.: Print the last name, first name, andmiddle initial of the vehicle operator. This data element is not applicable to the followingperson types: pedestrian, animal-drawn/ridden, bicyclist, and train engineer. These persontypes are listed in the Involved Persons Information Section.
D ATE OF BIRTH: Enter the date of birth of the operator in 8 digits; for example,May 5, 1964 would be listed as 05051964.
STREET NUMBER AND NAME: Enter the residence of the operator by the house numberand the street name or route number. Personal identification should be checked to ensurethe accuracy of the address.
CITY/STATE/ZIP CODE: Enter each of these data elements in the area provided. Thestate should be abbreviated in accordance with the state abbreviations. See Appendix E forvalid abbreviations.
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PEDESTRIAN INFORMATION
PEDESTRIAN FA C TORS: Darken up to three bubbles indicating Pedestrian Factorsonly if this unit is a pedestrian. Leave this area blank if this unit page does not representa pedestrian.
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INVO LVED PERSONS INFORMATION
NAME: Darken the appropriate bubble “M” or “F” which identifies the gender of eachindividual. Print the name of all individuals involved in the collision who are associatedwith each unit. This should include the operator of the vehicle, owner of the vehicle, and allpassengers in each unit. You should list all witnesses to the collision. List the name as lastname, first name, and middle initial.
Since the operator’ s name and address are entered in the Operator Information Section,“Operator” can be printed in this area instead of reentering the name and address. If theowner is the same as the operator and you have darkened the bubble indicating this in theOperator Information Section, it is not necessary to enter the owner information again.
ADDRESS: Print the address for each individual listed in the Involved Persons InformationSection. This should include street numbers and street names or routes, if applicable, aswell as city, state, and zip code. The operator’ s address does not need to be completed inthis section, because it is listed in the Operator Information Section.
D ATE OF BIRTH: I f an i ndividual i s injured or killed, print the date of birth for eachindividual in eight-digit sequences, for example, January 6, 1954, would be listed as01061954.
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D ATE OF DEATH: If applicable, print the eight-digit sequence of the actual date of death.If an individual dies within 30 days of the date of the collision, a supplemental report shallbe completed. (See pages 63 – 64 for instructions.)
TO COMPLETE THE REMAINING BUBBLES 14 - 23, USE THE BACK OF THECOVER CODE SHEET AS YOUR CODE GUIDE.
(14) - PERSON TYPE: Darken the bubble(s) which identifies each person listed in theInvolved Persons Information Section by his/her involvement in the collision. The “owner”bubble can be darkened in conjunction with passenger, driver or witness.
IF THE PERSON TYPE IS A WITNESS OR THE OWNER OF THE VEHICLEWHO W AS NOT INVO LVED IN THE COLLISION, THEN DATA ELEMENTS 15-23 ARE BLANK.
(15) – TRANSPORT TO MEDICAL FACILITY: Darken the bubble which indicateswhether or not the person identified in the Involved Persons Information Section wastranspor ted to a medical facility for treatment of his/her injuries. If the individual wasalready deceased, darken the bubble indicating “No,” and darken “funeral home/coroner’ svehicle” in Injured or Deceased Removed By.
(16) - POSITION IN/ON VEHICLE: Darken one bubble indicating the location of theperson identified in/on the vehicle. If person type is pedestrian, animal-drawn/ridden,bicyclist, or train engineer, this data element does not pertain and should be left blank.
• Bubbles 1 - 9 identify the location for most sedan type passenger vehicles• Bubble 10 identifies persons riding or hanging on the outside of vehicles• Bubble 11 identifies persons riding or sleeping in a sleeper compar tment• Bubble 12 identifies passengers in busses and in beds of trucks• Bubble 13 identifies persons riding in campers/trailers
If you are identifying a motorcycle operator, you should use code 1. A passenger sittingbehind the operator of a motorcycle should be code 4, and a passenger in a side car shouldbe code 2.
If you are identifying injured bus passengers, they must be listed on the collision report inthe Involved Person Information. If you are identifying non-injured bus passengers, theycan be listed on a separate sheet of paper.
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(17) - INJURY SEVERITY: Darken one bubble indicating the severity of the most seriousinjury sustained by the individual being identified. If person involved has a possible injury,this is classified as an injury collision.
• Fatal indicates the person was killed as a result of the collision and died within 30days of the collision.
• Incapacitating is any non-fatal injury which pr events the person from walking,driving, or normally continuing the activities he/she was capable of performingprior to the collision and does require medical attention. Incapacitating injuriesinclude severe lacerations, broken limbs, skull fracture, internal injuries,unconsciousness when leaving the scene, or inability to leave scene withoutassistance.
• Non-incapacitating injury is evident to observers at the collision scene such as minorlacerations, bruises, and abrasions.
• Possible injury is the claim of injury and/or pain that is not evident to the eye.Possible injury includes momentary unconsciousness, limping, nausea, and hysteria.
(18) - LOCA TION OF INJURY (MOST SEVERE): Darken one bubble if the involvedperson was injured, indicating the location of the most severe injury sustained in the collision.If the involved person’s injury severity was “none detected” then no bubbles should bedarkened.
(19) - RESTRAINT USE: Darken one bubble describing the safety equipment being usedby the individual being identified. Seek some evidence to support the code used. If persontype is pedestrian, animal-drawn/ridden, or train engineer, this data element does not pertainand should be left blank. If unit is a bicyclist, indicate helmet use.
(20) - AIR BAG: Darken the appropriate bubble(s) to indicate whether an air bag wasdeployed in the collision. If the motor vehicle is not equipped with an airbag, darken thebubble “not installed.” You may darken both bubbles 2 (deployed front) and 3 (deployedside), if applicable.
If person type is motorcyclist, pedestrian, animal-drawn/ridden, bicyclist, or train engineer,this data element does not pertain and should be left blank.
(21) - TRAPPED: Darken one bubble which indicates whether the individual was trappedand if so, was he/she freed by mechanical means. Extrication does not apply to carrying theperson out of the wreckage. If person type is motorcyclist, pedestrian, animal-drawn/ridden,bicyclist, or train engineer, this data element does not pertain and should be left blank.
(22) - EJECTION FROM VEHICLE: Darken one bubble to indicate if the individualwas ejected from the motor vehicle. Ejection refers to the location of each occupant’s bodybeing completely or partially thrown from the motor vehicle as a result of the collision. Ifperson type is motorcyclist, pedestrian, animal-drawn/ridden, bicyclist, or train engineer,this data element does not pertain and should be left blank.
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(23) - EJECTION PATH: This information is required for Fatal Collisions.Darken one bubble for the path taken by the occupant if he/she was ejected. Code 1 shouldbe darkened if the individual was not ejected, or if no information is provided to indicatethat the individual was ejected, or if not applicable. Code 11 (unknown) indicates that theindividual was ejected; however the path of the ejection is unknown. If person type ismotorcyclist, pedestrian, animal-drawn/ridden, bicyclist, or train engineer, this data elementdoes not pertain and should be left blank.
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VEHICLE INFORMATION
THIS INFORMATION ONLY PERTAINS TO MOTOR VEHICLES.IF UNIT TYPE IS NOT A MOTOR VEHICLE, LEAVE THIS AREA BLANK
VEHICLE YEAR: P rint t he four-digit model year of the vehicle. DO NOT GUESS.When in doubt, make routine inquiries via radio checks or registration receipts.
MAKE: Print the make of each unit. Do not abbr eviate.
MODEL: Print the vehicle model of each unit. Do not abbr eviate.
TYPE: Print the NCIC vehicle body type. See Ve hicle Type Codes in Appendix H.
STATE: Print the two-letter abbreviation for the state or territorial possession in which thevehicle is registered. See States and Territorial Possessions in Appendix E for correctabbreviations.
REGISTRATION NUMBER: Print the registration license plate number of the vehicle.If the plate number is not available, print “NONE” in this blank.
YEAR: Print the four-digit year the vehicle registration expires. If the motor vehicle hasofficial tags, enter “OFFICIAL.” If a commercial vehicle has apportioned tags, enter “APP.”
VEHICLE ID. NUMBER: Print the vehicle identification number (VIN).
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VEHICLE INSURED: Darken the appropriate bubble “Y” or “N” indicating whether themotor vehicle is covered by insurance.
NAME OF INSURANCE CO: Print the name of the insurance company covering eachmotor vehicle. The insurance agent’s phone number may be written in addition to the name,if space permits.
COLOR OF VEHICLE: Print the color of the motor vehicle.
1st AREA OF CONTACT (diagram): Darken one bubble which corresponds to the 1 st
area of contact (initial physical contact and first harmful event) identifying the principaldirection of force. If the first harmful event contact point is unknown, then darken thebubble which represents the area which received the major area of impact. As an aid to thepublic, shade in the areas of the vehicle diagram to indicate all areas of damage to the motorvehicle. Please be careful to shade within the vehicle diagram to avoid the possibility ofdarkening an incorrect bubble.
• Bubble 1 applies to the fr ont of the vehicle• Bubbles 2 and 8 to the fr ont bumpers• Bubbles 3 and 7 apply to the right and left sides• Bubbles 4 and 6 apply to the back bumpers• Bubble 5 to the r ear of the vehicle• Bubbles (T) and (B) apply to the top and bottom of the vehicle
C O M B I N ATION VEHICLE (diagram): A combination unit applies to a t ruckcombination (a truck consisting primarily of a transport device which is a straight unit truckor truck tractor together with one or more attached trailers). This diagram may also apply toa commercial or non-commercial vehicle combination, i .e. pul l ing a trai ler, boat, etc. Darkenonly one bubble which indicates the 1 st Area of Contact as described in the above vehicleunit. As an aid to the public, shade in the areas of the diagram to indicate all areas ofdamage to the combination motor vehicle. Please be careful to shade within the vehiclediagram to avoid the possibility of darkening an incorrect bubble.
• Bubble 1 applies to the fr ont of the combination vehicle• Bubbles 2 and 10 to the fr ont bumpers of the combination vehicle• Bubbles 3 and 9 to the sleeper berth• Bubbles 4 and 8 apply to the fr ont of the trailer• Bubbles 5 and 7 apply to the right and left back of the trailer• Bubble 6 applies to the r ear of the trailer• Bubble 11 applies to the double trailer (if applicable)• Bubbles 12 and 13 apply to the right and left back of the double trailer (if applicable)• Bubbles (T) and (B) apply to the top and bottom of the trailer
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EXTENT OF DAMAGE: Darken one bubble which best describes the damage to themotor vehicle. If Other Property is one of the bubbles darkened, then two bubbles can bedarkened, and at least one section of the Property Damage Information on page 2 should becompleted. The terms for damage begin with the least minor and increase in severity. Thechoices are as follows:
• Very Minor damage refers to the mildest damage recorded• Minor damage refers to the next level of severity and usually affects only the load on
a motor vehicle or the appearance of the motor vehicle• Minor/Mod damage is the next level of severity and does not affect the continued
safe operation of the vehicle• Moderate damage is more extensive and will need repair for continued safe use of
the vehicle. This usually includes doors, windows, hoods which will not open/operate properly, broken glass which obscures vision, tire damage even though thetire may be changed at the scene, loose bumpers, etc.
