The Maryland Motor Vehicle Accident Report is an essential document designed to capture the details of traffic incidents within the state. This form serves as a critical tool for law enforcement, insurance companies, and other stakeholders to assess the circumstances surrounding an accident. Understanding how to accurately complete this form can significantly aid in the resolution of claims and the analysis of traffic safety.
To ensure you have the necessary information at hand, consider filling out the form by clicking the button below.
The Maryland Motor Vehicle Accident Report form is a crucial document that captures essential information following a vehicle accident in the state. This form serves multiple purposes, including aiding law enforcement in their investigations, providing data for insurance claims, and contributing to traffic safety analysis. Key elements of the form include the accident date and time, the type of report being filed, and the unique report number. It also captures details about the vehicles involved, such as make, model, and registration information, alongside the names and addresses of the drivers and any passengers. The form requires a description of the accident, including the conditions at the time, such as weather and road conditions, as well as a diagram illustrating the accident scene. Furthermore, it documents any injuries sustained, property damage, and whether any vehicles were towed from the scene. By systematically organizing this information, the Maryland Motor Vehicle Accident Report form plays a vital role in ensuring that all relevant details are recorded accurately and comprehensively, facilitating a thorough understanding of the incident for all parties involved.
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State of Maryland Motor Vehicle Accident Report
REPORT NO.
1
PAGE OF
ACCIDENT DATE
3
ACCIDENT TIME 4
REPORT TYPE
5
RESEARCH
6
LOCAL CASE NUMBER
7
LOCAL CODES
8
PHOTOS ?
510345
2
FATAL
INJURY
PDO
NO
9
2 6
0 4
0
HIT & RUN NON-TRAFFIC
2005-040123
YES
INVESTIGATING OFFICER ID
10
AGENCY AND AREA
11
SUPERVISING OFFICER ID
12
REVIEWER ID #
13
CODE - AND - NAME OF MUNICIPALITY
14
COUNTY
15
Albert Green
2397
J
E
Linda Williams
c99
Brad Linquist
j45
0 0
Annapolis
0 2
RD CHAR
RTE NUM Accident Occurred On
17
ROAD NAME
18
IN LANE
TRAF SIG
ON RAMP
Ramp Number (Direction)
0-Not Ramp
IN INTERSECTION
16
19
NO 20
21
1 N-W
2 W-N 3 E-N 4 N-E
22
23
U S
N 2
5 S-E
6 E-S
7 W-S
8 S-W
9 Other
RD COND
INT-RTE
25
INTERSECTING ROAD NAME or Log Mile Reference Manual description.
26
MILEPT
27
DIR
Dist. of Acc fr INT-RTE/Ref. & Dir.
29
0 1
24
M
D
28
Ft
N
Mi
RD DIV
ACCIDENT
Show & Label: Roads, Traffic Units, the Travel Direction
DESCRIBE ACCIDENT briefly: identify units by numbers. Also identify the following
33
30
DIAGRAM
consistent with the Log Mile Reference Manual, and Movement
a) the OBJECT DAMAGED & NATURE OF DAMAGE (Property other than vehicles) and
4
of Traffic Units.
b) the NAME & ADDRESS OF OWNER when applicable.
SRF COND
Veh1 was going northbound when a deer entered the roadway. Veh1 slowed to avoid
34
the deer as it ran across the road. Veh2, speeding, was unable to brake in time and
C/M ZONE
rear-ended Veh1.
35
JUNCT'N
36
EVENT - 1
37
EVENT - 2
38
FIX OBJ
39
COLL
TY
40
LIGHT
41
WEATHER
42
UNIT #
43
NAME
(First,
Middle,
Last)
44
SEX
45
Brandy
Orr
Walter
O
Joseph
TYPE
46
ADDRESS (No.,
Street, City, State, Zip)
TEL
Work
Res
47
INJ
48
ADDRESS
(No., Street, City, State,
Zip)
OF
4602 Oldham St
6 4 1 6 1 9 2 0 6 5
4676 Everett St
5 4 0 4 5 8 4 6 7 6
UNIT
EMS
49
DRIVER
MD
24744
84381
"PED"
A
MOVEMENT
CONDITN
SUBST
TEST
RESULT
FOR
AGE
LOCAT'N
OBEY
VISIBL
50
51
52
53
54
PEDS
55
56
57
58
59
ONLY
SPEED LIMIT
SAF. EQU
EQ PROB
EJECT
CITATION NUMBER (S)
64
FAULT
60
61
62
63
NO 65
GOING
DRIVER'S LICENSE NUMBER
STATE
CLASS
66
67
68
69
429945408
M D
331481440
CONTINU
DR DATE OF BIRTH
71
IRREGULAR CONDITION
72
HM SPILL
HAZ MAT NUMBER
70
PARKED
CAUGHT FIRE
73
74
HIT & RUN
DRIVERLESS
Y
BODY TY
COMMER.
