Vehicle (Car) Incident Report Template

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Vehicle (Car) Incident Report Template

A vehicle incident report is filled out by an individual involved in a car accident to explain what happened. It reports driver and vehicle information along with the surrounding circumstances, including road and weather conditions. In many states, these reports must be filed with the DMV or law enforcement when an accident results in a fatality or significant property damage.

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Last updated August 30th, 2025

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A vehicle incident report is filled out by an individual involved in a car accident to explain what happened. It reports driver and vehicle information along with the surrounding circumstances, including road and weather conditions. In many states, these reports must be filed with the DMV or law enforcement when an accident results in a fatality or significant property damage.

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DMV Incident Reports

Below is a list of official documents used for reporting motor vehicle accidents to the DMV. These reports are typically required only when one or more of the following apply:

  • Police are not involved
  • The accident results in injury or death
  • Property damage exceeds the legal threshold (usually between $250 and $1,000, depending on the state)

Drivers should also be aware of the deadlines for submitting reports to the DMV, which are typically stated on the form itself.

Incident Reports By State
STATE FORM ONLINE REPORTING
Alabama Form SR-13 N/A
Alaska Alaska Motor Vehicle Crash Form Division of Motor Vehicles
Arizona Arizona Crash Report Department of Public Safety
Arkansas Arkansas Motor Vehicle Accident Report N/A
California Report of a Traffic Accident Occurring in California Department of Motor Vehicles
Colorado Traffic Crash Report Form Division of Motor Vehicles
Connecticut N/A N/A
Delaware Crash Reporting Form N/A
Florida Driver Report of Traffic Crash N/A
Georgia Motor Vehicle Accident Report N/A
Hawaii N/A N/A
Idaho Auto Accident Report Form N/A
Illinois Illinois Motorist Report Illinois State Police
Indiana Indiana Operator’s Proof of Insurance/Crash Report N/A
Iowa N/A Department of Transportation
Kansas N/A N/A
Kentucky Civilian Traffic Collision Report Kentucky Kentucky State Police
Louisiana Accident Report N/A
Maine N/A N/A
Maryland Motor Vehicle Accident Reporting Form N/A
Massachusetts Motor Vehicle Crash Operator Report N/A
Michigan N/A N/A
Minnesota Vehicle Crash/Damage Notice N/A
Mississippi N/A N/A
Missouri Motor Vehicle Accident Report N/A
Montana Report of Incident Department of Transportation
Nebraska Driver’s Motor Vehicle Crash Report Department of Transportation
Nevada Report of Traffic Crash N/A
New Jersey Motor Vehicle Accident Report Department of Transportation
New Mexico N/A N/A
New York Report of a Motor Vehicle Accident N/A
North Carolina N/A N/A
North Dakota N/A N/A
Ohio Uninsured Accident Report (for use if other driver is uninsured) N/A
Oklahoma Oklahoma Motor Vehicle Collision Report Department of Public Safety
Oregon Oregon Traffic Collision and Insurance Report Driver and Motor Vehicle Services
Pennsylvania Driver’s Accident Report N/A
Rhode Island Motor Vehicle Accident Report N/A
South Carolina Traffic Collision Report N/A
South Dakota N/A N/A
Tennessee Owner/Driver Report N/A
Texas Driver’s Crash Report N/A
Utah N/A N/A
Vermont Report of a Motor Vehicle Crash N/A
Virginia Voluntary Report of a Crash N/A
Washington Vehicle Collision Report Washington State Patrol
West Virginia Report of a Motor Vehicle Accident N/A
Wisconsin Driver Report of Accident Department of Transportation
Wyoming N/A N/A

Sample

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VEHICLE INCIDENT REPORT FORM

INDIVIDUAL FILING REPORT

Role: ☐ Driver ☐ Pedestrian ☐ Bicyclist ☐ Other: [OTHER]

Full Name: [FILER NAME] Date of Birth: [DATE]
Address: [ADDRESS] Phone: [PHONE] E-Mail: [E-MAIL]
Driver’s License No.: [DL NO.] State of Issue: [STATE]
Estimated Repair Cost: $[AMOUNT]

Vehicle Information:

Vehicle Owner Name: [OWNER NAME] Address: [ADDRESS] Date of Birth: [DATE]
Vehicle Make: [MAKE] Model: [MODEL] Year: [YEAR] License Plate No.: [PLATE NO.]

Insurance Information:

Insurance Company Name: [INSURANCE COMPANY NAME]
Policy Holder Name: [POLICY HOLDER NAME]
Policy Period: [START DATE] to [END DATE]

Signature:                                                               Date: [MM/DD/YYYY]

OTHER PARTY

Role: ☐ Driver ☐ Pedestrian ☐ Bicyclist ☐ Other: [OTHER]

Full Name: [FULL NAME] Date of Birth: [DATE]
Address: [ADDRESS] Phone: [PHONE] E-Mail: [E-MAIL]
Driver’s License No.: [DL NO.] State of Issue: [STATE]
Estimated Repair Cost: $[AMOUNT]

Vehicle Owner Name: [OWNER NAME] Address: [ADDRESS] Date of Birth: [DATE]
Vehicle Make: [MAKE] Model: [MODEL] Year: [YEAR] License Plate No.: [PLATE NO.]

Vehicle Information:

Vehicle Owner Name: [OWNER NAME] Address: [ADDRESS] Date of Birth: [DATE]
Vehicle Make: [MAKE] Model: [MODEL] Year: [YEAR] License Plate No.: [PLATE NO.]

Insurance Information:

Insurance Company Name: [INSURANCE COMPANY NAME]
Policy Holder Name: [POLICY HOLDER NAME]
Policy Period: [START DATE] to [END DATE]

INCIDENT DETAILS

Date of Incident: [MM/DD/YYYY] Time: [TIME] ☐ AM ☐ PM

Location: [INCIDENT LOCATION]

Describe the Incident: [DESCRIBE INCIDENT]

INJURIES / DEATH / DAMAGE

Did the incident result in injury or death? ☐ Yes ☐ No
If yes, describe: [DESCRIBE INJURIES/DEATH]

Describe damage to vehicles and/or other property: [DESCRIBE DAMAGE]

POLICE / MEDICAL SERVICES

Police Notified? ☐ Yes ☐ No | If yes, was a report filed? ☐ Yes ☐ No

Was medical treatment provided? ☐ Yes ☐ No ☐ Refused
If yes, where was medical treatment provided? ☐ On site ☐ Hospital ☐ Other: [SPECIFY]