• Mod/Severe damage refers to a vehicle which is unable to be moved by its ownpower
• Severe damage refers to a disabled vehicle which must be towed and is totallydamaged. This includes vehicles which could be driven but would be further damagedby doing so.
• Very Severe damage refers to damage to the entire vehicle and there is no possibilityof repair (totaled), or if damage is extremely severe due to water immersion, fire,explosion, etc.
• Other Pr opert y would be applicable if this vehicle did damage to property otherthan the vehicle itself
• No Damage would be applicable if there is no noticeable damage done to this vehicle• Unknown should be darkened if the extent of damage is not known
AIR BAG SWITCH: Darken one bubble which indicates whether the air bag switch in themotor vehicle was in the on or off position. If a switch was not installed, darken the “notpresent” bubble.
T R AVEL DIRECTION: Darken one bubble which describes the designated travel directionof the roadway. This element refers to the pre-collision direction of the vehicle on theroadway. For parked vehicles, this data element should be left blank.
ESTIMATED T R AVEL SPEED: Report the travel speed of the motor vehicle prior to thecollision. Since it is often dif ficult to determine the travel speed, the report allows for therecording of a speed range. If it is possible to determine the travel speed by skid marks orother means, then enter the speed in the first space and leave the second space blank. If onlythe minimum travel speed can be determined, enter, for example 60+ (sixty-plus) in the firstspace and leave the second space blank. See the chart entitled “Estimated Speeds FromSkids” in Appendix F for aid in determining travel speed. If unknown, leave blank.
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CRASH AVOIDANCE (FATAL ONLY): Darken one bubble indicating the action takenby the driver to avoid the collision.
• This maneuver is the one taken to avoid the crash up to the first injury or damageproducing event for the motor vehicle
• Braking and/or steering by the driver will take pr ecedence over other avoidancemaneuvers when multiple choices are present
Although Crash A voidance is required for all units in a fatal collision, this information isalso useful in the analysis of injury and property damage traff i c col l i sions.
MOST HARMFUL EVENT: Darken the appropriate bubbles which correspond with thesame values listed under the “1st and 2nd Event Collision Wi th” (numbers 1-39) on thefront of the Cover Code Sheet.
Examples: If the Most Harmful Event for this vehicle is an earth embankment (16), darkenthe (1) in the first column and the (6) in the second column. In case your choice is a one-digit code, example: Other Motor V ehicle (5), darken a (0) in the first column and the (5) inthe second column.
This event must be the major most harmful event for the motor vehicle, even if it is differe ntfrom the First/Second Event.
Although Most Harmful Event is required for all units in a fatal collision, this informationis also useful in the analysis of injury and property damage traff i c col l i sions.
COMMERCIAL VEH.: Darken the appropriate bubble “Y” or “N” to indicate if themotor vehicle is a commercial vehicle. T ypically, a commercial vehicle has at least twoaxles and six tires and is operated for the transportation of persons or property in furtheranceof any commercial or industrial enterprise, for hire or not for hire. For example, a tractor-trailer combination hauling freight is a commercial vehicle.
Contract school busses are considered commercial vehicles. Privately owned busses (forexample, country singer’ s bus) is non-commercial. A city bus is not considered commercial,whereas a Greyhound bus is commercial.
A U-Haul/R yder truck is typically not a commercial vehicle.
A Truck & Tr ai ler ( Uni t Type = 21) and Truck-Single Unit (Unit Type = 22) can either becommercial or non-commercial.
Government vehicles are not commercial vehicles.
If the motor vehicle is not a commer cial vehicle, the blue shaded section should not becompleted.
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COMMERCIAL VEHICLE INFORMATION
HAZ. CARGO: Darken the appropriate bubble to indicate if the commercial vehicle wascarrying hazardous cargo at the time of the collision. Hazardous Cargo refers to any substanceor material which has been determined to be capable of posing an unreasonable risk tohealth, safety, and property.
HAZ. SPILL: Darken the appropriate bubble to indicate whether hazardous cargo wasreleased from the cargo tank or the compartment of a commercial vehicle at the time of thecol l ision. This field is required for all commercial vehicles carrying hazardous carg o. Fuelspilled from the vehicle’ s fuel tank does not apply.
HAZ. CARGO CODE: On many commercial vehicles, particularly those with hazardouscargo, there should be a placard with a four-digit number which indicates the type of cargothe vehicle is carrying. The code may also be located on orange panels on tanks. Check thesides and end of the vehicle for the hazardous cargo code. Print the code in this area.
TYPE CARGO/COMMODITY: Print the name of the cargo (hazardous or otherwise) orcommodity being carried by the commercial vehicle. If the commercial vehicle is unloaded,print “EMPTY. ”
NAS SAFETY REPORT #: If an inspection is done after the collision, print the reportnumber. This data element represents the control number assigned to a North AmericanStandard Safety Inspection conducted by vehicle enforcement of ficers and inspectors, andselect officers of other agencies trained by the Kentucky Transportation Cabinet, Divisionof Vehicle Enforcement. The control number is one of the following:
• pre-printed on the inspection form (Form TC92-100) if a hand-written inspection,or
• system generated by the software if a computer generated inspection. (A safetyinspection would normally be done “post-crash” at the request of the investigatingagency when a commercial motor vehicle is involved.)
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SINGLE/COMBINATION/BOBTAIL: Darken one bubble to indicate if the commercialvehicle is a single unit, combination, or bobtail truck. A single unit consist of a singlemotorized transport device. A bus is considered a single unit. A vehicle combinationconsists of a motor vehicle towing one or more units; for example, a tractor trailer. Abobtail truck consists of a cab/tractor with the trailer detached.
NO. AXLES: Darken one bubble to indicate the total number of axles in contact with theroadway for the commercial vehicle. For example, if the commercial vehicle is a tractor-trailer, indicate the total number of axles on the truck and all axles on the trailers. If morethan seven axles, darken the + bubble and the number of axles in the space provided.
NO. TRAILERS: Darken one bubble to indicate the number of trailers being pulled by thecommercial vehicle at the time of the collision.
US DOT #: Print the US DOT # in the blocks provided. The US DOT # is the FederalCensus Number assigned by the United States Department of T ransportation to motor carriersengaged in commerce. The number may be posted on the side of the truck and will bepreceded by “US DOT” and possibly followed by “KY. ” The “0” is already preprinted inthe first block. Print the next six numbers, omitting any letters and use zeroes to fill out theblocks to six places.
ICC MC #: Print the ICC MC # as displayed on the vehicle, if applicable. This is a uniquenumber assigned by the Interstate Commerce Commission (ICC) to motor carriers engagedin interstate or foreign commerce. The number may be displayed on the side of the powerunit vehicle and will be preceded by “ICC MC”. Six numbers will follow.
GVWR TO TAL: The Gross Ve hicle W eight Rating is specified by the manufacturer for asingle-unit truck, truck tractor, or truck tractor pul l ing a trai ler or trai lers. The total ratingfor vehicles towing trailers is the sum of the ratings for each unit.
M O TO R CARRIER NAME: The motor carrier is the business entity, individual,partnership, corporation, or religious or ganization that has directed the movement of thegoods/commodity; it is not necessarily the owner of the vehicle.
M O TOR CARRIER ADDRESS: Print the street address, city, state, and zip code for themotor carrier.
CARRIER NAME SOURCE: Darken one appropriate bubble to indicate where youobtained the name of the motor carrier.
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VIOLATION INFORMATION
VIOLATION INFORMATION PERTAINS TO THE FOLLOWING PERSONTYPES: DRIVER, PEDESTRIAN, ANIMAL-DRAWN/RIDDEN, AND BICYCLIST.
VIOLATION CODES: Print the violation code(s) of the offense(s) char ged. If a violationcode(s) is reported, a citation number and/or case number is required. If an owner of amotor vehicle is cited for no insurance, list the violation code.
CITATION NUMBER: Print the citation number(s) used for the enforcement action. Ifno citation is written, leave this area blank.
CASE NUMBER: Print the case number(s) used for the case/incidents. If a case was notopened, leave this area blank.
SUSPECTED DRINKING DRIVER: Darken the appropriate bubble “Y” or “N” indicatingif the driver was suspected of drinking. Selecting the “Y” bubble only indicates that alcoholuse was suspected and that it did not necessarily contribute to the collision. This dataelement pertains only to the driver of a motor vehicle.
METHOD OF DETERMINATION: Darken all appropriate bubbles to indicate whattests/observations were administered to determine if the person may have been drinking:
• Field Sobriety Test - This bubble pertains to behavior observed during a field sobrietytest such as gaze nystagmus test, walk and turn test, one leg stand, or other non-chemical tests given at the scene of the collision.
• Obser vation - This bubble refers to the off icer’ s observation. Observations mayinclude smelling alcohol on the breath, staggering, slurring of speech, admissionthat he/she had been drinking, or any other type of observation which would not beconsidered a field sobriety test or a chemical test.
• P.B.T. - This bubble refers to the administering of a preliminary breath test.• Other - This bubble refers to any type of test or determination used, other than the
choices already listed. If “other” is darkened, it should be explained in the narrative.
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TEST OFFERED: Darken the appropriate bubble which indicates if any evidential testswere off ered.
CHEMICAL TEST: Darken all appropriate bubbles which indicate evidential chemicaltests (blood, breath, or urine) were administered. If any chemical tests were refused, darkenthe bubble indicating “test refused”, and also indicate which tests were refused by darkeningthe appropriate bubble(s). Data determined from chemical testing plays a crucial role in thecollision investigation. If an evidential chemical test is administered, any enforcement actiontaken must be reported in Violation Codes.
TESTED FOR: This block is applicable only if chemical tests were administered. Darkenthe bubble(s), which describe the test(s) given.
TAKEN BY: Print the name of the person or agency who administered the test or withdrewthe blood sample.
SENT TO: Print the name of the place where the specimens/samples were sent for testing.If a breath testing instrument was used, print “BREATH TEST.”