U. S. DOT NUMBER
ICC NUMBER
CDL?
75
VEHICLE
76
77
78
79
MOST HE
OWNER OR CARRIER NAME (Write "SAME" if Driver)
80
81
Same
Bryan
H
O'Neil
3 5 2 7 8 4 3 8 7 1
CONTRIB
OWNER / CARRIER ADDRESS
CIRCUM-
83
3119 Brighton Ave
STANCES
82-1
TOWED VEH (S)
84
1 8
MD 47344
82-2
YEAR & MAKE OF VEHICLE
MODEL
1st IMPACT PT.
87
1st IMPACT PT. 87
85
86
FORD
Tempo
MAIN IMPACT
88
2 1
TOYT
Matrix
82-3
EXP YR & REGISTR # STATE
AREAS DAMAGED
INSURER
89
90
91
WGQ 562
2 2
0 8
MZZ 539
82-4
VEHICLE ID NUMBER
POLICY NUMBER
92
93
21427BEW 770WMS 731
50452VKW 299SFL 391
DAM EXT
VEHICLE REMOVED BY
VEHICLE REMOVED TO
94
95
96
TRAFFIC
SEATING
CODE all injured & uninjured PASSENGERS below. Use "W" for witness in TRAF UNIT and SEAT columns.
SAFETY
EQUIP
INJUR
EJEC-
POSITION
WRITE NAME & ADDRESS of Injured Passengers and Witnesses.
Witness telephone #.
PROB.
SEVER
TION
97
98
99
100
101
102
103
104
105
106
Eric
G
Crosby
3448 Lillibridge St
MD 60665
1 4 8 9 5 8 5 6 8 1
1 1
Gavin
K
Sakic
2678 Brookview Dr
MD 15424
2 7 9 8 0 4 1 2 9 6
1 3
0 3
Elaine
Geller
3636 Monterey Dr
MD 38364
6 4 0 8 1 9 5 2 1 6
Penny
Manning
2638 S 55th St
MD 50596
4 8 6 3 8 1 6 9 8 3
Harold
Mason
4946 Valley Rd
MD 62828
3 3 3 8 4 2 2 1 4 0
Ross
U
Williams
2753 Brighton Ave
MD 52732
1 7 9 6 4 3 3 9 0 7
1 4
E UNIT
INJURED TAKEN BY:
INJURED TAKEN TO:
EMS RUN REPORT #
107
EmergyStat
108
Annapolis General
109
34-235
110
S A
S
MSP FORM #1
(3/95)
MSP - CENTRAL RECORDS DIVISION COPY
Many people believe that the Maryland Motor Vehicle Accident Report is only necessary for serious accidents involving injuries or fatalities. However, this report is crucial for all accidents, regardless of severity. Even minor accidents can lead to disputes over liability or insurance claims, making the report an essential document for all parties involved.
Some individuals think they can’t file an accident report unless a police officer is present. While law enforcement often assists in filing reports, you can file your own report with the Maryland Motor Vehicle Administration (MVA) if the police do not respond. It’s important to take the initiative to document the accident details yourself.
While it’s true that insurance companies often require a copy of the accident report, it serves a broader purpose. This report can also be used in legal proceedings, such as court cases or disputes. Having an official record of the accident can be invaluable if issues arise later.
Many people believe that once the report is filed, the information is set in stone. In reality, if you find inaccuracies or feel that your perspective is not represented, you can contest the report. It’s important to gather any evidence, such as photos or witness statements, to support your claims when addressing discrepancies.
Filling out the Maryland Motor Vehicle Accident Report form can be a straightforward process, but many people make common mistakes that can lead to delays or complications. One frequent error is failing to provide accurate contact information for all parties involved. This includes not only the drivers but also any witnesses. Incomplete contact details can hinder follow-up investigations and insurance claims.
Another common mistake is neglecting to describe the accident circumstances clearly. Many individuals simply state that an accident occurred without detailing how it happened. A thorough description, including the sequence of events and any contributing factors, is essential for a complete report.
