The Oregon DMV Accident Report Form is a crucial document that drivers must complete following a traffic crash that meets specific criteria. This form is necessary when damages exceed $2,500, injuries occur, or a vehicle is towed from the scene. Timely submission of this report is mandated by law, with a 72-hour window for filing after the incident.
The Oregon DMV Accident Report form is a crucial document for drivers involved in traffic crashes within the state. It is designed to ensure that all necessary information is collected promptly and accurately. If a crash results in damages exceeding $2,500 to any vehicle or property, or if there are injuries or fatalities, the involved drivers are legally required to file this report within 72 hours. The form includes several sections that guide users in detailing the specifics of the incident, such as the date, time, and location of the crash, as well as information about the vehicles and drivers involved. Additionally, it requires drivers to provide their insurance details, which the DMV will verify. Failing to submit the report can lead to suspension of driving privileges, making compliance essential. The form also emphasizes that even if a police report is filed, drivers must still complete their own report. For commercial motor vehicle operators, there are additional reporting requirements to fulfill. Understanding the importance of this form and the procedures for completing it can help drivers navigate the aftermath of an accident more effectively.
OREGON TRAFFIC CRASH AND INSURANCE REPORT
Tear this sheet off your report, read and carefully follow the directions.
ONLY drivers involved in a crash resulting in any of the following MUST file a Crash & Insurance Report:
•
Damage to your vehicle is over $2500
Damage to any one person’s property over $2500
Injury (No matter how minor)
Any vehicle has damage over $2500 and any vehicle is
Death
towed from the scene as a result of damages
Oregon law requires these reports be filed within 72 hours of the crash. If you are not able to file within the 72 hours, submit it as soon as possible. If you fail to report the crash to DMV, it may result in suspension of your driving privileges. If the police department files a police report, you are still required to file your own Crash and Insurance Report with DMV. When required to report, even if you are licensed in another state, or you are not an Oregon resident, you still must file a report with Oregon DMV. DMV does not determine fault in a crash, but does post the crash to the driving record of those drivers required to report, unless the vehicle is parked. If you have questions, please call DMV Crash Reporting Unit at (503) 945-5098.
INSTRUCTIONS
PRINT OR TYPE ALL INFORMATION. (Use black or dark blue ink and press firmly.)
• Complete both sides of the form.
• If additional vehicles were involved in the crash, complete the attached Supplemental Report (Form 735-32B), or on a blank piece of paper, write all the information as requested in Section 4, the “Other Driver” Section.
• DMV Headquarters will verify the insurance information submitted. Complete the insurance section or a suspension of your driving privileges may occur.
SECTION 1
DATE, LOCATION AND TIME — Clearly identify the date, location and time of the crash. The correct date, location and time is critical to processing your report. If you are unsure of the county, contact any local law enforcement agency for assistance.
SECTION 2
Your vehicle is Vehicle #1. Complete ALL fields. Provide Insurance company name (not agent), policy number, and Vehicle identification number (VIN). Failure to provide complete insurance and vehicle information may result in DMV issuing Notice of Suspension due to incomplete information.
SECTION 3
Failure to complete this section may result in DMV sending Notice of Suspension for failure to file a report. Principle purpose of driving and being paid to drive does not mean driving to reach a destination to perform a service. Property: Includes, but is not limited to, fixed or real property, landscaping, signs, parked vehicles, and animals.
COMMERCIAL MOTOR VEHICLE OPERATORS: In addition to this report, Oregon Administrative Rule requires that Form
735-9229, Motor Carrier Crash Report, MUST be filed within 30 days of a commercial motor vehicle crash when there is a FATALITY, INJURY (requiring treatment away from the scene), or when a vehicle is TOWED from the scene because of disabling damage. Form 735-9229 (attached on back) MUST be submitted with Oregon Traffic Crash and Insurance Report (Form 735-32) to DMV. Call (503) 986-3507 for questions regarding the Motor Carrier Crash Report.
You may now file the Motor Carrier Crash Report at: www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/
SECTION 4
OTHER VEHICLE (# 2) — Completion of this information will help DMV match all driver's crash reports more efficiently. If additional vehicles were involved in the crash, complete attached Supplemental Report (Form 735-32B).