RESULTS: Print the results of the blood-alcohol and/or drug tests, if available. If resultsare pending, print “PENDING” and continue to complete and submit your report. When theToxicology Report is received, make a copy and print the original Master File #, the AgencyORI number, and the local code (if applicable) in the upper right hand corner.
Mail to:Kentucky State Police Information Services1250 Louisville RoadFrankfort, KY 40601Attn: Records Section/Traffic Collision Report s
(By sending in a copy of the T oxicology Report with the original Master File Numberreferenced, the two documents can be linked and a supplemental report will not be required.)
PAGE OF PAGES: Print the total number of pages being submitted with this report. Thisincludes all supplement pages and attachments. For example, a 3 car collision will have aminimum of 5 pages. If unit page is blank, do not include this page in the total number ofpages. This data element is very important in the event that the pages of the traff i c col l i sionreport become separated either in mailing or when processed by Kentucky State Police.
62
UNIT INFORMATIONON THE LEFT AND RIGHT SIDES OF THE UNIT P AGES
Using the front of the Cover Code Sheet, darken the appropriate bubbles located down bothsides of the unit pages on the traff i c col l i sion report. This information pertains to each unitinvolved in a traf fic collision. See page 59, which indicates how the bubbles down bothsides of the unit pages align with the cover code sheet.
A number of codes, especially those involving contributing factors are based upon the off icer’ sown personal opinion and not necessarily upon factual evidence. It is important that anopinion be based upon the very best evidence possible. ASK questions, recheck PHYSICALEVIDENCE. There may be a combination of contributing factors involved.
(A) Pre-Collision V ehicle Action: Darken one bubble for a motor vehicle’s pre-collisionaction, which is the vehicle’s action before the driver took any sudden emergency action toavoid the collision. If “other” is darkened, it should be explained in the narrative. This dataelement is not applicable to the following unit types: bicycle, pedestrian, railroad train,riding animal/animal drawn vehicle.
(B) Unit T ype Code: Darken one bubble which identifies the type of unit involved in thecol l i sion. I f c ol l i sion i s hit & run, and information is known about the hit & run vehicle,then two bubbles shall be darkened indicating the unit type as hit & run and also the type ofvehicle; for example, passenger car. If information is not known about the hit & run vehicle,then only darken one bubble indicating hit & run. If “other” is darkened, it should beexplained in the narrative.
(C) Fire: Darken the appropriate bubble, “Yes or “No” to indicate whether the motorvehicle caught fire at any time during the collision. This data element is not applicable tothe following unit types: bicycle, pedestrian, railroad train, riding animal/animal drawnvehicle.
(D) Over turned: Darken the appropriate bubble, “Yes” or “No” to indicate whether themotor vehicle overturned at any time during the collision. This data element is not applicableto the following unit types: bicycle, pedestrian, railroad train, riding animal/animal drawnvehicle.
(E) Contributing Factors - Human: Darken the appropriate bubble(s) that best describethe apparent human factor involved. A limit of three bubbles may be darkened. If “other”is darkened, it should be explained in the narrative. Pay particular attention to the reportingof alcohol involvement. Alcohol use by drivers is a very important and a very highly studiedfactor o f t raffic collision causes. This data element is not applicable to the following unittypes: bicycle, pedestrian, railroad train, riding animal/animal drawn vehicle.
63
(F, G, H) 1st & 2nd Event Collision W ith – Non-Fixed Object, Fixed Object, Non-Collision(Values 1-39): These categories refer to the 1st and 2nd event for the motor vehicle involved.The 1 st event refers to the first property damage or injury producing event. The 2 nd eventrefers to the next stage of the collision. Darken only one bubble for each event. This dataelement is not applicable to the following unit types: bicycle, pedestrian, railroad train,riding animal/animal drawn vehicle.
“Motor vehicle in transport, other roadway” should be darkened when a motor vehicle leavesone roadway and enters a dif ferent roadway, resul ting in a traffic collision on the diff erentroadway. Examples:
• A motor vehicle traveling north on I 64 crosses the median and strikes a motorvehicle going south on I 64
• A motor vehicle traveling on I 64 loses control by/on the overpass and enters US60,striking a motor vehicle on US60
“Motor vehicle in transport, other roadway” should not be used for intersection collisions.
The category “fell from vehicle” listed under Non-Collision applies only to vehicle occupants.If “other” is darkened, it should be explained in the narrative.
(I) Contributing Factors – Vehicular: Darken the appropriate bubble(s) which refer tothe vehicle’s primary apparent contributing collision factor; example: bad tires, bad brakes,defective headlights, etc. A limit of two bubbles may be darkened. If “other” is darkened,it should be explained in the narrative. This data element is not applicable to the followingunit types: bicycle, pedestrian, railroad train, riding animal/animal drawn vehicle.
(J) Contributing Factors - Envir onmental: Darken the appropriate bubble(s) whichapply to the primary environmental factor(s) which were present and contributed to thetraff ic c ol l ision. A limit of two bubbles may be darkened. Each motor vehicle unit in atraffic collision may or may not have the same environmental factor(s). If “other” is darkened,it should be explained in the narrative. This data element is not applicable to the followingunit types: bicycle, pedestrian, railroad train, riding animal/animal drawn vehicle.
If the Contributing Factor-Environmental is construction work zone o r maintenance/utility work zone, ( a crash that occurs in or near a construction, maintenance, or utilityzone, whether workers were actually present at the time of the collision), please indicatethe work zone area and whether or not workers were present in the Description of Collision.See Appendix G for W ork Zone Area Diagram. The work zone areas are as follows:
• Before the first work zone warning sign• Advance warning area tells traffic what to expect ahead (after the first warning sign
but before the work are a)• Transition area moves traffic out of its normal path (where lanes are shifted or
tapered for lane closure )• Activity area is where work takes place (adjacent to actual work area, whether
workers and equipment were present or not)• Termination area lets traffic resume normal driving (after the activity area but before
traffic resumes normal conditions)
64
(K) Underride/Override: An underride refers to a motor vehicle (passenger car, utilityvehicle, passenger van, light truck or van based bus) sliding under another motor vehicleduring a collision. The classic example is an automobile striking the rear end or side of atractor-trailer and coming to a stop under the trailer. In this example, the automobile is theunderriding vehicle.
A distinction should be made between those underriding vehicles with compartment intrusionversus vehicles with no compartment intrusion. Compartment intrusion means that thetruck’s rear end or side has entered the passenger compartment of the underriding vehicle(typically, the windshield or glass area). No compartment intrusion means that the fronthood is under the truck, but the truck has not directly entered the passenger compartment.
For underride and override, it is important to determine the motor vehicle performing theaction. Two vehicles cannot be considered to underride and override simultaneously. Also,do not code frontal underrides. In cases where two vehicles collide “head-on” and onevehicle rests under the other, two striking vehicles exist, underride codes cannot be used.
An override refers to a vehicle riding up over another (including a parked vehicle). Examples:
• “Override-Motor Ve hicle i n Transport” is used when a motor vehicle overridesanother motor vehicle in transport
• “Override-Other V ehicle” is used when a motor vehicle overrides a parked motorvehicle or a transport device is in use as equipment
A vehicle straddling a guardrail is not coded as an override.
Underride/Override is not applicable to the following unit types: bicycle, pedestrian, railroadtrain, riding animal/animal drawn vehicle.
65
SUPPLEMENTAL REPORT INSTRUCTIONS
The two sides of the supplemental report are not the same. THE FRONT OF THESUPPLEMENTAL REPORT IS THE SIDE WITH THE NARRATIVE SECTION. Bothsides contain the same data elements as unit pages 1 and 2 of the four page traff i c col l i sionreport, however some of the data elements are arranged diff erentl y. In addi tion to the narr ativesection and the investigator information, the front side has space for only three involvedpersons whereas the backside has space for six involved persons.
Refer to the Unit Information Section on pages 41 - 62 for instructions on how to completethe data elements listed on the supplemental r eport.
If submitting a supplement report due to a fatality within 30 days, the data elements in redshall be completed.
Agency ID, Local Code, Collision Date, Master File Number, Investigator, I.D. Number,Beat or Post No., Supplement Date, Reviewed By, and Page of Pages must be completedfor each supplemental report. This ensures that all the information for the traff i c col l i sionwill be “linked” together.
ORIGINAL REPORT SUBMISSION
The supplemental report is considered part of the original report when the traff i c c ol l i sioninvolves three or more units, or more than six persons in a vehicle. Supplemental reportpages are to be submitted at the same time as the original report.
Print the Unit # in the appropriate box. For example; if the collision involved four vehicles,the first two vehicles would be listed on the four page original report. Vehicle #3 informationwould be written on the front of the supplemental report and Vehicle #4 information on theback of the supplemental report.
If a unit has more than six involved persons, use the supplemental report to list the additionalpersons. Complete the Unit # field, the Involved Persons Information, and the required dataelements highlighted above.
66
UPDATING/CORRECTING AN ORIGINAL TRAFFIC COLLISION REPORT
Supplemental reports are used to update the traf fic collision for information obtained afterthe original report has been submitted. (For example, hit and run collisions and deathsoccurring within 30 days of the collision date.)
The supplemental report has been primarily designed to capture additional unit informationand information concerning individuals involved in a traf fic collision. Corrections/updatespertaining to the first two pages of the original report must be printed in the narrative sectionof the supplemental report (for example, correcting Location 1 st Event or correcting thespelling of the Roadway Name).
When updating/correcting unit information or involved persons information, enter therequired data elements highlighted at the beginning of this section, the Unit #, theinformation being changed, and the following data elements listed at the bottom of thesupplemental report: Narrative, Investigator, I.D. Number, Beat or Post No., SupplementDate (including darkening the “Y” bubble), Reviewed By, and Page of Pages.
When updating involved persons information, enter the name, address, city, state, zip, anddate of birth to identify the person. Quality control will compare this identifying informationwith the information on the database and the previously submitted report to make sure amatch is found. If the identifying information for the person also needs to be corrected, forexample, correcting the spelling of a name, or correcting the date of birth, indicate this inthe narrative section.
If updating unit information for a hit and run collision, besides entering the unit and involvedpersons information, indicate that you are updating a hit and run traf fic collision in thenarrative section.
Supplement Date is the date the supplemental report was completed; it is not the CollisionDate.
Please explain all modifications/updates to a traffic collision in the narrative section.Quality contro l s taff wi l l be responsible for updating the CRASH database with theinformation written on the supplemental r eport .
67
SUPPORTING DOCUMENTS
Suppor ting documents must be on 8 ½ x 11 or 8 ½ x 14 paper with information on oneside only.
