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Crash Report

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Please correct the fields below:

Please read the following information prior to filling out your form.

 

Thank you for using online reporting. This allows officers more time to handle priority calls and enables social distancing and paperless reports.

All form information is submitted securely over an encrypted connection. If you choose to send a copy of the submitted information to yourself when submitting this form, please remember that e-mail is insecure and your private information could be intercepted by unauthorized recipients. By selecting the option to send a copy of this form to your email, you agree to accept all responsibility and liability if that information is compromised.

You will be notified by email within 48 business hours (Monday - Friday) of your report number. If you do not provide a valid email address, it may take more than 48 business hours to receive your report number. Upon submission, the completed form will be sent to the Caldwell Police Department and a copy made available for you to print or save. You may, after receiving you report number, request a completed copy to pick up, or sent via fax or email.

These reports will not be investigated further by officers.

 

This form is intended for the reporting of:

 - Crash on Private Property

 - Crash report needed for insurance

 - Hit and Run (No suspect name or license plate)

 - General crash report

 

Please select from the following below:

Please read the following information prior to filling out your form. Thank you for using online reporting. This allows officers more time to handle priority calls and enables social distancing and paperless reports. All form information is submitted securely over an encrypted connection. If you choose to send a copy of the submitted information to yourself when submitting this form, please remember that e-mail is insecure and your private information could be intercepted by unauthorized recipients. By selecting the option to send a copy of this form to your email, you agree to accept all responsibility and liability if that information is compromised. You will be notified by email within 48 business hours (Monday - Friday) of your report number. If you do not provide a valid email address, it may take more than 48 business hours to receive your report number. Upon submission, the completed form will be sent to the Caldwell Police Department and a copy made available for you to print or save. You may, after receiving you report number, request a completed copy to pick up, or sent via fax or email. These reports will not be investigated further by officers. This form is intended for the reporting of: - Crash on Private Property - Crash report needed for insurance - Hit and Run (No suspect name or license plate) - General crash report Please select from the following below:

Location the accident occurred. If this was on private property please give the property address. If this occurred in a business parking lot, please give the business name and address or the nearest cross streets. If this was on a street or road, please give the road and nearest cross street (i.e., Linden and Indiana)

Note: If the crash was outside of the city limits of Caldwell, please contact the agency in which the crash occurred. If you complete this form and the crash is outside our city limits, you will be notified of this via phone or email directing you to the agency you need to file the report with.

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Date and time the accident occurred. The time can be approximate.
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Date and time the accident occurred. The time can be approximate.

Please enter your information below

PLEASE NOTE: A valid phone number or email address are required to provide you with a report number

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Please enter your information below PLEASE NOTE: A valid phone number or email address are required to provide you with a report number
Please enter YOUR vehicle information
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Please enter YOUR vehicle information
Please tell me about the OTHER vehicle involved. If you do not know, please type "UNK" in the box.
Please tell me about the OTHER vehicle involved. If you do not know, please type "UNK" in the box.
Did you take photos of the damage?
Did you take photos of the damage?
Was the vehicle occupied at the time of crash?
Was the vehicle occupied at the time of crash?
If your vehicle WAS OCCUPIED, please list all occupants below
Were there any injuries in this crash? If so, mark yes and complete the persons injured and their injury in the next box.
Were there any injuries in this crash? If so, mark yes and complete the persons injured and their injury in the next box.
If you answered yes to the above question, please list the name(s) of the person(s) injured, dates of birth, and type of injury.
If you answered yes to the above question, please list the name(s) of the person(s) injured, dates of birth, and type of injury.
Please tell me in your own words what happened
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  1. To receive a copy of your submission, please fill out your email address below and submit.