Some people forget to include the exact location of the accident. While it may seem obvious, providing precise details such as street names, intersections, and mile markers helps authorities understand the context of the incident. Omitting this information can lead to confusion and miscommunication.
Additionally, individuals often overlook the importance of checking for injuries. It’s crucial to document any injuries sustained by drivers or passengers. Failing to do so may affect insurance claims and medical assistance later on.
Another mistake involves not indicating whether the accident involved a hit-and-run scenario. If applicable, this should be clearly marked on the form. Misclassification can complicate the investigation and impact liability determinations.
Some users also fail to provide the correct vehicle information. This includes not only the make and model but also the vehicle identification number (VIN). Accurate vehicle details are vital for processing claims and ensuring proper identification of the involved parties.
Inaccurate or incomplete insurance information is another common error. It’s essential to include the correct policy numbers and insurance company names. Errors in this section can lead to delays in processing claims or even denial of coverage.
People sometimes neglect to sign and date the report. This is a simple but critical step that validates the document. Without a signature, the report may not be considered official.
Another oversight is failing to attach any relevant photographs of the accident scene or vehicle damage. Visual evidence can provide crucial context and support claims made in the report.
Finally, many individuals rush through the form, leading to illegible handwriting or incomplete fields. Taking the time to fill out the form neatly and thoroughly can prevent misunderstandings and ensure that all necessary information is captured.
Filling out and using the Maryland Motor Vehicle Accident Report form is a crucial step for anyone involved in a vehicle accident. Here are key takeaways to keep in mind:
Understanding these points can help streamline the process and ensure that all necessary information is captured effectively.
When involved in a motor vehicle accident in Maryland, several forms and documents may accompany the Maryland Motor Vehicle Accident Report. These documents help to clarify the circumstances of the accident and assist in any necessary legal or insurance processes. Below is a list of five commonly used forms that may be relevant.
Understanding these documents and their purposes can significantly ease the process following an accident. Each form plays a vital role in ensuring that all aspects of the incident are documented and addressed appropriately. Being prepared with the right paperwork can help facilitate a smoother resolution for everyone involved.
The Maryland Motor Vehicle Accident Report form bears similarities to the police report, which documents incidents involving law enforcement. Both forms collect essential details about the accident, including the date, time, and location. They also outline the involved parties and any injuries or damages incurred. The police report is often created at the scene by officers, while the Maryland report is filled out afterward, ensuring that both serve as official records of the incident.
Another document comparable to the Maryland report is the insurance claim form. This form is used by individuals to report accidents to their insurance companies. Like the Maryland report, it includes information about the parties involved, the nature of the accident, and any damages. Both documents aim to provide a clear account of the incident to facilitate claims processing and ensure that all parties receive appropriate compensation.
The accident report is also similar to the incident report used in workplaces. This document details accidents that occur on company premises and includes information about the individuals involved, the circumstances of the incident, and any injuries sustained. Both reports serve to document incidents for liability purposes and help organizations prevent future occurrences by analyzing the details of each incident.
Another related document is the vehicle accident reconstruction report. This report is often prepared by experts who analyze the accident scene to determine how the incident occurred. It includes detailed diagrams and scientific analysis, much like the Maryland report, which may include a diagram of the accident scene. Both documents aim to provide clarity about the events leading up to the accident.
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The medical report generated by healthcare providers after treating individuals involved in an accident is also similar. This document records the injuries sustained and the treatment provided. Like the Maryland report, it serves as an official record that can be used in legal proceedings or insurance claims to substantiate the extent of injuries and the need for compensation.
The motor vehicle accident report also resembles a traffic citation. When a driver is cited for a traffic violation related to an accident, the citation details the offense, the parties involved, and the circumstances surrounding the incident. Both documents are official records that can influence legal proceedings and insurance claims.
Additionally, the witness statement form shares similarities with the Maryland report. Witness statements are collected to provide third-party accounts of the accident. They often include details about what the witness observed, which can corroborate or contradict the information in the Maryland report. Both documents aim to provide a comprehensive understanding of the accident from different perspectives.
Lastly, the claims adjuster report is comparable to the Maryland Motor Vehicle Accident Report. This document is prepared by an insurance claims adjuster who investigates the accident. It includes assessments of damages, liability determinations, and recommendations for settlement. Like the Maryland report, it serves as a critical piece of documentation for resolving disputes related to the accident.