Supporting Documents, such as witness statements, toxicology reports, and collisionreconstruction diagrams can be submitted with the original traf fic collision report, with thesupplemental report, or mailed separately to:
Kentucky State Police Information Services1250 Louisville RoadFrankfort, KY 40601Attn: Records Section/Traffic Collision Report s
Print the Master File #, Agency ORI Number, and if applicable, the Local Code in the upperright hand corner of each page. This ensures all the traf fic collision information will belinked together.
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
75
001 ADAIR00104 BREEDING
00101 COLUMBIA
00102 CUNDIFF
00105 GLENS FORK
00103 KNIFLEY
00107 MILLTO W N
00106 S PARKSVILLE
002 ALLEN00202 ADOLPHUS
00204 HOLLAND
00201 SCOTTSVILLE
003 ANDERSON
00303 ALTO N
00301 LA W R E N C E B U R G
00304 STRINGTO W N
00305 TYRONE
004 BALLARD00405 BANDANA
00402 B A R L O W
00406 BLANDVILLE
00407 G A G E
00404 KEVIL
00403 LA CENTER
00408 LOVELACEVILLE
00409 O S C A R
00401 WICKLIFFE
005 BARREN00505 AUSTIN
00502 C AVE CITY
00501 G L A S G O W
00504 HISEVILLE
00506 M E R RY OAKS
00503 P ARK CITY
006 B ATH00605 BETHEL
00603 O LYMPIA
00601 OWINGSVILLE
00606 PRESTO N
00604 SALT LICK
00602 SHARPSBURG
007 BELL00707 ARJAY
00728 BALKAN
00711 BEVERLY
00712 BLACKMONT
00730 BRADFORDTO W N
00713 CALLAW AY
00714 CALVIN/PA G E
00727 C A RY
00720 C H E N O A
00721 C O L M A R
00717 CUBAGE
00729 D O RTON BRANCH
00726 E D G E W O O D
00719 FERNDALE
00715 FIELD
00725 FONDE
00716 FOURMILE
00704 FRAKES
00731 HARBELL
00703 HULEN
00710 INGRAM
00722 JENSON
00706 KETTLE ISLAND
00718 M E L D R U M
00701 MIDDLESBORO
00705 MIRACLE
00702 PINEVILLE
00708 STONEY FORK
00723 STRAIGHT CREEK
00724 V ARILLA
00709 W ALLSEND
008 B O O N E00810 BEAVERLICK
00811 BELLEVIEW
00812 BIG BONE
00805 BOONE AIRPORT
00804 BURLINGTO N
00814 CONSTANCE
00802 FLORENCE
00808 H E B R O N
00813 PETERSBURG
00809 RICHWOOD
00806 UNION
00807 VERONA
00803 W ALTO N
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
76
009 B O U R B O N00904 CENTERVILLE
00906 CLINTONVILLE
00907 LITTLE ROCK
00902 MILLERSBURG
00903 N O RTH MIDDLETO N
00901 P ARIS
00905 RUDDELS MILLS
010 B O Y D01001 ASHLAND
01010 BURNAUGH
01004 CANNONSBURG
01002 C ATLETTSBURG
01005 COALTO N
01006 DURBIN
01013 IRONVILLE
01011 L O C K W O O D
01009 PRINCESS
01008 R U S H
01007 SUMMIT
01012 W E S T W O O D
011 BOYLE01101 DANVILLE
01102 JUNCTION CITY
01105 MITCHELLSBURG
01104 PARKSVILLE
01103 PERRYVILLE
012 BRACKEN01201 AUGUSTA
01212 BLADESTO N
01206 BRADFORD
01202 BROOKSVILLE
01204 FOSTER
01203 G E R M A N TO W N
01208 JOHNSVILLE
01205 LENOXBURG
01209 MILFORD
01210 NEAV E
01213 NIEVE
01211 POWERSVILLE
01207 WILLOW
013 BREATHITT01303 ALT R O
01337 B A RWICK
01342 B AY S
01308 CANE CREEK
01325 C A N O E
01335 C H E N O W E E
01314 CLAYHOLE
01322 C U RT
01315 E VANSTO N
01329 G U A G E
01338 GUERRANT
01305 HADDIX
01316 HARDSHELL
01301 JACKSON
01339 JETTS CREEK
01317 JUAN
01333 K R A G O N
01334 LAMBRIC
01340 LITTLE
01311 LONG FORK
01318 LOST CREEK
01332 MORRIS FORK
01306 N E D
01302 N O C TO R
01330 OAKDALE
01319 P O RTSMOUTH
01313 QUICKSAND
01312 ROUSSEAU
01320 SALDEE
01321 SEBASTIANS BRANCH
01326 SHOULDERBLADE
01327 SOUTH FORK
01328 T ALBERT
01309 TURKEY
01307 V ANCLEVE
01341 W AR CREEK
01304 W ATTS
01331 WHICK
01310 WOLF COAL
01336 W O LVERINE
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
77
014 BRECKINRIDGE01424 ADDISON
01415 AXTEL
01418 BIG SPRING
01402 CLOVERPORT
01410 CONSTANTINE
01416 CUSTER
01422 DYER
01411 GARFIELD
01425 GLEN DEAN
01401 HARDINSBURG
01404 HARNED
01407 HENSLEY
01423 H U D S O N
01403 IR VINGTO N
01426 LOCUST HILL
01419 LODIBURG
01412 MADRID
01406 MCDANIELS
01405 M C Q U A D Y
01408 ROFF
01420 SAMPLE
01427 SE REE
01421 STINNETTSVILLE
01409 UNION STA R
01414 V ANZANT
01413 W E B S T E R
01417 WESTVIEW
015 BULLITT01512 BARDSTOWN JUNCTION
01509 BELMONT
01508 B R O O K S
01510 CLERMONT
01505 HILL VIEW
01507 HUNTERS HOLLOW
01502 LEBANON JUNCTION
01503 MOUNT WASHINGTO N
01511 NICHOLS
01506 PIONEER VILLAGE
01501 SHEPHERDSVILLE
016 BUTLER01604 ABERDEEN
01601 M O R G A N TO W N
01603 ROCHESTER
01602 ROUNDHILL
017 CALDWELL01703 C O B B
01702 FREDONIA
01701 PRINCETO N
018 C A L L O WAY01808 A L M O
01804 C O L D WATER
01809 CROSSLAND
01806 DEXTER
01812 HAMLIN
01803 HAZEL
01810 KIRKSEY
01805 L YNN GROVE
01801 M U R R AY
01811 NEW CONCORD
01807 STELLA
019 CAMPBELL01917 ALEX
01907 ALEXANDRIA
01901 BELLEVUE
01918 CALIFORNIA
01909 COLD SPRING
01916 CRESTVIEW
01903 D AYTO N
01904 F O RT T H O M A S
01920 GRANTS LICK
01905 HIGHLAND HEIGHTS
01913 MELBOURNE
01914 M E N TO R
01906 N E W P O RT
01919 R O S S
01910 SIL VER GROVE
01908 SOUTHGATE
01912 WILDER
020 CARLISLE02002 ARLINGTO N
02001 BARDWELL
02003 CUNNINGHAM
02005 KIRBYTO N
02004 MILBURN
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
78
021 CARROLL02101 CARROLLTO N
02107 EASTERDAY
02103 ENGLISH
02102 GHENT
02105 PRESTONVILLE
02104 SANDERS
02106 W O RTHVILLE
022 CARTER02218 C A RTER
02203 C A RTER CITY
02219 CLARK HILL
02214 DENTO N
02207 GLOBE
02204 G R A H N
02201 G R AY S O N
02206 HITCHINS
02209 KILGORE
02215 LAW TO N
02210 LEON
02213 LIMESTO N E
02202 OLIVE HILL
02211 PACTOLUS
02212 SMOKY VALLEY
02205 SOLDIER
02217 STINSON
02216 UPPER TYGART
02208 WILLARD
023 CASEY02306 ARGYLE
02304 CLEMENTSVILLE
02305 DUNNVILLE
02309 JACKTO W N
02301 LIBERTY
02307 MIDDLEBURG
02308 MINTONVILLE
02303 WINDSOR
02302 YOSEMITE
024 CHRISTIAN02414 CADIZ
02413 CERULEAN
02402 CROFTO N
02411 FEARSVILLE
02415 F O RT CAMPBELL
02407 FRUIT HILL
02408 GRACEY
02409 H E R N D O N
02401 HOPKINSVILLE
02410 LAFAYETTE
02406 MANNINGTO N
02405 OAK GROVE
02403 PEMBROKE
02412 ST. ELMO
02416 WHITE PLAINS
025 CLARK02502 F O R D
02501 WINCHESTER
026 CLAY02601 MANCHESTER
02602 ONEIDA
027 CLINTO N02701 ALBANY
028 CRITTENDEN02802 C R AYNE
02801 MARION
029 CUMBERLAND02901 BURKESVILLE
02903 KETTLE
02902 M A R R O W B O N E
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
79
030 D AVIESS03020 BURK CITY
03017 D E R M O N T
03021 FRIENDLY VILLAGE
03014 KNOTTSVILLE
03007 M A C E O
03002 MASONVILLE
03015 MOSELEYVILLE
03018 N E W M A N
03001 O W E N S B O R O
03019 P ANTHER
03006 PHILPOT
03012 PLEASANT RIDGE
03016 ST. JOSEPH
03011 S O R G H O
03005 STANLEY
03004 THRUSTO N
03010 UTICA
03008 WEST LOUISVILLE
03013 WHITESVILLE
03022 YELVINGTO N
031 E D M O N S O N03104 BEE SPRING
03101 BROWNSVILLE
03107 CHALYBEATE
03105 MAMMOTH CAV E
03106 ROCKY HILL
03103 SUNFISH
032 ELLIOTT03203 BRUIN
03202 ISONVILLE
03206 L YTTEN
03204 NEWFOUNDLAND
03201 SANDY HOOK
03207 STARK
03205 STEPHENS
033 ESTILL03301 IR VINE
03302 R AVENNA
034 FAYETTE03402 LEXINGTO N
035 FLEMING03504 BLUEBANK
03509 C O WA N
03510 ELIZA VILLE
03507 EWING
03506 FAIR VIEW
03501 FLEMINGSBURG
03514 FOXPORT
03503 G O D D A R D
03512 GRANGE CITY
03511 HILLSBORO
03516 MOUNT CARMEL
03505 MUSES MILLS
03517 PLUMMERS LANDING
03513 PLUMMERS MILL
03515 SHERBURNE
03508 TILTO N
03502 W ALLINGFORD
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
80
036 FLOYD03605 ALLEN
03627 A M B A
03641 AUXIER
03606 BANNER
03647 BEAVER
