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Example - 12 209 Alaska Form

ALASKA MOTOR VEHICLE CRASH FORM 12-209

SR #

C R A S H I N F O R M A T I O N

(One choice per field unless otherwise noted. Other* should be explained in narrative)

 

 

 

Total # Vehicles

Crash Date

Time of Crash

am Crash Day

01 MON

03 WED

05 FRI

07 SUN

Crash occurred in (City / Borough)

 

 

 

 

 

pm

 

 

02 TUE

04 THU

06 SAT

 

 

 

 

Name of Street or Highway

 

 

Miles

North of:

South of:

Name of Cross Street, Highway, Bridge, etc.

OFFICIAL USE ONLY

 

 

 

 

 

East of:

West of:

 

 

 

Location Control

Reference Point

 

 

 

 

Feet

 

 

 

 

 

 

 

 

 

At intersection with:

 

 

 

 

 

 

Weather

 

 

 

Lighting

 

 

 

 

Roadway / Junction

 

 

 

 

01 Blowing dirt, snow

07 Sleet, hail (freezing rain)

01 Dark - lighted roadway

07 Not reported

 

01 Crossover

07 Roundabout

13 Other*

02 Clear

 

08 Severe crosswinds

 

02 Dark - not lighted

 

08 Unknown

 

02 Driveway

08 T - intersection

 

 

03 Cloudy

 

09 Snow

 

03 Dark - unknown lighting

 

 

03 Not a junction

09 Y - intersection

 

 

04 Fog/ smoke

 

10 Other*

 

04 Daylight

 

 

 

 

04 On ramp

10 Four way intersection

 

05 Ice fog

 

11 Not reported

 

05 Twilight

 

 

 

 

05 Off ramp

11 Five point or more

 

 

06 Rain

 

12 Unknown

 

06 Other*

 

 

 

 

06 Railway crossing

12 Unknown

 

 

First Sequence of Events (what was the first thing you crashed into, or what was the first event that resulted in the crash. (CHECKONLY ONE FOR EITHER COLLISION OR NON-COLLISION

 

 

 

 

COLLISION

 

 

 

 

 

NON-COLLISION

 

 

 

01 Aircraft

 

09 Ditch

17 Median barrier

 

25 Train

 

 

33 Cargo loss / shift

 

40 Overturn

 

02 Animal

 

10 Embankment

18 Moose

 

26 Tree / shrub

 

34 Crossed median / centerline

41 Ran off road

 

03 Bicyclist

 

11 Fence

19 Parked vehicle

 

27 Utility pole

 

35 Downhill runaway

 

42 Separation of units

04 Bridge / overpass

12 Guard rail face

20 Pedestrian

 

28 Vehicle in transit

 

36 Equipment failure

 

43 Other*

 

 

05 Bridge rail

 

13 Guard rail end

21 Sideswipe

 

29 Vehicle - rear end

 

37 Explosion / fire

 

44 Unknown

 

06 Crash cushion

14 Light support

22 Sign

 

30 Vehicle - head on

 

38 Immersion

 

 

 

 

07 Culvert

 

15 Machinery

23 Snowberm

 

31 Vehicle - angle

 

39 Jackknife

 

 

 

 

08 Curb / wall

 

16 Mail box

24 Traffic signal pole

 

32 Other fixed object

 

 

 

 

 

 

 

Location of First Sequence of Events (where did the crash happen first?)

 

 

 

Road Surface

 

 

 

Did police

 

01 Bike lane

 

04 Outside of trafficway

 

07 Roadway

 

10 Unknown

01 Dry

04 Sand, mud, oil

07 Wet

Yes

 

 

 

investigate

02 Gore

 

05 Parking lot

 

08 Shared use paths

 

 

02 Ice

05 Slush

08 Other*

No

 

 

 

 

this crash?

03 Median

 

06 Roadside

 

09 Shoulder

 

 

 

03 Water

06 Snow

 

 

 

 

 

 

 

 

 

 

 

Y O U R D R I V E R I N F O R M A T I O N

Your Name (Vehicle Driver's Last Name, First Name, Middle Name)

Your Date of Birth

Your Contact Telephone

Your Mailing Address

Your Driver License Number

Your Driver License State

Your Driver License Country

Your City

Your State

Your Zip Code

Your Residence Country

Y O U R V E H I C L E I N F O R M A T I O N

 

Your Vehicle Damage

No. of Occupants

 

 

 

Your Vehicle Owner's Name (Last, First, Middle Initial)

 

 

 

 

