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1 Vehicle Number 3 1 Next Node No. 2 Vehicle Number 04 (no more than 5 vehicles within 5 km (miles) from accident site) FDP TRAFFIC CRASH REPORT — FLORIDA TRAFFIC CRASH REPORT WIDE FORM MAIL TO DEPT. HIGHWAY SAFETY Camp; MOTOR VEHICLES, TRAFFIC CRASH RECORDS, NEIL KIRKMAN BUILDING, TALLAHASSEE, FL 32 DO NOT WRITE IN THIS SPACE TIME camp; Location Date of Crash 27/Nov/2009 County Code/07 At Node No. Time of Crash 02: 31 AM Feet Time Officer Notified 02: 35 AM Direction Of E Time Officer Arrived 03: 01 AM Invest. Agency Report Number FHPD09OFF105628 (check if in City or Town) 2 HMV Crash Report Number 77685828 County Orange City Code 00 or Feet or Mile(s) 1 City or Town INTERFERE Next Node No. 1 Vehicle Number Number Number 3 1 Next Node No. 2 Vehicle Number 04 FDP TRAFFIC CRASH REPORT — FLORIDA TRAFFIC CRASH REPORT WIDE FORM MAIL TO DEPT. HIGHWAY SAFETY Camp; MOTOR VEHICLES, TRAFFIC CRASH RECORDS, NEIL KIRKMAN BUILDING, TALLAHASSEE, FL 32 DO NOT WRITE IN THIS SPACE Time camp; Location Date of Crash 27/Nov/2009 County Code/07 At Node No. Time of Crash 02: 31 AM Feet Time Officer Notified 02: 35 AM Direction Of E Time Officer Arrived 03: 01 AM Invest. Agency Report Number FHPD09OFF105628 (check if in City or Town) 2 HMV Crash Report Number 77685828 County Orange City Code 00 or Feet or Mile(s) 1 City or Town INTERFERE Next Node No. 1 Vehicle Number Number Number 3 1 Next Node No. 2 Vehicle Number 04 FDP TRAFFIC CRASH REPORT — FLORIDA TRAFFIC CRASH REPORT WIDE FORM MAIL TO DEPT.

Who needs Florida Traffic Crush Report Long Form?

This form is used by Florida Police officers to report traffic crush reports.

What is Florida Traffic Crush Report Long Form Used for?

The Florida Traffic Crash Report is used by Florida Police Officers to make an account of traffic crashes to the special executive body in traffic safety and vehicles. So far there are two types of Florida Traffic Crush Report —? Thehe Short form and the Long form. Last one is used while meeting all the following criteria:

If the traffic crush had resulted in either death or personal injury, or if someone suffered either pain or discomfort by being involved in the crash

Leaving the scene involving damage to involved vehicles or property

Driving while being effected by drugs, alcohol etc.

Causing damage to the vehicle so that it requires a wrecker to be removed from the scene of the crash or a commercial motor vehicle is involved in the traffic crush.

Short form is used in all the other cases.

Is Florida Traffic Crush Report Long Form Accompanied by Other Forms?

Even though the described Form is not accompanied by other forms, it should include the Narrative/Diagram as well as the scheme of accident with description.

What Information Should I Provide in Florida Traffic Crush Report Long Form?

While filling out Florida Traffic Crush Report Long Form the following information should be mentioned:

• Time and location
• Information about the participants
• Information about the violator/violators
• Narrative/diagram
• other information (if applicable)

Where do I send Florida Traffic Crush Report Long Form?

This Report Long Form should be filed to the special executive body which is Florida Department of Highway Safety and Motor Vehicles.