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Accident Reporting Form

  1. Instructions:

    All vehicle accidents that result in an injury to any person(s) OR damage to any property shall be reported using the below form immediately following the accident or as soon as practicable.

  2. Did the accident result in injury to any person(s)?*
  3. If yes, is the injured person(s) employed by the City?*
  4. Did the accident result in any damage to any property?*
  5. If yes, is the damaged property owned by the City? *
  6. Was a traffic citation issued to any party involved in the accident? *
  7. Submission of this form will prompt an immediate message to HR, Legal, and Public Works-Fleet. Upon receipt, all necessary parties will contact you directly with further direction.

  8. Leave This Blank:

  9. This field is not part of the form submission.