Vehicle Owner's Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 None / minor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 Disabling

05 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle Owner's Mailing Address

 

 

 

 

 

 

 

 

02 Functional

04 Totaled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02

03

 

04

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle Owner's City

 

 

 

Your Vehicle Owner's State

 

Vehicle Owner's Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

Vehicle Make

 

Vehicle Model

 

 

 

License Plate #

 

Vehicle License State

 

01

 

 

05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle's Direction of Travel

 

 

 

 

 

 

Damage Estimate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 North

02 South

03 East

04 West

 

05 Unknown

 

Over $501

 

 

 

 

 

 

 

 

Your Vehicle Driver's Injury Status (vehicle passengers are listed on page 2)

 

 

 

08

07

 

06

 

 

 

01 Fatal

 

 

03 Non-incapacitating

 

05 None

07 Unknown

 

CHECK ONLY ONE TO SHOW FIRST AREA OF IMPACT

 

 

02 Incapacitating

04 Possible

 

06 Not reported

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Roadway Circumstances (that may have contributed to the crash)

 

 

 

 

Your Vehicle Action

 

 

 

 

 

 

 

 

01 Debris

 

07 Road surface condition

 

 

13 Other*

 

01 Avoiding objects in road

 

08 Out of control

 

15 Straight ahead

 

02 Inoperative traffic device

08 Ruts, holes, bumps

 

 

14 Unknown

 

02 Backing

 

 

09 Passing

 

16 Turning right

 

03 Missing traffic device

 

09 School zone

 

 

 

 

 

03 Changing lanes

 

 

10 Parked

 

17 Turning left

 

04 Obscured traffic device

 

10 Work zone

 

 

 

 

 

04 Entering traffic lane

 

 

11 Skidding

 

18 Other*

 

05 Obstruction in roadway

 

11 Worn, polished road surface

 

 

05 Leaving traffic lane

 

 

12 Slowing

 

19 Unknown

 

06 Shoulder

 

12 None

 

 

 

 

 

 

 

06 Making U-turn

 

 

13 Starting in traffic

 

 

 

 

 

 

 

 

 

 

 

07 Merging

 

 

14 Stopped

 

 

 

Traffic Control

 

 

 

 

 

 

 

 

Vehicle Configuration

 

 

 

 

 

 

 

 

01 Flashing signal

05 School zone signs

09 Officer / Flagman / Guard

 

01 Dog sled

 

 

05 Off highway vehicle

 

09 Other*

 

02 No traffic controls

06 Stop sign

 

 

10 Yield sign

 

 

02 Light truck (4 tires)

 

 

06 Passenger car

 

10 Unknown

 

03 Road construction signs

07 Traffic control signal

11 Other*

 

 

03 Motorhome

 

 

07 Pedalcycle

 

 

 

04 RR crossing device

08 Warning signs

 

 

12 Unknown

 

 

04 Motorcycle

 

 

08 Pedestrian

 

 

 

C R A S H D E S C R I P T I O N

(Write a brief narrative describing the crash)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fairbanks Police Department Rev. 07/05

Crash Form 12-209 - Page 1

ALASKA MOTOR VEHICLE CRASH FORM 12-209

O T H E R D R I V E R ' S I N F O R M A T I O N

Other Driver's Name (Last Name, First Name, Middle Name)

Other Driver's Date of Birth

Other Driver's Contact Telephone

Other Driver's Mailing Address

Other Driver's License #

Other Driver's License State

Other Driver's License Country

Other Driver's Mailing Address City

Other Driver's State

Other Driver's Zip Code

Other Driver's Residence Country

O T H E R D R I V E R V E H I C L E I N F O R M A T I O N

 

Other Vehicle Damage

Other Vehicle No. of Occupants

 

 

 

Other Vehicle Owner's Name (Last, First, Middle Initial)

 

 

 

Other Vehicle Owner's Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 None / minor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 Disabling

05 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle Owner's Mailing Address

 

 

 

 

 

 

 

 

02 Functional

 

04 Totaled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02

 

03

 

04

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle Owner's City

 

 

 

Other Vehicle Owner's State

 

Other Vehicle Owner's Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

Vehicle Make

 

Vehicle Model

 

 

License Plate #

 

Vehicle License State

 

01

 

 

 

05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle's Direction of Travel

 

 

 

 

 

 

Damage Estimate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 North

02 South

03 East

04 West

 

05 Unknown

 

Over $501

 

 

 

 

 

 

 

 

 

Other Vehicle Driver's Injury Status (vehicle passengers are listed below)