03607 BERINSVILLE
03624 BETSY LAYNE
03652 BEVINSVILLE
03630 BLUE RIVER
03655 BRAINARD
03608 BRANDY KEG
03650 BUCKINGHAM
03642 BYPRO
03658 C R AY N O R
03632 DANA
03645 D AVID
03625 DRIFT
03643 D WALE
03648 EAST POINT
03611 EASTERN
03631 E M M A
03633 ENDICOTT
03646 ESTILL
03609 GALVESTO N
03610 GARRETT
03654 G A RT H
03623 GRETHEL
03659 HALO
03612 HAROLD
03634 HI HAT
03636 HIPPO
03637 HITE
03651 HONAKER
03635 HUEYSVILLE
03661 HUNTER
03613 IVEL
03653 JUSTELL
03660 LACKEY
03614 LANCER
03615 LANGLEY
03649 LIGON
03621 M A N TO N
03603 M A RTIN
03629 M AYTO W N
03616 M C D O W E L L
03622 MELVIN
03617 MINNIE
036 FLOYD (continuation)
03638 ORKNEY
03601 PRESTO N S B U R G
03618 PRICE
03639 PRINTER
03656 PYRAMID
03628 STANVILLE
03640 TEABERRY
03626 T R A M
03620 W A R C O
03619 W ATERGAP
03604 W AYLAND
03644 W E E K S B U RY
03657 WEST PRESTO N S B U R G
03602 W H E E LWRIGHT
037 FRANKLIN03701 FRANKFORT
038 FULTO N03803 C AYCE
03801 FULTO N
03802 HICKMAN
039 GALLATIN03903 GLENCOE
03904 NAPOLEON
03902 S PA RTA
03901 W ARSAW
040 G A R R A R D04001 LANCASTER
04002 P AINT LICK
041 GRANT04108 C O R D O VA
04103 CORINTH
04105 CRITTENDEN
04102 D RY RIDGE
04111 ELLISTO N
04104 FOLSOM
04112 HOLBROOK
04107 JONESVILLE
04109 LA WRENCEVILLE
04110 MOUNT ZION
04106 SHERMAN
04101 WILLIAMSTO W N
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
81
042 G R AVES04216 BOAZ
04208 CUBA
04221 D O G W O O D
04219 D U K E D O M
04203 F ANCY FA R M
04213 F ARMINGTO N
04209 FOLSOMDALE
04205 HICKORY
04220 KALER
04218 L O W E S
04206 L YNNVILLE
04201 M AYFIELD
04214 MELBER
04217 PILOT OAK
04204 P RYORSBURG
04210 SEDALIA
04207 SYMSONIA
04215 TRI CITY
04211 VIOLA
04212 W ATER VALLEY
04202 W I N G O
043 G R AY S O N04307 ANNETA
04305 BIG CLIFTY
04302 CANEYVILLE
04303 CLARKSON
04304 F ALLS OF ROUGH
04301 LEITCHFIELD
04312 MEREDITH
04314 MILLERSTO W N
04309 MILL W O O D
04311 PEONIA
04308 S H O RT CREEK
04306 S H R E W S B U RY
04310 W A X
04313 YEAMAN
044 G R E E N04401 GREENSBURG
04402 SUMMERSVILLE
045 GREENUP04510 ARGILLITE
04516 BEECHY
04517 BELLEFONTE
04520 DANLEYTO N
045 GREENUP (continuation)04501 FLAT W O O D S
04502 GREENUP
04521 KEHOE
04523 LIMEVILLE
04509 LLOYD
04511 LOAD
04513 LY N N
04522 MALONETO N
04514 NAPLES
04512 OLDTO W N
04503 RACELAND
04505 RUSSELL
04515 SILOAM
04508 SOUTH PORTSMOUTH
04504 SOUTH SHORE
04518 W A R N O C K
04506 W O RTHINGTO N
04507 W U RTLAND
04519 Y O R K
046 H A N C O C K04601 H AWESVILLE
04602 LEWISPORT
04603 PELLVILLE
047 HARDIN04716 CECILIA
04708 COLESBURG
04713 EASTVIEW
04701 ELIZABETHTO W N
04718 F O RT KNOX
04709 GLENDALE
04717 HOWE VALLEY
04702 RADCLIFF
04710 RINEYVILLE
04711 S O N O R A
04714 STEPHENSBURG
04715 SUMMIT
04705 UPTO N
04706 VERTRESS
04703 VINE GROVE
04704 WEST POINT
04712 WHITE MILLS
04719 YOUNGER CREEK
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
82
048 HARLAN04825 AGES
04866 BAILEY CREEK
04807 BAXTER
04806 B E N H A M
04848 BIG LAUREL
04823 BLACKJOE
04808 BLACK MOUNTAIN
04857 BLAIR
04809 BLEDSOE
04850 BOBS CREEK
04822 BROOKSIDE
04829 C AW O O D
04844 CHEVR0LET
04845 CLOSPLINT
04861 CLOVERTO W N
04854 CLUTTS
04828 C O A L G O O D
04810 COLDIRON
04820 COXTO N
04830 CRANKS
04862 CRUMMIES
04801 CUMBERLAND
04811 D AYHOIT
04847 DIONE
04833 DIZNEY
04858 DRESSEN
04805 E VA RTS
04835 GOLDEN ASH
04836 G R AYS KNOB
04837 GULSTO N
04802 HARLAN
04855 HIGHSPLINT
04819 HIRAM
04846 HOLMES MILL
04853 JONES (CREEK)
04812 KEITH
04824 KENVIR
04856 KILDAV
04815 KITTS
04863 LAUREL FORK
04813 LENARUE
04864 LIGGETT
04851 LOUELLEN
04803 LOYALL
04804 L Y N C H
04838 M A RY ALICE
04814 M O L U S
048 HARLAN (continuation)
04839 NOLANSBURG
04840 PATHFORK
04859 PINE MOUNTAIN
04816 PUTNEY
04832 REDBUD
04827 RHEA
04860 RIO VISTA
04865 RIVER RIDGE
04817 ROSSPOINT
04841 SANBORN
04842 SHIELDS/LEJUNIOR
04826 SMITH
04831 SUNSHINE
04849 TEETERSVILLE
04821 TOTZ
04843 TREMONT
04834 VERDA
04818 W ALLINS (CREEK)
049 HARRISON04902 BERRY
04904 CLAYSVILLE
04901 CYNTHIANA
04905 HINTO N
04903 ODDVILLE
050 HART05003 BONNIEVILLE
05009 C A N M E R
05004 CUB RUN
05008 HARDYVILLE
05001 HORSE CAV E
05012 JONESVILLE
05011 KESSINGER
05010 LINWOOD
05002 MUNFORDVILLE
05005 P ASCAL
05006 ROWLETTS
05007 U N O
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
83
051 HENDERSON05107 ANTHOSTO N
05109 BASKETT
05114 BEALS
05115 BLUFF CITY
05108 CAIRO
05102 C O RY D O N
05113 DIXIE
05105 GENEVA
05116 HEBBARDSVILLE
05101 HENDERSON
05110 NIAGARA
05103 REED
05104 ROBARDS
05112 SMITH MILLS
05106 SPOTTSVILLE
05111 ZION
052 H E N RY05211 BETHLEHEM
05204 CAMPBELLSBURG
05202 EMINENCE
05214 FRANKLINTO N
05207 JERICHO
05206 LOCKPORT
05201 NEW CASTLE
05205 PENDLETO N
05203 PLEASUREVILLE
05213 P O RT ROYAL
05208 SLIGO
05209 SMITHFIELD
05212 SULPHUR
05210 TURNERS STATION
053 HICKMAN05305 BEULAH
05301 CLINTO N
05303 COLUMBUS
05304 FULGHAM
05302 M O S C O W
05306 OAKTO N
054 HOPKINS05406 ANTO N
05418 ASHBYBURG
05415 BEULAH
05416 CHARLESTO N
05417 COILTO W N
05419 DALTO N
05402 D AWSON SPRINGS
05403 EARLINGTO N
05420 GRAPEVINE
05408 H A N S O N
05409 ILSLEY
05413 JEWEL CITY
05401 MADISONVILLE
05410 MANITO U
05404 M O RTONS GAP
05411 N E B O
05405 N O RTONVILLE
05414 RICHLAND
05407 ST. CHARLES
05412 WHITE PLAINS
055 JACKSON05506 ANNVILLE
05505 B O N D
05511 EGYPT
05508 G R AY HAW K
05513 GREEN HALL
05510 KERBY KNOB
05501 M C K E E
05507 MORRILL
05509 PEOPLES
05503 SANDGAP
05504 TYNER
05512 W ANETA
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
84
056 JEFFERSON05605 ANCHORAGE
05619 AUDUBON PARK
05653 BANCROFT
05632 BARBOURMEADE
05611 BEECHWOOD VILLAGE
05630 BELLEWOOD
05643 BLUE RIDGE MANOR
05637 BRIARW O O D
05628 BROADFIELDS
05606 BUECHEL (WEST)
05625 C H E R RY W O O D
05650 DEVONDALE
05646 DOUGLASS HILLS
05607 F AIRDALE
05659 FERN CREEK
05626 FOREST HILLS
05655 GREEN SPRING
05616 HOLLOW CREEK
05624 HOUSTON ACRES
05644 INDIAN HILLS
05610 JEFFERSONTO W N
05658 KEENELAND
05634 KINGSLEY
05654 LANGDON PLACE
05602 LOUISVILLE
05608 L Y N D O N
05612 L YNNVIEW
05633 MANOR CREEK
05631 MEADOW VALE
05649 MEADOWBROOK FA R M
05640 MEADOWVIEW ESTATES
05609 MIDDLETO W N
05618 MINOR LANE HEIGHTS
05641 M O O R L A N D
05639 NORBOURNE ESTATES
05638 N O RTHFIELD
05660 OKOLONA
05620 PLANTATION
05651 PLYMOUTH VILLAGE
05645 PROSPECT
05642 RICHLAW N
05623 ROLLING HILLS
05603 ST. MA TTHEWS
05613 ST. REGIS PARK
05627 SENECA GARDENS
05604 SHIVELY
05636 STRATHMOOR VILLAGE
056 JEFFERSON (continuation)05635 WELLINGTO N
05622 W E S T W O O D
05629 WHIPPS MILLGATE
05621 W I L D W O O D
05648 WOODLAND HILLS
05614 W O O D L AWN PARK
05656 W O RTHING HILLS
057 JESSAMINE05703 KEENE
05701 NICHOLASVILLE
05702 WILMORE
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
85
058 JOHNSON05802 BARNETTS CREEK
05814 BOONS CAMP
05832 CHANDLERVILLE
05827 COLLISTA
05830 DANIELS CREEK
05828 DENVER
05829 EAST POINT
05810 FLATGAP
05803 HAGERHILL
05833 KEATO N
05813 LEANDER
05804 LOWMANSVILLE
05823 MANILA
05819 MEALLY
05805 NIPPA
05811 OFFUTT
05806 OIL SPRINGS
05801 P AINTSVILLE
05824 REDBUSH
05812 RICEVILLE
05826 RIVER
05815 SITKA
05807 STAFFORDSVILLE
05831 STA M B A U G H
05820 S WAMP BRANCH
05835 THEALKA