SECTION 5
DESCRIPTION AND SIGNATURE — Describe what happened. It is important for you to sign and date the form. Only a family member may sign and date this form on behalf of a driver when the driver is incapacitated or physically unable to sign. No other signatures will be accepted.
COMPLETING AND FILING REPORT
HOW TO SUBMIT A REPORT TO DMV:
•Email to OregonDMVAccidents@odot.oregon.gov
•Fax to 503-945-5267
•Mail to DMV Crash Reporting Unit 1905 Lana Ave NE, Salem, Oregon 97314
•Deliver to a DMV office
Keep a copy of the report and documentation that shows when you submitted your report to Oregon DMV. Under ORS 802.220(5), DMV is not authorized to provide you with a copy of the report that you file. If submitting by:
•Email, DMV sends an autoreply that your email was received. Save that autoreply.
•Fax, many fax machines provide the option to generate a fax confirmation report. Save that report.
•DMV Field Office, request and save that receipt.
PURSUANT TO OREGON INSURANCE LAW, AN INSURANCE COMPANY CAN NOT REQUIRE REPAIRS BE MADE TO A MOTOR VEHICLE BY A PARTICULAR PERSON OR REPAIR SHOP.
735-32 (3-23)
STK# 300009
TOTALED VEHICLE NOTICE
DEFINITIONS AND INSTRUCTIONS FOR TOTALED VEHICLES
IF YOUR CRASH HAS RESULTED IN A “TOTALED” VEHICLE, YOU ARE REQUIRED BY LAW TO
FOLLOW APPROPRIATE INSTRUCTIONS IN THIS NOTICE.
DEFINITION OF “TOTALED” VEHICLE
“Totaled Vehicle” or “Totaled” as defined in Oregon law (ORS 801.527) means:
•A vehicle that is declared a total loss by an insurer who is obligated to cover the loss or a vehicle that the insurer takes possession of or title to.
•A vehicle that has sustained damage that is not covered by an insurer and the estimated cost to repair the vehicle is equal to at least 80% of the retail market value prior to the damage. “Retail market value” is defined as the amount shown in publications used by financial institutions (banks or lenders) in this state.
•A vehicle that is stolen, if it is not recovered within 30 days of theft and the loss is not covered by an insurer. In this situation, you must notify DMV within 60 days of the theft.
▼ FOLLOW THESE INSTRUCTIONS IF YOUR VEHICLE IS TOTALED ▼
If your vehicle is totaled, in addition to completing the crash report, follow the instruction that is applicable to your case. Either:
1.SURRENDER the title to the insurer if the damage is covered by an insurer who declares the vehicle to be a “total loss,” and the insurer takes possession of the vehicle; or
2.SURRENDER the title to DMV and apply for salvage title if the damage is covered by an insurer who declares the vehicle to be a “total loss,” but you keep possession of the vehicle; or
3.SURRENDER the title to DMV and apply for salvage title if the damage was not covered by an insurer and the estimated cost of repair is at least 80% of the retail market value of the vehicle before the damage; or
4.NOTIFY DMV that your vehicle has been totaled if, for some reason, you are unable to obtain the title for surrender. You must provide DMV with a signed statement which includes:
•A description of the vehicle which includes the year model, make, plate number and vehicle identification number.
•A statement indicating the vehicle has been totaled.
•A statement that you are unable to obtain the title and why.
DO NOT SUBMIT THE TITLE WITH THE CRASH REPORT. You can obtain the Application for Salvage Title (Form 735-229) from any DMV office, by calling (503) 945-5000, or on-line at www.oregondmv.com. Application instructions and fee information are on the back of the form 735-229. If you have questions about salvage titles, call (503) 945-5122.
NOTE: It is a Class A misdemeanor with a penalty of imprisonment and/or fine if you fail to comply with the above requirements. (ORS 819.012)
COMPLETE BOTH SIDES
Print Form
Reset Form
Complete this form if the traffic crash occurred on a highway or premise open to the public and meets at least one of the reporting requirements outlined in Section 3. Failure to report when required may result in DMV issuing Notice of Suspension. Call 503-945-5098 for assistance in completing the report.