 

 

 

08

 

07

 

06

 

 

 

01 Fatal

 

 

03 Non-incapacitating

05 None

07 Unknown

 

CHECK ONLY ONE TO SHOW FIRST AREA OF IMPACT

 

 

02 Incapacitating

04 Possible

06 Not reported

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Driver's Roadway Circumstances (that may have contributed to the crash)

 

Other Driver's Vehicle Action

 

 

 

 

 

 

 

 

01 Debris

 

 

07 Road surface condition

 

 

13 Other*

 

01 Avoiding objects in road

08 Out of control

 

15 Straight ahead

 

02 Inoperative traffic device

08 Ruts, holes, bumps

 

 

14 Unknown

 

02 Backing

 

09 Passing

 

16 Turning right

 

03 Missing traffic device

 

 

09 School zone

 

 

 

 

 

03 Changing lanes

 

10 Parked

 

17 Turning left

 

04 Obscured traffic device

 

10 Work zone

 

 

 

 

 

04 Entering traffic lane

 

11 Skidding

 

18 Other*

 

05 Obstruction in roadway

 

11 Worn, polished road surface

 

 

05 Leaving traffic lane

 

12 Slowing

 

19 Unknown

 

06 Shoulder

 

 

12 None

 

 

 

 

 

 

 

06 Making U-turn

 

13 Starting in traffic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 Merging

 

14 Stopped

 

 

 

Other Driver's Traffic Control (traffic control for the other driver may have been different from yours)

Other Driver's Vehicle Configuration

 

 

 

 

 

 

 

01 Flashing signal

 

05 School zone signs

09 Officer / Flagman / Guard

 

01 Dog sled

 

05 Off highway vehicle

 

09 Other*

 

02 No traffic controls

 

06 Stop sign

 

 

10 Yield sign

 

 

02 Light truck (4 tires)

 

06 Passenger car

 

10 Unknown

 

03 Road construction signs

07 Traffic control signal

11 Other*

 

 

03 Motorhome

 

07 Pedalcycle

 

 

 

04 RR crossing device

 

08 Warning signs

 

 

12 Unknown

 

 

04 Motorcycle

 

08 Pedestrian

 

 

 

 

 

 

 

I N J U R Y S E C T I O N

(Fill in the name of injured person, injury status, telephone number, and which vehicle they occupied when the crash occurred)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Injury Status

 

 

 

Telephone

Vehicle License

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

YOUR INSURANCE INFORMATION

C E R T I F I C A T E O F

I N S U R A N C E

 

Failure to complete the Certificate of Insurance could

 

 

 

result in the suspension of your driver's license)

CRASH

 

Crash Date

 

Crash Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Name (Driver's Last Name, First Name, Middle Initial)

 

 

Your Date of Birth

 

 

 

Your Driver's License Number

Your Driver's License State

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

Your Mailing Address

 

 

 

Your City

 

 

 

 

Your State

 

 

 

 

Your Zip Code

Your Contact Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

Vehicle Owner's Name (Last Name, First Name, Middle Initial)

 

 

 

Owner's Date of Birth

 

 

Owner's License Number

Owner' License State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Owner's Mailing Address

 

 

Owner's City

 

 

 

 

 

Owner's State

 

 

 

 

Owner's Zip Code

Owner's Contact Telephone

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

Vehicle year

Vehicle make

 

Vehicle model

 

License plate #

 

Vehicle License State

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you have a current automobile liability policy in effect covering this accident?

YES

NO

 

 

 

 

 

 

Insurance Company or Insurance Carrier Name

 

 

 

 

 

 

 

 

 

 

Insurance Policy Number

 

 

INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address and Telephone Number of Insurance Agent

 

 

 

 

 

 

 

 

Insurance Policy

FROM

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Period:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE

 

YOUR SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE VERIFICATION: If the motor vehicle liability insurance policy listed above was not in effect for the motor vehicle listed at the time of the crash indicated above, the insurance company is to complete the following and return this form to the Division of Motor Vehicles at the address listed on the bottom right corner on page 2 of this form. If indicated coverage was in effect at the time of the crash, no action is required.