05818 THELMA
05821 TUTOR KEY
05809 VAN LEAR
05817 VOLGA
05825 WEST VAN LEAR
05822 WHITEHOUSE
05816 WILLIAMSPORT
05808 WITTENSVILLE
059 KENTO N05915 BROMLEY
05901 COVINGTO N
05922 CRESCENT PARK
05909 CRESCENT SPRINGS
05916 CRESTVIEW HILLS
05917 E D G E W O O D
05902 ELSMERE
05903 ERLANGER
05918 FAIR VIEW
05913 F O RT MITCHELL
05904 F O RT WRIGHT
05919 INDEPENDENCE
05910 LAKESIDE PARK
05920 LAKEVIEW
05923 LAT ONIA LAKES
05907 L U D L O W
05928 MORNING VIEW
05927 NICHOLSON
05906 P ARK HILLS
05929 PINER
05924 RIDGEVIEW HEIGHTS
05926 R YLAND HEIGHTS
05911 TA YLOR MILL
05912 VILLA HILLS
05921 WINSTON PARK
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
86
060 KNOTT06015 AMBURGEY
06007 A N C O
06034 BEARVILLE
06030 BRINKLEY
06031 CARR CREEK
06016 CARRIE
06003 CLEAR CREEK
06023 C O D Y
06036 D E C O Y
06017 D E M A
06024 ELMORE
06032 EMMALENA
06018 FISTY
06012 G A R N E R
06001 HINDMAN
06033 HOLLYBUSH
06035 IVIS
06006 KITE
06004 LARKSLANE
06025 LEBURN
06026 LITTCARR
06027 MALLIE
06019 MOUSIE
06028 O D G E N
06011 PINE TO P
06002 PIPPA P ASSES
06020 R AVEN
06013 REDFOX
06005 ROCKFORK
06009 SASSAFRAS
06021 SMITHSBORO
06010 SOFT SHELL
06022 T ALCUM
06008 T O P M O S T
06029 VEST
061 K N O X06113 A RTEMUS
06102 BAILEYS SWITCH
06101 BARBOURVILLE
06116 B A U G H M A N
06109 BIMBLE
06127 BOONE (HEIGHTS)
06122 B RYANTS STO R E
06111 C A N N O N
06128 CORBIN
06114 DEWITT
06110 FLAT LICK
06107 GIRDLER
06103 G R AY
06117 GREEN ROAD
06118 HEIDRICK
06119 HIMYA R
06115 HINKLE
06104 JARVIS
06123 K AYJAY
06108 MILLS
06124 ROAD FORK
06120 SALT GUM
06121 SCALF
06105 TROSPER
06112 W ALKER
06125 W A R R E N
06106 WOODBINE
06126 W O O L L U M
062 LARUE06206 BUFFALO
06208 GLEANINGS
06201 HODGENVILLE
06207 L Y O N S
06204 MAGNOLIA
06202 MOUNT SHERMAN
06203 UPTO N
06205 WHITE CITY
063 LAUREL06302 EAST BERNSTADT
06304 KEAV Y
06305 LILY
06301 L O N D O N
06303 PITTSBURG
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
87
064 LAW R E N C E06403 BLAINE
06402 BUCHANAN
06406 CHAPMAN
06409 CLIFFORD
06407 F ALLSBURG
06401 LOUISA
06411 M A RTHA
06410 MAZIE
06404 RICHARDSON
06405 TERRYVILLE
06408 ULYSSES
06412 WEBBVILLE
065 LEE06502 A THOL
06501 BEATTYVILLE
06503 OLD ORCHARD
066 LESLIE06608 ASHER
06602 BEAR BRANCH
06607 BIG ROCK
06609 CHAPPELL
06606 CINDA
06618 CONFLUENCE
06610 CUTSHIN
06604 D RYHILL
06619 ESSIE
06620 HELTO N
06616 HOSKINSTO N
06601 HYDEN
06605 MOZELLE
06614 R O A R K
06615 SIZEROCK
06611 SMILAX
06612 STINNETT
06603 THOUSANDSTICKS
06621 W ARBRANCH
06622 W E N D O V E R
06613 W O O TO N
06617 YEADDISS
067 LETCHER06721 BELCRAFT
06706 BLACKEY
06738 BURDINE
06739 CARCASSONNE
06707 COLSON
06719 C R O M O N A
06737 C R O W N
06740 D AY
06716 DEANE
06732 D E M O C R AT
06715 EOLIA
06722 ERMINE
06704 FLEMING (NEON)
06746 GILLEY
06741 G O R D O N
06729 HALLIE
06713 H AY M O N D
06708 ISOM
06714 JACKHORN
06702 JENKINS (DUNHAM)
06733 JEREMIAH
06742 KINGS CREEK
06711 K O N A
06723 LETCHER
06734 LINEFORK
06718 M A R L O W E
06725 M AYKING
06724 M C R O B E RTS
06731 MILLSTO N E
06703 N E O N
06726 OVEN FORK
06709 PA RTRIDGE
06727 PAYNE GAP
06712 PREMIUM
06743 ROXANA
06728 S E C O
06747 SERGENT
06744 SKYLINE
06735 THORNTO N
06720 ULVA H
06745 UZ
06717 VA N
06736 WHITAKER
06730 WHITCO
06701 WHITESBURG
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
88
068 LEWIS06810 CAMP DIX
06809 C H A RTERS
06805 C O N C O R D
06807 FIREBRICK
06802 GARRISON
06808 PETERSVILLE
06806 QUINCY
06803 RIBBOTT
06811 ST. PAUL
06804 T OLLESBORO
06801 V ANCEBURG
069 LINCOLN06903 CRAB ORCHARD
06907 GENEVA
06902 HUSTONVILLE
06904 KINGS MOUNTAIN
06906 MCKINNEY
06908 MORELAND
06901 STANFORD
06905 W AYNESBURG
070 LIVINGSTO N07010 BIRDSVILLE
07006 BURNA
07003 GRAND RIVERS
07007 HAMPTO N
07004 LAKE CITY
07002 LEDBETTER
07005 SALEM
07001 SMITHLAND
07009 TILINE
071 L O G A N07103 ADAIRVILLE
07102 AUBURN
07104 LEWISBURG
07105 OLMSTEAD
07101 RUSSELLVILLE
072 LY O N07202 EDDYVILLE
07203 KUTTAW A
07204 S U WANEE
073 McCRACKEN07310 C O N C O R D
07311 F ARLEY
07305 FREMONT
07313 FUTURE CITY
07308 GRAHAMVILLE
07307 H A R D M O N E Y
07306 HEAT H
07312 H E N D R O N
07303 LONE OAK
07315 MASSAC
07316 NEW HOPE
07301 P ADUCAH
07309 RAGLAND
07304 REIDLAND
07314 WEST PADUCAH
07317 WOODVILLE
074 McCREARY07406 MARSHES SIDING
07408 P ARKERS LAKE
07403 PINE KNOT
07407 REVELO
07404 STEARNS
07405 STRUNK
07401 WHITLEY CITY
075 McCLEAN07509 BEECH GROVE
07506 BUTTO N B E R RY
07501 CALHOUN
07507 GLENVILLE
07504 ISLAND
07502 LIVERMORE
07510 LIVIA
07508 NUCKOLS
07505 R U M S E Y
07503 SACRAMENTO
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
89
076 MADISON07601 BEREA
07607 BIGHILL
07608 BYBEE
07609 HAPPY LANDING
07606 KINGSTO N
07610 KIRKSVILLE
07611 MOBERLY
07605 N E W B Y
07602 RICHMOND
07604 W A C O
077 MAGOFFIN07706 BLOOMINGTO N
07723 BURNING FORK
07724 C A RVER
07710 C U T U N O
07711 EDNA
07708 ELSIE
07719 F ALCON
07728 FLAT FORK
07702 FORAKER
07720 FREDVILLE
07712 FRITZ
07713 GAPVILLE
07729 GIFFORD
07727 GUNLOCK
07725 H A G E R
07714 HENDRICKS
07715 IVYTO N
07716 LAKEVILLE
07717 LICKBURG
07726 MARSHALLVILLE
07703 MASHFORK
07704 M A S O N
07709 PUNCHEON
07705 R O YALTO N
07701 SALYERSVILLE
07718 SEITZ
07721 W ALDO
07722 WHEELERSBURG
07707 WONNIE
078 MARION07806 BRADFORDSVILLE
07803 G R AVEL SWITCH
07807 HOLY CROSS
07801 LEBANON
07802 LORETTO
07804 R AYWICK
07808 ST. FRANCIS
07805 ST. MARY
079 MARSHALL07906 A U R O R A
07901 BENTO N
07909 B R E W E R S
07914 BRIENSBURG
07902 CALVERT CITY
07904 DRAFFENVILLE
07911 F AIRDEALING
07905 GILBERTSVILLE
07903 HARDIN
07908 H A RVEY
07915 KY DAM VILLAGE
07913 OLIVE
07912 P ALMA
07910 POSSUM TROT
07907 SHARPE
080 MARTIN08007 BEAUTY
08012 D AVELLA
08008 D E B O R D
08009 H O D E
08001 INEZ
08011 JOB
08004 LOVELY
08003 MILO
08010 PILGRIM
08013 THREEFORKS
08005 T O M A H AW K
08002 W ARFIELD
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
90
081 M A S O N08111 D O V E R
08107 HELENA
08105 LEWISBURG
08103 M AYS LICK
08101 M AYSVILLE
08112 MINERVA
08109 O R A N G E B U R G
08104 PLUMVILLE
08106 RECTO RVILLE
08110 SARDIS
08102 W ASHINGTO N
08108 WEDONIA
082 M E A D E08208 ANDYVILLE
08209 B ATTLETO W N
08201 BRANDENBURG
08211 E K R O N
08204 FLAHERTY
08212 GARRETT
08206 GUSTO N
08210 M I D WAY
08202 MULDRAUGH
08205 PAYNEVILLE
08203 RHODELIA
08207 WOLF CREEK
083 MENIFEE08306 DENNISTO N
08301 FRENCHBURG
08307 MARIBA
08303 M E A N S
08304 POMEROYTO N
08302 SUDITH
08305 WELLINGTO N
084 M E R C E R08402 BURGIN
08401 HARRODSBURG
08403 SALVISA
085 METCALFE08503 BEAUMONT
08506 CENTER
08501 E D M O N TO N
08507 KNOB LICK
08504 RANDOLPH
08508 SULPHUR WELL
08505 SUMMER SHADE
08502 WILLOW SHADE
08509 W I S D O M
086 M O N R O E08603 FOUNTAIN RUN
08602 GAMALIEL
08604 LAMB
08605 MOUNT HERMON
08601 T OMPKINSVILLE
087 M O N T G O M E RY08702 C A M A R G O
08703 JEFFERSONVILLE
08701 MOUNT STERLING
088 M O R G A N08807 ADELE
08810 BLAIRS MILLS
08809 BUSKIRK
08817 CANEY
08818 CANNEL CITY
08819 COTTLE
08812 CROCKETT
08813 ELKFORK
08814 EZEL
08802 GRASSY CREEK
08816 INDEX
08820 LENOX
08803 MALONE
08804 MIZE
08811 M O O N
08805 PEKIN
08821 RELIEF
08801 WEST LIBERTY
