The Wisconsin Driver Report of Accident is a crucial document that must be completed when certain conditions arise following a vehicle accident. Specifically, this form is necessary if there is damage exceeding $1,000 to any person's property, if anyone is injured, or if government property incurs damage of $200 or more. Filling out this report accurately and promptly is essential for ensuring that all involved parties are properly documented.
To proceed with the filing, please fill out the form by clicking the button below.
The Wisconsin Driver Report of Accident form serves as an essential tool for individuals involved in motor vehicle accidents within the state. This form must be completed when certain criteria are met, such as when damages exceed $1,000 to any one person's property, when anyone sustains injuries, or when government property incurs damages of $200 or more. It is important to note that if a law enforcement officer has already filed a Wisconsin Motor Vehicle Accident Report, this form should not be completed. The report requires clear and accurate information, including details about all parties involved, vehicle specifics, and a description of the accident itself. Sections of the form allow for a narrative explanation and a diagram to illustrate the accident's circumstances. Incomplete submissions may be returned for additional information, emphasizing the importance of thoroughness. Individuals are encouraged to retain a copy for their records and to seek assistance from their insurance agents or local law enforcement if needed. For convenience, the form is accessible online through the Wisconsin Department of Transportation's website, making it easier for those affected to fulfill their reporting obligations promptly.
The Wisconsin Driver Report of Accident is used to document details of a motor vehicle accident. It is necessary to complete this form when there is significant property damage, injuries, or damage to government property. Specifically, it must be filled out if there is $1,000 or more damage to any one person’s property, if anyone was injured, or if there is $200 or more damage to government property other than vehicles.
You should not complete the Wisconsin Driver Report of Accident if a law enforcement officer has already filled out a Wisconsin Motor Vehicle Accident Report. In such cases, the officer's report will serve as the official documentation of the incident.
The form requires detailed information about the accident, including:
Incomplete forms may be returned for missing information, so it is essential to provide all requested details clearly.
After completing the form, retain a copy for your records. Mail the completed report to:
TRAFFIC ACCIDENT SECTION WISCONSIN DEPT OF TRANSPORTATION PO BOX 7919 MADISON WI 53707-7919
Ensure the address panel is visible on the outside of the envelope. Fold the report so that the address shows and tape the bottom edge closed. Do not staple the report.
Filling out the Wisconsin Accident form correctly is crucial for ensuring your report is processed smoothly. Here are some key takeaways to keep in mind:
By following these guidelines, you can help ensure that your accident report is complete and accurate, facilitating a smoother claims process.
Wdfi - Incomplete or incorrect submissions can lead to processing issues or rejection of the application.
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Misconceptions about the Wisconsin Accident form can lead to confusion and incomplete submissions. Here are some common misunderstandings clarified:
Wisconsin
DRIVER REPORT OF ACCIDENT
DO NOT COMPLETE this Driver Report of Accident if a law enforcement officer completed a Wisconsin Motor Vehicle Accident Report.
COMPLETE this Wisconsin Driver Report of Accident if:
•There was $1000 or more damage to any one person’s property
•
— OR — Anyone was injured
— OR —
There was $200 or more damage to government property, other than vehicles.
MV4002 3/2014 s.346.70(2) Wis. Stats.
Wisconsin Department of Transportation
Please provide all requested information. Print clearly.
1.You are “Unit 1”.
2.An individual involved in the accident must sign the report.
3.Provide all information on the other driver(s)/owner(s) involved. Incomplete reports may be returned requesting missing information. If you need assistance, contact your insurance agent, local law enforcement agency, or Wisconsin Department of Transportation (WisDOT) at: (608) 266-8753.
4.Use the “Narrative” and “Diagram” sections to explain how the accident happened.
5.If more space is needed, use plain paper and attach to this report.
6.This form is available at: www.dot.wisconsin.gov/drivers/drivers/traffic/accident.htm
Retain a copy of this report for your records before mailing.
Mail completed report to address shown below.
(Fold report so that address panel shows to outside – tape bottom edge closed and mail – Do not staple)
Important – Please print your return address:
TRAFFIC ACCIDENT SECTION
WISCONSIN DEPT OF TRANSPORTATION
PO BOX 7919
MADISON WI 53707-7919
______
PLACE STAMP HERE
Clear Form
WISCONSIN
DRIVER REPORT
CONTINUE ONLY ...if there was $1000 or more damage to any one person’s property,
OF ACCIDENT
OR ...if anyone was injured,
OR ...if there was $200 or more damage to government property, other than vehicles.
(See instructions on reverse side
before completing – Please Print)
Hit and Run Accident?
ACCIDENT
County of
City, Village or Township of
ACCIDENT Month
Day
Year
Day of Week
Time
a.m.
YES
DATE
p.m.
Total Units Involved
Total Injured *
LOCATION
Name and Number of Street(s) or Highway or Parking Lot
TYPE OF
(Please check one)
Hit another motor
Hit a parked vehicle
Hit a deer
Hit a bicyclist
Other
1 vehicle in operation
2
3
4/5 or pedestrian
9
U Driver Full Name (Last, First, MI)
Sex
NI
Address
Birth Date
T
City, State
ZIP Code
Daytime Telephone Number
(
)
1 Driver License Number
Issuing State
2 Driver License Number
Vehicle Legally Parked
Operating a commercial vehicle?
If yes, check
appropriate classification
A B C
Owner Full Name (Last, First, MI)
License Plate Number
Exp Yr
Vehicle Make
Color
Vehicle Identification Number
Was a motor vehicle liability insurance policy
Policy Holder’s Name
in effect on the day of the accident?
YES NO
NO
Exact Name of Insurance Company
*INJURED Important:
Number of injuries reported must equal number entered in “Total Injured” box above.
For additional injuries, provide the information on a separate piece of paper and attach. Injury Codes: A=Severe, B=Moderate, C=Minor
Unit No.
Name (Last, First, MI)
Injury Code
VEHICLE Unit 1 Important: Circle the numbers closest to the damaged areas.
Unit 2 Important: Circle the numbers closest to the damaged areas.
DAMAGE Damage Estimate
6
7
8
Damage Estimate
(Required)
5
REAR
FRONT
1
(If Known)
$______________
4
PROPERTY Describe what was damaged. Property damage includes structures, trees, fences, towed items, etc. Do NOT include vehicle damage.
DAMAGE
Property Owner Full Name (Last, First, MI)
NARRATIVE Print a brief description of the accident.
DIAGRAM Draw a basic picture of
Indicate NORTH by putting
the accident and location.
an arrow in the circle.
X
(Signature Required)
Print