REASON FOR DENIAL:

Policy expired before crash

Driver is not covered on policy

 

Policy effective after crash

Lapse in policy

 

Policy number given is incorrect

Other:

 

 

Authorized Representative Signature / Date

 

MAIL THIS FORM TO:

DMV MAIN OFFICE

P.O. BOX 110221

JUNEAU, AK 99811-0221

(907) 465-4361

Crash Form 12-209 - Page 2

Your Questions, Answered

  1. What is the purpose of the Alaska Motor Vehicle Crash Form 12-209?

    The Alaska Motor Vehicle Crash Form 12-209 is used to document details surrounding a motor vehicle accident that occurs in Alaska. This form collects vital information about the crash, including the date, time, location, vehicles involved, and driver information. It serves as an official record for law enforcement and insurance purposes.

  2. Who needs to fill out this form?

    The form must be completed by the drivers involved in the accident. If there are multiple vehicles, each driver should fill out a separate form. Additionally, it is essential for police officers to fill out the form if they respond to the accident scene.

  3. What information is required on the form?

    Essential information includes:

    • The date and time of the crash
    • The location of the accident, including street names and nearby landmarks
    • Details about the vehicles involved, such as make, model, and license plate numbers
    • Driver information, including names, contact details, and driver's license numbers
    • Information about injuries sustained and vehicle damage
  4. What should I do if I do not have all the information needed to complete the form?

    If you do not have all the required information, fill out as much as you can. It is better to submit a partially completed form than to delay reporting the accident. You can provide missing information later, but ensure that you report the crash as soon as possible.

  5. How do I submit the completed form?

    The completed form should be mailed to the DMV Main Office in Juneau, Alaska. The address is:

    DMV MAIN OFFICE
    P.O. BOX 110221
    JUNEAU, AK 99811-0221

    Alternatively, you may need to submit it in person at a local DMV office, depending on the instructions provided by law enforcement at the scene.

  6. What happens if I do not complete the form?

    Failing to complete and submit the form may result in penalties, including the suspension of your driver's license. It is crucial to fulfill this requirement to avoid complications with law enforcement or insurance claims.

  7. Is there a deadline for submitting the form?

    Yes, it is important to submit the form as soon as possible after the accident. While specific deadlines may vary, it is advisable to complete and send the form within a few days of the incident to ensure compliance with state regulations.

  8. What if there were injuries or significant damage?

    If there were injuries or significant damage to vehicles, it is crucial to provide detailed information about these aspects on the form. This includes the injury status of all individuals involved and a description of vehicle damages. Accurate reporting helps in processing insurance claims and potential legal matters.

Dos and Don'ts

When filling out the Alaska Motor Vehicle Crash Form 12-209, consider the following guidelines:

  • Ensure all sections are completed accurately to avoid delays in processing.
  • Use clear and legible handwriting if filling out the form by hand.
  • Provide specific details about the crash, including exact locations and times.
  • Check the form for completeness before submission to ensure no sections are left blank.
  • Keep a copy of the completed form for your records.

Conversely, avoid these common mistakes:

  • Do not leave any fields blank; incomplete forms may be returned for additional information.
  • Avoid using vague descriptions; be precise in detailing the events leading to the crash.
  • Do not submit the form without reviewing it for accuracy, as errors can lead to complications.
  • Refrain from providing false information, as this can have legal repercussions.
  • Do not forget to sign the form; an unsigned form may not be processed.

Similar forms

The Alaska Motor Vehicle Crash Form 12-209 is similar to the Uniform Accident Report (UAR) used in many states. Both documents collect essential information about motor vehicle accidents, including details of the crash, involved parties, and vehicle information. The UAR standardizes the reporting process across jurisdictions, facilitating data collection and analysis. Like the 12-209 form, the UAR includes sections for the date, time, location of the accident, and a narrative description, ensuring that all relevant details are captured systematically.

Another comparable document is the Police Accident Report, which law enforcement officers complete after responding to a crash. This report serves as an official record of the incident and often includes witness statements, diagrams of the crash scene, and any citations issued. Similar to the 12-209 form, it aims to provide a comprehensive overview of the circumstances surrounding the accident. Both documents play a crucial role in insurance claims and legal proceedings.

To support the homeschooling process, one must complete an important document known as the formal Homeschool Letter of Intent submission. This ensures proper notification to local education authorities about the decision to educate a child at home, aligning with state regulations and fostering a compliant educational environment.

The Motor Vehicle Accident Report (MVAR) is also akin to the Alaska form. This report is typically filed by drivers involved in a crash when law enforcement does not respond. It includes information about the vehicles, drivers, and circumstances of the accident. Like the 12-209, the MVAR is used to document the event for insurance purposes and may be required by state law. Both forms emphasize the importance of accurate and complete information for all parties involved.

