Form:  Operator's Report of Motor Vehicle Accident 

Frequently Asked Questions

1. When Should You File a Report?
   
   You should file a report if you’re the operator of a vehicle involved in a crash where the damage to any one vehicle or property is over $1000, or if there is an injury to any person, even if a police officer was on the scene. You should file the report within 5 days of the date of the crash.
    

2. When Should You NOT File a Report?
   
   You should not file a report if the crash occurred on a private road, driveway, private parking lot or other private way.
    

3. Why this Report is Important?
   
   Data from this report is used for many purposes including:

   • Identifying locations with a large number of crashes.

   • Improving dangerous highways and intersections.

   • Developing highway safety public information programs.

   • Developing programs to save lives and reduce highway injuries

How To Complete The Form

Please carefully complete all sections of this form that apply to your crash, circling the answer where appropriate. Illegible reports will be returned to you.

Section A: Crash Location

• Provide the city/town where the crash occurred, the date and time of the crash, and the number of vehicles involved.

• Complete section A1 or A2.

• Use official names of all locations, streets and landmarks.

• Use street name and route #, if applicable.

• Be as precise as possible when describing the location.
  Provide enough information to locate the crash to a specific point, not just a street or roadway.

Section B: Vehicle You Were Driving

• Provide information on your license and the vehicle you were driving.

• Use the codes provided to indicate the cause of the crash.

Section C: You and Your Passengers

• Provide information on you and your passengers at the time of the crash.

• Use the codes provided to indicate occupant information.

Section D: Other Vehicles Involved in the Crash

• Provide information on the other vehicle(s) and operator(s) involved in the crash.

• If more than one vehicle involved, please use additional form completing Section D only.

Section E: Non-Motorist(s) Involved

• Provide information on the non-motorist(s) involved in the crash. If more than one non-motorist involved, please use additional form completing Section E only.

Section F: Crash Conditions

• Use the codes provided to indicate the conditions at the time of the crash.

Section G: Crash Diagram

• Draw a diagram of how the crash occurred.

• On the diagram, Vehicle 1 represents your vehicle.

Section H: Witness Information

• List all the people who saw the crash but were not involved.

Section I: Property Damage Information

• Indicate all non-vehicular property that was damaged in the crash.

Section J: Description of What Happened

• Describe the crash including events prior to the crash for your vehicles and all other vehicles.

Section K: Signature

• Please sign and print your name and indicate the date you completed the form.

Information provided by the Massachusetts State Registry of Motor Vehicles