1. Incident Number - Enter the incident number your agency assigned to the crash.  The incident number will be entered onto each page of the report.
  2. Reporting Agency - Enter the name of the agency reporting the crash.
  3. Date - Enter the date that the crash took place in numeric form using month, day and year format.    Example: August 23, 2008 should be entered 08 23 08.  (In the web application, you can enter year as “08” or “2008”.  The program will save the year as “2008”.)
  4. Time - Record the hour of the day when the crash occurred using military time, i.e., 1500 rather than 3:00 p.m.   If unknown, write UNK.  Note: Enter the time of the crash, not the time the crash was reported.  (In the web application, if the time of the crash is unknown, click on the “? Unknown” box to the right of the Time field.)

Crash Location

Crash locations must be accurately reported for identification of potential crash problems.  Once a particular safety problem is recognized, safety improvements can be implemented. 
PLEASE NOTE:  The crash location refers to the location of the crash, and not the investigating officer’s department address.

Assign the crash location to the place where the first injury or damage-producing event occurred.

Example:        A motor vehicle ran off the road before hitting a tree.  The driver sustained severe injuries and the vehicle was badly damaged in the collision.  In this crash, the first damage or injury-producing event occurred when the car struck the tree, not when the car ran off the road.


  1. City/Town - Enter the name of the city or town where the crash occurred.
  2. Street Address - If there is a 911 street address available, enter it in the space provided.

Enter the number of the route where the crash occurred in the space provided as described under 7-10 below.  If the highway carries more than one number, the number used will be in the following order - for highways carrying both the State and the United States route numbers, the US route number will be used.  If the highway carries more than one State route and no US route numbers, the through route will be assigned.  If the road carries no route number, enter the name of the road or the name of the street under street address.

  1. TH# - If the crash occurred on a town highway, enter the number here.
  2. VT# - If the crash took place on a Vermont state highway, enter the state route number in the space provided.
  3. US# - If the crash occurred on a US highway, write the US route number here.
  4. I - Enter the Interstate number here if the crash occurred on an Interstate highway.

  1. Intersection With - If the crash occurred at an intersection, enter the name or highway number of the intersecting roadway.


  1. Nearest Intersecting Street or Landmark - If the crash did not occur at an intersection, enter the name of the nearest intersecting roadway or landmark.
  2. Operator Report Required* - Circle Y (yes) or N (no) as to whether or not an operator report is required.  Operators involved in a crash which results in injury, death, or total property damage exceeding $3,000.00 must file an operator report with the Department of Motor Vehicles.  (per 23 V.S.A. §1129(a), 2009-2010 legislative session.)


  1. Distance (From Nearest Intersecting Street) - If the crash did not occur at an intersection, measure the distance in feet or miles to the nearest intersection, significant landmark such as a town line or mile marker.  Record this number and check the box indicating whether the unit of measurement is feet or miles.
  2. Posted Speed - Enter the posted speed limit for the roadway where the crash took place.  If there is no posted limit, enter “N/A.”  (In the web application, you will use “NP” for Not Posted.)
  3. Direction (From Nearest Intersecting Street) - Circle the letter for the direction from the nearest intersecting street that the crash took place.