CRASH DATE
DAY OF WEEK TIME OF DAY
COUNTY
DMV USE ONLY
M T W TH F
AM
CRASH REF # _________________________________ ALIR
INS CO
S SN
PM
ROAD ON WHICH CRASH OCCURRED (Name of street, road or route )
MILE POST
TYPE OF CRASH - The crash involved one or more of the following:
(Mark all that apply)
Two vehicles
ATV / Snowmobile
Parked vehicle
NAME OF NEAREST INTERSECTING ROAD
WITHIN
FEET
N
S
E
W
More than two vehicles
Motorcycle
Overturned vehicle
Motor Home / RV
NEAR
MILES
Fatality
Animal
Motorized Scooter
NAME OF NEAREST CITY / TOWN
Bicycle
Personal (assisted)
Fixed object / property
Pedestrian
mobility device
Other ____________________
Train
SECTION 2 (YOUR INFORMATION)
Complete ALL fields. Failure to provide complete information may result in DMV issuing Notice of Suspension.
DRIVER’S LAST NAME
FIRST NAME
MIDDLE NAME
DRIVER’S LICENSE NUMBER
STATE DATE OF BIRTH
GENDER
M
F
X
DRIVER’S RESIDENCE ADDRESS
CITY
STATE
ZIP CODE
CHECK BOX
IF ADDRESS
MAILING ADDRESS (IF DIFFERENT THAN RESIDENCE)
CHANGE
VEHICLE OWNER’S NAME AND ADDRESS
SAME
RENTAL?
INSURANCE COMPANY NAME (NOT AGENT) AND ADDRESS
POLICY NUMBER
VEHICLE IDENTIFICATION NUMBER
STATE VEHICLE PLATE NUMBER
YEAR MAKE & MODEL
Check all statements that apply:
Damage to your vehicle was more than $2500.
Damage to any one person’s property (other than vehicle) was more than $2500.
Your vehicle was towed from the scene as a result of damages.
You or passengers in your vehicle were injured.
Collision with a parked vehicle.
The crash occurred while you were driving your employer’s vehicle.
You were driving on your job and being paid for the principal purpose of driving.
You were being paid to drive and/or deliver persons or property.
You were operating a government owned vehicle marked for transporting mail in accordance with government rules. You were operating an authorized emergency vehicle.
The crash occurred in a work or maintenance zone. ORS 811.230
A police officer came to the scene.
City
County
State Police
Name of police department: __________________________
You were operating a commercial motor vehicle requiring you to have a commercial driver license. You were transporting hazardous material.
A citation was issued to you. The citation was: ________________________________________________________
SECTION 4 (OTHER VEHICLE # 2)
DRIVER’S NAME (LAST, FIRST, MIDDLE)
DATE OF BIRTH
M F X
DRIVER’S ADDRESS
STATE VEHICLE PLATE NUMBER YEAR MAKE & MODEL
IF ADDITIONAL VEHICLES WERE INVOLVED IN THE CRASH, USE ATTACHED SUPPLEMENTAL REPORT (Form 735-32B).
DESCRIBE WHAT HAPPENED: (IF MORE SPACE IS NEEDED, SUBMIT ADDITIONAL PAGE)
5
SECTION
I certify all information given on this report is true and accurate to the best of my knowledge.
SIGNATURE OF PERSON MAKING REPORT
PRINTED NAME OF PERSON MAKING REPORT
REASON DRIVER IS UNABLE TO SIGN REPORT
IF NOT DRIVER’S SIGNATURE, STATE RELATIONSHIP
735-32 (3-23) COMPLETE THE OTHER SIDE OF THIS PAGE
DMV COPY
DAYTIME PHONE #
DATE SIGNED
(
)
PHONE NUMBER OF DRIVER
WEATHER CONDITIONS
YOU INTENDED TO...
YOUR VEHICLE
YOUR RESIDENCE
Go straight ahead
Passenger car, pickup, van
Clear
Local resident
Make right turn
Military vehicle
Raining
(within 25 miles of crash site)
Make left turn
Taxicab
Snowing
Residing elsewhere in state
Make “U” turn
Emergency vehicle
Fog
Non–resident of this state:
Back–Up
Any of the above and trailer
Other
College student
Enter driveway (also
Private or public agency
ROAD SURFACE
Military
mark left or right turn)
transit vehicle
Dry
Temporary job
Remain stopped in traffic
Bus
Wet
YOU WERE HEADED
Enter parked position
School bus
Snowy
North
East
Slow or Stop
Other publicly-owned veh.