08808 WHITE OAK
08806 WRIGLEY
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
91
089 MUHLENBURG08919 BEECH CREEK
08907 BEECHMONT
08917 BELTO N
08908 B R E M E N
08910 B R O W D E R
08902 CENTRAL CITY
08906 CLEATO N
08913 DEPOY
08903 DRAKESBORO
08912 D U N M O R
08911 EBENEZER
08909 G R A H A M
08901 GREENVILLE
08921 LUZERNE
08920 MIDLAND
08915 M O O R M A N
08918 NELSON
08905 P E N R O D
08904 P O W D E R LY
08922 R O S E W O O D
08914 SOUTH CARROLLTO N
08916 WEIR
090 NELSON09001 BARDSTO W N
09002 BLOOMFIELD
09006 BOSTO N
09014 BOTLAND
09012 CHAPLIN
09010 COXS CREEK
09007 CULV E RTO W N
09008 DEATSVILLE
09003 FAIRFIELD
09013 H O WARDSTO W N
09004 NEW HAVEN
09009 NEW HOPE
09011 SAMUELS
091 NICHOLAS09101 CARLISLE
09103 ELLISVILLE
09104 HEADQUARTERS
09102 MOOREFIELD
092 OHIO09202 BEAVER DAM
09206 CENTERTO W N
09214 COOL SPRINGS
09210 C R O M W E L L
09203 DEANEFIELD
09207 DUNDEE
09213 ECHOLS
09205 FORDSVILLE
09201 H A RTFORD
09209 HORSE BRANCH
09204 M C H E N RY
09215 N A R R O W S
09212 REYNOLDS STATION
09211 R O C K P O RT
09208 ROSINE
093 O L D H A M09313 BALLARDSVILLE
09306 B R O W N S B O R O
09307 BUCKNER
09308 CENTERFIELD
09305 C R E S T W O O D
09310 G O S H E N
09301 LAGRANGE
09303 PEWEE VALLEY
09309 SKYLIGHT
09311 WEST BALLARDSVILLE
09312 W E S T P O RT
094 O W E N09403 B E E C H W O O D
09407 G R ATZ
09409 HESLER
09411 LUSBY (MILL)
09405 MONTEREY
09406 NEW COLUMBUS
09410 NEW LIBERTY
09401 O W E N TO N
09404 PERRY PARK
09402 POPLAR GROVE
09408 W H E ATLEY
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
92
095 O W S L E Y09501 BOONEVILLE
09503 ISLAND CITY
09504 LEROSE
09502 TRAVELLERS REST
09505 VINCENT
096 PENDLETO N09602 BUTLER
09609 C A D D O
09605 DEMOSSVILLE
09601 F ALMOUTH
09603 GARDNERSVILLE
09607 KNOXVILLE
09606 M O R G A N
09608 MOUNT AUBURN
09604 PEACH GROVE
097 PERRY09735 ACUP
09720 AIRPORT GARDENS
09721 A RY
09737 AVAW A M
09716 BIG CREEK
09704 B O N N Y M A N
09710 BROWNS FORK
09736 BUCKHORN
09711 BULAN
09722 BUSY
09705 C H AVIES
09723 CHRISTO P H E R
09724 C O M B S
09733 CORNETTSVILLE
09714 DAISY
09706 DARFORK
09738 DELPHIA
09741 DICE
09713 D WARF
09725 ENGLE
09734 F ARLER
09726 FUSONIA
09739 G AYS CREEK
09727 G L O M AW R
09745 GRAPEVINE
09728 HAPPY
09715 HARDBURLY
09701 HAZARD
09717 JEFF
09729 KODAK
09744 K RYPTO N
09730 LEATHERW O O D
09718 LOTHAIR
09707 LOTTS CREEK
09731 R O W D Y
09743 SAUL
09709 SCUDDY
09732 SLEMP
09746 TRIBBEY
09742 TYPO
09702 VICCO
09719 VIPER
09712 W A B A C O
09740 YERKES
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
93
098 PIKE09869 AFLEX
09837 ALLEGHANY
09864 ASHCAMP
09805 BELCHER
09836 BELFRY
09870 BIGGS
09882 BLAIR TO W N
09884 BOARD TREE
09858 BOLDMAN
09838 CANADA
09806 CANEY CREEK
09854 CHLOE (UPPER)
09807 COAL RUN
09808 COLLINS
09809 D O RTO N
09871 DRAFFIN
09880 D RY FORK
09802 ELKHORN CITY
09865 E S C O
09839 FEDSCREEK
09874 FERRELLS CREEK
09810 FISHTRAP
09886 FORDS BRANCH
09885 FOREST HILLS
09811 FREEBURN
09840 GARDEN VILLAGE
09812 G O O D Y
09841 GREASY CREEK
09813 GREEN MEADOW
09831 GULNARE
09842 HARDY
09843 H ATFIELD
09835 HELLIER
09859 H E N RY CLAY
09814 H U D D Y
09878 HYLTO N
09829 INDIAN CREEK
09815 JAMBOREE
09887 JOHNS CREEK JUNCTION
09816 JONANCY
09877 JONICAN
09844 JUSTICEVILLE
09817 KIMPER
09876 LICK CREEK
09818 LOOKOUT
09845 LOWER POMPEY
09873 MAJESTIC
098 PIKE (continuation)
09830 M A R R O W B O N E
09819 M c A N D R E W S
09863 McCARR
09846 McCOMBS
09875 McVEIGH
09820 M E TA
09832 MILLARD
09890 MOSSY BOTTO M
09847 M O U T H C A R D
09821 MULLINS
09848 M Y R A
09866 NELSE
09860 PAW PAW
09881 PENNY
09804 PHELPS
09849 PHYLLIS
09801 PIKEVILLE
09872 PINSONFORK
09850 R A C C O O N
09879 R A N S O M
09822 REGINA
09888 ROAD CREEK JUNCTION
09823 ROBINSON CREEK
09861 ROCKHOUSE
09889 SHARONDALE
09824 SHELBIANA
09867 SHELBY GAP
09833 SIDNEY
09834 SOUTH WILLIAMSON
09883 SPEIGHT
09851 STO N E
09825 ST O P O V E R
09868 SUTTO N
09852 T OLER
09826 TURKEY CREEK
09853 V ARNEY
09862 VENTERS
09827 VIRGIE
09857 WOLFPIT
09855 W O O D M A N
09856 YORKTO W N
09828 ZEBULON
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
94
099 P O W E L L09905 B O W E N
09902 CLAY CITY
09907 NADA
09903 ROSSLY N
09904 SLADE
09901 STANTO N
09906 WESTBEND
100 PULASKI10002 BURNSIDE
10003 EUBANK
10005 FERGUSON
10006 NANCY
10004 SCIENCE HILL
10001 SOMERSET
101 ROBERTSON10102 ABEGALL (ABE-GAIL)
10101 MOUNT OLIVET
102 ROCKCASTLE10203 BRODHEAD
10201 LIVINGSTO N
10202 MOUNT VERNON
103 R O WA N10303 CLEARFIELD
10306 CRANSTO N
10304 ELLIOTTVILLE
10305 F A R M E R S
10307 HALDEMAN
10301 M O R E H E A D
10308 SHARKEY
104 RUSSELL10403 ELI
10404 JABEZ
10401 JAMESTO W N
10402 RUSSELL SPRINGS
105 SCOTT10501 G E O R G E TO W N
10503 SADIEVILLE
10502 STAMPING GROUND
106 SHELBY10606 BAGDAD
10607 CHESTNUT GROVE
10608 CROPPER
10604 FINCHVILLE
10605 GRAFENBURG
10609 PEYTO N A
10601 SHELBYVILLE
10602 SIMPSONVILLE
10603 W A D D Y
107 SIMPSON10701 FRANKLIN
108 SPENCER10802 MOUNT EDEN
10801 TAYLORSVILLE
109 TAYLOR10901 CAMPBELLSVILLE
10904 FINLEY
10903 MANNSVILLE
110 TO D D11007 ALLEGRE
11002 ALLENSVILLE
11005 CLIFTY
11001 ELKTO N
11006 FAIR VIEW
11003 GUTHRIE
11009 KIRKMANSVILLE
11008 SHARON GROVE
11004 TRENTO N
111 TRIGG11101 CADIZ
11102 CANTO N
11103 GOLDEN POND
112 TRIMBLE11201 BEDFORD
11202 MILTO N
CITY/T OWN CODECITY NAME CITY/T OWN CODECITY NAME
95
113 UNION11307 CASEYVILLE
11308 DEKOVEN
11304 HENSHAW
11301 MORGANFIELD
11302 STURGIS
11306 SULLIVA N
11303 UNIONTO W N
11305 W AVERLY
114 W ARREN11407 ALVATO N
11401 BOWLING GREEN
11412 BROWNING
11409 DRAKE
11411 HADLEY
11410 OAKLAND
11408 RICH POND
11406 RICHARDSVILLE
11405 ROCKFIELD
11403 SMITHS GROVE
11404 W O O D B U R N
115 W ASHINGTO N11505 FREDERICKTO W N
11502 MACKVILLE
11504 ST. CA THARINE
11501 SPRINGFIELD
11503 WILLISBURG
116 W AYNE11601 MONTICELLO
117 WEBSTER11703 CLAY
11707 DIAMOND
11701 DIXON
11710 O N TO N
11705 POOLE
11702 PROVIDENCE
11704 SEBREE
11709 SLAUGHTERS
11706 W H E ATCROFT
118 WHITLEY11801 CORBIN
11808 G ATLIFF
11805 GAUSDALE
11803 JELLICO
11806 PLEASANT VIEW
11804 ROCKHOLD
11807 SILER
11802 WILLIAMSBURG
119 W O L F E11909 BETHANY
11901 CAMPTO N
11902 D AY S B O R O
11910 GILLMORE
11905 HAZEL GREEN
11903 HELECHAW A
11904 LEE CITY
11906 PINE RIDGE
11907 R O G E R S
11908 STILLW ATER
120 W O O D F O R D12002 M I D WAY
12001 VERSAILLES
107
STATES AND TERRITORIAL POSSESSIONSABBREVIATIONS
A L A B A M A AL M O N TA N A M TALASKA A K NEBRASKA N BARIZONA AZ NEVA D A N VARKANSAS A R NEW HAMPSHIRE N HCALIFORNIA C A NEW JERSEY NJCOLORADO C O NEW MEXICO N MCONNECTICUT CT NEW YORK N YDELAW ARE DE N O RTH CAROLINA N CDIST. OF COLUMBIA D C N O RTH DAKOTA N DFLORIDA FL OHIO O HGEORGIA G A O K L A H O M A O KH AW AII HI OREGON O RIDAHO ID PENNSYLVANIA PAILLINOIS I L RHODE ISLAND RIINDIANA IN SOUTH CAROLINA SCIOWA IA SOUTH DAKOTA SDKANSAS KS TENNESSEE T NKENTUCKY K Y TEXAS T XLOUISIANA LA UTA H U TMAINE M E VERMONT V TM A RYLAND M D VIRGINIA VAMASSACHUSETTS M A WASHINGTO N W AMICHIGAN MI WEST VIRGINIA W VMINNESOTA M N WISCONSIN WIMISSISSIPPI M S W Y O M I N G W YMISSOURI M O US GOVERNMENT US
TERRITORIAL POSSESSIONS BELONGING TO THE U.S.