Icy
South
West
Leave driveway (also
On: ____________________
LIGHT CONDITIONS
Start in traffic lane
Motor–scooter/bike
Daylight
(name of street, road or route)
OTHER DRIVER WAS HEADED
Leave parked position
Personal (assisted) mobility device
Dawn or dusk
Truck tractor & semi trailer
Remain parked
Darkness (lighted)
Overtake and pass
Truck/truck tractor
Darkness (unlighted)
Other truck combination
Farm tractor/farm equip.
WITNESS INFORMATION:
If this crash involved a pedestrian or
bicyclist, complete the following:
PEDESTRIAN NAME
BICYCLIST NAME
Pedestrian or bicyclist was going:
OCCUPANT INJURY AND SAFETY EQUIPMENT INFORMATION
SAFETY EQUIPMENT CODES
INJURY CODE FOR OCCUPANTS
ALONG OR ACROSS: (name of street, road or route)
WRITE one of the codes (0–10) in column C
WRITE one of the codes (1–5) in column D
0 No seat belt available
1
Fatal
From:
1 Seat belt available but NOT used
2
Suspected Serious: severe laceration, broken
2 Seat belt available and in use
or distorted limb, crush injury, significant burns,
3 Child restraint device available but NOT used
unconsciousness, paralysis
To:
4 Child restraint device in use
3 Suspected Minor: lump, abrasions, bruises,
5 Child restraint device not available
minor lacerations
EXAMPLE: (From: NE corner To: SE corner (or) From: East side To: West side, etc.)
6 Helmet NOT in use
4 Possible
7
Helmet in use
5 No apparent
Gender and age of pedestrian / bicyclist:
8
Air bag deployed
Age: _____
9
Air bag available - NOT deployed
10
Air bag NOT available
GENDER CODE
Extent of pedestrian / bicyclist injury:
WRITE M, F or X in column A
Complaint of Pain
SEAT
OCCUPANTS' NAMES
(your vehicle)
A
B
C
D
Suspected Serious
No apparent injury
POSITION
AGE
SFTY
AIR
INJURY
EQP
BAG
Visible injury
(or none noted)
DRIVER
Pedestrian / bicyclist action: (mark one)
FRONT
CENTER
Crossing at intersection or crosswalk
Crossing not at intersection or crosswalk
RIGHT
MIDDLE
*
Walking / riding in roadway with traffic
LEFT
Walking / riding in roadway against traffic
Standing in roadway
Pushing or working on vehicles in roadway
Other working in road
REAR
Playing in road
Hitchhiking
Not in roadway
Other________________________________
*Use only for vehicles with middle row of seats (i.e., vans, SUVs, etc.)
(specify)
Vehicle Damage
Diagram
Number each vehicle:
street,
route)
Show path by:
U
(nameof roador
Show pedestrian/bicyclist by:
Show railroad tracks by:
USE ARROW TO SHOW
Vehicle towed
Show fixed object by:
FIRST IMPACT (SHADE
Rollover
IN DAMAGED AREA)
Under car
Totaled
Unknown
Your Vehicle (No. 1) damage: $ __________ .
(name of street,
road or route)
SUPPLEMENTAL REPORT
OREGON TRAFFIC CRASH
Supplemental for more than two drivers involved in the crash.
Attach this form to your OREGON TRAFFIC CRASH AND INSURANCE REPORT.
DAY OF WEEK
TIME OF DAY
DO NOT WRITE
IN THIS SPACE
VEHICLE
INSURANCE COMPANY NAME (NOT AGENCY)
#3
VEHICLE PLATE NUMBER
YEAR
MAKE & MODEL
OTHER DRIVER’S FULL NAME (LAST, FIRST, MIDDLE)
#4
#5
#6
#7
735-32B (3-23)
SUPPLEMENTAL REPORT – USE IF MORE THAN TWO VEHICLES
CRASH ANALYSIS & REPORTING UNIT OREGON DEPARTMENT OF TRANSPORTATION POLICY, DATA & ANALYSIS DIVISION
555 13th ST NE STE 2 SALEM OR 97301 TELEPHONE 503-986-3507 FAX 503-986-3592
MOTOR CARRIER CRASH REPORT
(For CMV Drivers Only)
INSTRUCTIONS: IF YOU CHECKED A BOX UNDER THE QUALIFYING VEHICLE COLUMN AND A BOX UNDER THE CRITERIA COLUMN, COMPLETE THE MOTOR CARRIER CRASH REPORT AND SUBMIT TO THE ADDRESS SHOWN ABOVE. IF YOU HAVE ANY QUESTIONS REGARDING FILLING
OUT THE MOTOR CARRIER CRASH REPORT, PLEASE CALL (503) 986-3507. www.oregontruckingonline.com/cf/MCAD/pubMetaEntry/accidentRpt/
QUALIFYING VEHICLE
CRITERIA
COMMERCIAL TRUCK (GVWR OVER 10,000 LBS OR ACTUAL WT
ANY PERSON SUSTAINING A FATALITY (WITHIN 30 DAYS OF THE
AT TIME OF CRASH EVEN IF GVWR IS SET UNDER 10,000 LBS )
CRASH)
HAZARDOUS MATERIAL PLACARD
ANY PERSON SUSTAINING INJURIES REQUIRING TREATMENT AWAY
COMMERCIAL BUS (DESIGNED FOR 8 OR MORE PASSENGERS)
FROM THE SCENE
FARM TRUCK INTERSTATE (OVER 10,000 LBS.)
ANY VEHICLE INCURRING DISABLING DAMAGE REQUIRING
FARM TRUCK FOR-HIRE (4 OR MORE AXLES)
REMOVAL FROM THE SCENE BY A TOW TRUCK OR ANOTHER
FARM TRUCK TOWING TRIPLE TRAILERS
MOTOR VEHICLE
FARM TRUCK (OVER 80,000 LBS.)
MOTOR CARRIER NAME
US DOT NUMBER
AUTHORITY/FILE NUMBER
ADDRESS
DRIVER INFORMATION
DRIVER NAME (LAST, FIRST, MIDDLE)
LENGTH OF EMPLOYMENT
MONTHS
YEARS
CDL / DL NUMBER
LICENSE CLASS
EXPIRATION DATE OF MEDICAL CERTIFICATE
COMPLETE THE FOLLOWING TWO QUESTIONS AS IF DOING A RECAP OF HOURS IN TIME DOCUMENTS AT TIME OF THE CRASH.
AT TIME OF THE CRASH, TOTAL HOURS
TOTAL HOURS ON DUTY DURING THE PREVIOUS
7 CONSECUTIVE DAYS ____________
DRIVING SINCE LAST OFF-DUTY PERIOD.
(FILL OUT ONE ONLY, BASED ON TIME DOCUMENTS)
8 CONSECUTIVE DAYS ____________
DOES YOUR DRIVER HAVE A MEDICAL WAIVER
TYPE OF WAIVER (SIGHT, DIABETES, AMPUTEE, ETC.)