AMERICAN SAMOA MARSHALLISLANDS A M ISLANDS M HCANAL ZONE CZ M I D WAY ISLANDS M WCAROLINE ISLANDS C G PUERTO RICO PRG U A M G M VIRGIN ISLANDS VIMARIANAS ISLANDS M K WAKE ISLAND W K
108
STATES/TERRITORIES OUTSIDE UNITED ST ATESABBREVIATIONS
(To be used for license origination)
*Identify in Narrative
ALBERTA CANADA A BBAJA CALIFORNIA, MEXICO B ABRITISH COLUMBIA, CANADA BCBAJA CALIFORNIA, SUR. MEXICO BJCANADA PROVINCE UNKNOWN C DCHIHUAHUA, MEXICO C HCOAHUILA, MEXICO C UENGLAND ENFRANCE FNG E R M A N Y GEIRELAND IEJAPA N JAMANITOBA, CANADA M BMEXICO STATE UNKNOWN M MNEWFOUNDLAND, CANADA NF
NEW BRUNSWICK N KNUEVO LEON, MEXICO NLN O VA SCOTIA, CANADA NSN O RTHWEST TERRITO RY, CANADA N TONTARIO, CANADA O NPRINCE EDWARD ISLAND, CANADA PEQUEBEC, CANADA PQSASKAT C H E WAN, CANADA SNSONORA, MEXICO SOSCOTLAND SSTAMAULIPAS, MEXICO TAW ALES W LYUKON TERRITO RY, CANADA Y TALL OTHERS YY*
111
ESTIMATED SPEEDS FROM SKIDS
SKID D RY W E T W E T DEEP ICEDISTANCE CONCRETE CONCRETEASPHALT SNOW OR M P H
FEET OR DRY OR DEEP O R SHALLOWASPHALT G R AVEL GRASS G R AVEL
M P H M P H M P H M P H
20 20 20 17 13 830 25 24 21 16 940 30 28 25 19 1150 33 31 27 21 1260 36 34 30 23 1370 40 37 32 25 1480 43 39 35 27 1590 45 42 37 29 16
100 47 44 39 30 17120 51 48 42 33 19140 56 52 45 36 21160 60 55 49 38 22
To use this chart, there must be visible skid marks. This chart is valid only for autos, stationwagons, passenger vans, and pickups. The figures allow for a skid to stop with properbraking.
This chart should be used as a tool to assist the investigating officer in determining travelspeed. It is not the only method by which travel speed can be determined.
THESE FIGURES ARE ESTIMATES, ALW AYS GIVE A 10% PLUS OR MINUS ONSPEED ESTIMATES.
Examples: V ehicle left 120 feet of skid on dry concrete. Chart shows vehicle travelling at51 MPH. The estimated travel speed should be recorded as follows:
Est. Travel Speed
Between 4 6 and 56
119
VEHICLE TYPE CODES
TYPE C O D E
AMBULANCE A MARMORED TRUCK A RASPHALT DISTRIBUTO R A DAUTO CARRIER A CBACKHOE B HBULLDOZER B DBUS B UCAMPING (Camper or travel trailer) CTCARRY-ALL (Rugged trail vehicles, e.g. Blazer, Jeep, Bronco) LLCHASSIS AND CAB CBCOACH C HCONCRETE MIXER C MCONVERTIBLE C VCOUPE CPCRANE C RD U M P DPFIRE TRUCK FTFLATBED OR PLATFORM FBFLATRACK FRFORKLIFT (also known as lift truck) FLGARBAGE OR REFUSE G GGRADER G DHARDTOP HTHARDTOP/2 DOOR 2THARDTOP/4 DOOR 4TH ATCHBACK H BH ATCHBACK/2 DOOR 2HH ATCHBACK/4 DOOR 4HHEARSE H RLIMOUSINE L MLOADER (Truck) LDLUNCH WA G O N LWMINIBIKE M KMINICYCLE M YMOPED M DM O TORBIKE M BM O TORCYCLE M CM O TORIZED HOME M HM O TORSCOOTER M SM U LTI-WHEEL (Go-cart, ATV) M V
120
TYPE C O D E
OTHER OT*PICKUP PKPICKUP WITH MOUNTED CAMPER P MREFRIGERATED VA N RFRETRACTABLE HARDTOP R HROADSTER R DSEDAN SDSEDAN/2 DOOR 2DSEDAN/4 DOOR 4DSTATION WA G O N S WTANKER TNTOW TRUCK/WRECKER TTTRACTOR/FA R M TFTRUCK TRACTOR, DIESEL DSTRUCK TRACTOR, GASOLINE TRTRUCK TRAILER (SEMI) SEUTILITY UTVAN (includes minivan, panel van, sports van, family vehicle) V NVANETTE VT
*IF OTHER CODE IS USED, PLEASE IDENTIFY THE BODY TYPE IN DESCRIPTIONOF COLLISION.
121
D ATA ELEMENT/PA G ECROSS REFERENCE INDEX
Data Element Page
# Occupants 42# Units Involved 291st & 2 nd Event Collision W ith (Non-FixedObject, Fixed Object, Non-Collision) 611st Area of Contact 50
AAddress (Involved Persons) 45Agency ORI Number 27Air Bag (20) 47Air Bag Switch 51
BBeat or Post No. 38Between Streets 28Bobtail 54
CCarrier Name Source 54Case Number 55CDL 43Chemical Te st 56Citation Number 55City/State/Zip Code 43City/Town 30Co. Resident (County Resident) 43Collision Date 31Collision Time 31Color of V ehicle 50Combination 54Commercial Ve h. 52Comp (Compliance) 43Contributing Factors - Environmental 61Contributing Factors - Human 60Contributing Factors - V ehicular 61Crash A voidance 52
DDate of Birth (Involved Persons) 45Date of Birth (Operator) 43Date of Death 46
122
Data Element PageDescription of Collision 37Diagram 40
EEjection from V ehicle (22) 47Ejection Path (23) 48EMS Agency and Run # 35EMS Arrived Time 35EMS Notified Time 35EMS Time at Hospital 36Estimated Travel Speed 51Extent of Damage 51
FFi re 60First Aid at Scene 35First Aid Given By 35From/To (Ramp) 31
GGVWR Total 54
HHaz. Cargo 53Haz. Cargo Code 53Haz. Spill 53Hit & Run 30
II.D. Number 38ICC MC # 54In City Limits 30Injured 29Injured or Deceased Removed By 36Injured Removed To 35Injury Severity (17) 47Intersection W i th 28Inv. Comp (Investigation Complete) 37Investigating Agency 27Investigator 38
KKilled 29
LLand Use 34
123
Latitude 31Light Condition 34Local Code 27Location 1 st Event 32Location of Injury - Most Severe (18) 47Longitude 31
MMake 49Manner of Collision 32Master File # 11Method of Determination 55Milepoint # 29Miles From City 30Miles/Feet 29Model 49Most Harmful Event 52Motor Carrier Address 54Motor Carrier Name 54
NName (Involved Persons) 45Name of Insurance Co. 50Narrative 64NAS Safety Report # 53No. Axles 54No. Tr ai lers 54
OOne W ay 30Operator Last Name/First Name/M.I. 43Operator’ s Lic. No 42Operator’ s License Restrictions 43Original Master File # 27Overturned 60Owner 43Owner/Address 39
PPage of Pages 38, 40, 56Parking Lot 28Pedestrian Factors 44Person Type (14) 46Photographer Unit No. 38Photos 37Position In/On V ehicle (16) 46
Data Element Page
124
Pre-Collision Ve hicle Action 60Property 39Property Damage – Other than V ehicles 39
RRamp 31Rdwy Opened 38Registration Number 49Removed To 42Replacement 27Restraint Use (19) 47Resubmission 27Results 56Reviewed By 38Roadway # 28Roadway Character 34Roadway Condition 34Roadway Name 28Roadway Surface 34Roadway Type 33
SSchool Bus Related 34Sent To 56Single 54Speed Limit 30State (Operator Information) 42State (V ehicle Information) 49Street Number and Name 43Supplement Date 64Suspected Drinking Driver 55
TTaken By 56Test Offered 56Tested For 56Time Arrived 38Time Notified 38Total Lanes 34Towed 42Traffic Control 33Transport to Medical Facility (15) 46Trapped (21) 47Travel Direction 51Type 49Type Car go/Commodity 53
Data Element Page
125
Data Element PageUUnderride/Override 62Unit # 63Unit T ype Code 60US DOT # 54
VVehicle ID. Number 49Vehicle Insured 50Vehicle Year 49Violation Codes 55
WW eather 34
YYear 49