YES
NO
DRIVER INJURY INFORMATION
YOUR DRIVER KILLED
YOUR DRIVER INJURED
RELIEF DRIVER KILLED
RELIEF DRIVER INJURED
TOTAL NUMBER OF PASSENGERS
_____KILLED
_____ INJURED
OTHER DRIVER INJURY INFORMATION
TOTAL NUMBER OF OTHER DRIVERS
TOTAL NUMBER OF OTHER PASSENGERS
TOTAL NUMBER OF PEDESTRIANS
TOTAL NUMBER OF BICYCLISTS
OTHER MOTOR CARRIER INFORMATION (IF 2 OR MORE MOTOR CARRIERS WERE INVOLVED)
VEHICLE LICENSE # AND STATE
DRIVER'S NAME
DRIVER'S LICENSE # AND STATE
MOTOR CARRIER VEHICLE INFORMATION
MAKE
UNIT NUMBER
LICENSE PLATE # & STATE - TRUCK/TRACTOR/BUS
TOTAL NO. OF AXLES
INCLUDING TRAILERS
TRACTOR TYPE (SELECT APPROPRIATE TYPE)
Standard
Heavy Haul
Triples (tractor with 3 trailers
6
Tractor/Semi Trailer
Bus/Van (8 or more
Triples (truck with 2 trailers)
Straight Truck
3
11
passenger capacity)
Straight truck-full trailer
Auto/Pickup
4
Doubles (any)
Saddlemount
735-9229 (3-23)
COMPLETE REVERSE SIDE
SUPPLEMENTAL – MOTOR CARRIER CRASH REPORT
TRAILER TYPE (CHECK ONE)
VAN
FLATBED
TANKER
CONTAINER
POLE/LOG
DUMP
BELLY-DUMP
CAR CARRIER
LIVESTOCK
MOBILE HOME TOTER
PASSENGER
DROP-BOX
GARBAGE
BULK-HOPPER
MIXER
SADDLEMOUNT
WRECKER
FIXED LOAD
HEAVY HAUL
UTILITY
COMMODITY INFORMATION
COMMODITY BEING TRANSPORTED AT TIME OF CRASH
WAS A HAZARDOUS COMMODITY BEING HAULED
YES NO
WAS HAZARDOUS MATERIAL RELEASED FROM THE VEHICLE CARGO(NOT A FUEL RELEASE)
HAZARD CLASS
CRASH INFORMATION
LOCATION OF CRASH (NEAREST CITY OR TOWN)
HIGHWAY AND MILEPOINT/STREET/COUNTY ROAD
DIRECTION OF YOUR VEHICLE (CHECK)
DATE OF CRASH
TIME
DAY OF THE WEEK (CHECK ONE)
MON
TUES WED THU
FRI
SAT
SUN
CONDITIONS AT TIME OF CRASH
WEATHER (CHECK ONE)
1. CLEAR
2. RAIN
3. SNOW
4. CLOUDY
5. SLEET
6. FOG
7. OTHER
ROAD SURFACE (CHECK ONE)
1. DRY
2. WET
3. SNOWY
4. ICY
5. OTHER
LIGHT CONDITION (CHECK ONE)
1. DAY
2. DAWN
3. DUSK
4. ARTIFICIAL LIGHTS
5. DARK
6. OTHER
DESCRIBE WHAT HAPPENED BY CHECKING ALL BOXES THAT APPLY. YOUR VEHICLE IS ALWAYS NO.1. IF OTHER VEHICLES WERE INVOLVED, COMPLETE COLUMNS 2 & 3 TO CORRESPOND TO THE ACTIONS OF THE SAME NUMBERED VEHICLES LISTED ABOVE UNDER "OTHER DRIVER INFORMATION".
VEHICLES 1 2 3
ACTION
SLOWING - STOPPING
STOPPED
REAR-END
BACKING
MAKING RIGHT TURN
MAKING LEFT TURN
MAKING U TURN
PROCEEDING STRAIGHT
INTERSECTION
ENTERING TRAFFIC (FROM SHOULDER, MEDIAN, PARKING STRIP OR PRIVATE DRIVE)
PASSING
CHANGING LANES
SIDESWIPE
HEAD-ON
SKIDDING
VEHICLE OUT OF CONTROL
ROLL-AWAY
CONTROLLED RR CROSSING
UNCONTROLLED RR CROSSING
RAN OFF ROAD
JACKKNIFE
OVERTURN
SEPARATION OF UNITS
FIRE
EXPLOSION
CARGO SHIFT
CARGO SPILL (HAZARDOUS)
CARGO SPILL (NON-HAZARDOUS)
OTHER (DEER, GUARDRAIL, ETC)
DID YOUR VEHICLE STRIKE A PARKED VEHICLE
WAS YOUR PARKED VEHICLE STRUCK BY ANOTHER VEHICLE
DESCRIPTION OF CRASH (BY CARRIER OR DRIVER)
NAME AND TITLE OF PERSON SIGNING REPORT
TELEPHONE NUMBER(S)
SIGNATURE I CERTIFY THE INFORMATION PROVIDED IS TRUE AND ACCURATE
DATE
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