Finally, the Driver's Accident Report (DAR) serves a similar purpose. This document is often required by insurance companies to process claims after an accident. It collects information about the crash, including driver details, vehicle damage, and injury status. The DAR, like the 12-209 form, is designed to gather critical information that helps determine liability and compensation. Both forms are vital for ensuring that all necessary data is available for review by insurance adjusters and legal representatives.

How to Write 12 209 Alaska

Completing the Alaska Motor Vehicle Crash Form 12-209 is an essential step in documenting an accident. This form collects critical information about the crash, the involved parties, and any injuries sustained. After filling out the form, it is important to submit it to the appropriate authorities to ensure that all details are recorded accurately.

  1. Begin by entering the total number of vehicles involved in the crash.
  2. Fill in the crash date and the time of the crash, selecting AM or PM as applicable.
  3. Indicate the day of the week the crash occurred by selecting from the provided options.
  4. Provide the name of the city or borough where the crash took place.
  5. Specify the name of the street or highway where the incident occurred.
  6. Indicate the location in relation to nearby landmarks, such as miles north or south of a reference point.
  7. Choose the weather conditions at the time of the crash from the list provided.
  8. Describe the lighting conditions by selecting from the options available.
  9. Indicate the type of roadway or junction where the crash occurred.
  10. Identify the first sequence of events leading to the crash by selecting one option from the collision or non-collision categories.
  11. Provide the location of the first sequence of events, specifying the road surface type.
  12. Fill in your driver information, including your name, date of birth, contact telephone number, mailing address, and driver license details.
  13. Enter your vehicle information, including damage status, number of occupants, and vehicle owner’s details.
  14. Indicate your vehicle's direction of travel and damage estimate.
  15. Complete the injury status for yourself and any passengers in your vehicle.
  16. Document any roadway circumstances that may have contributed to the crash.
  17. Provide details about the other driver, including their name, contact information, and vehicle details.
  18. Fill in the injury section for any individuals injured in the crash, specifying their status and the vehicle they occupied.
  19. Complete the insurance information section, including your insurance policy details and the insurance agent's contact information.
  20. Sign and date the form to certify that the information provided is accurate.
  21. Mail the completed form to the DMV Main Office at the address specified on the form.

Documents used along the form

The Alaska Motor Vehicle Crash Form 12-209 is an essential document for reporting vehicle accidents in Alaska. In addition to this form, there are several other documents that individuals often need to complete or reference when dealing with the aftermath of a crash. Here are some of the most commonly used forms and documents:

  • Police Report: This is a formal report created by law enforcement officers who respond to the crash scene. It includes details about the accident, such as the parties involved, witness statements, and any citations issued. This report can be crucial for insurance claims and legal matters.
  • FedEx Release Form: This essential form allows recipients to authorize FedEx to leave packages at a designated location if they are not home to receive them. For further details, you can visit smarttemplates.net.
  • Insurance Claim Form: After an accident, drivers typically file a claim with their insurance company. This form provides the insurer with information about the incident and the damages incurred. It helps initiate the claims process and determine coverage.
  • Medical Records: If injuries occurred during the accident, medical records documenting treatment and expenses may be necessary. These records are important for insurance claims and any potential legal actions related to personal injury.
  • Vehicle Damage Assessment: This document details the extent of the damage to the vehicles involved in the crash. It may include estimates from repair shops and photographs of the damage, serving as evidence for insurance claims.
  • Witness Statements: Statements from individuals who witnessed the crash can provide valuable insights into what happened. These accounts can support claims and help clarify the circumstances surrounding the accident.
  • Release of Liability Form: If parties involved in the crash agree to settle matters privately, they may use a release of liability form. This document ensures that one party will not pursue further claims against the other regarding the incident.

These documents play a significant role in navigating the aftermath of a vehicle accident. Having them organized and ready can help streamline the process of dealing with insurance companies and any legal requirements that may arise.

Misconceptions

  • Misconception 1: The 12-209 form is only for serious accidents.
  • This form is used for all motor vehicle crashes, regardless of severity. Even minor accidents require this documentation.

  • Misconception 2: Only the police can fill out the 12-209 form.
  • While law enforcement often assists, drivers involved in the crash can also complete the form themselves.

  • Misconception 3: You can submit the form anytime after the crash.
  • There are specific deadlines for submitting the 12-209 form. Delays can lead to complications, including potential fines.

  • Misconception 4: The form is only necessary if injuries occur.
  • Even if no one is injured, the form is required for all crashes to document the incident and for insurance purposes.

  • Misconception 5: You don’t need to report a crash if it’s on private property.
  • Crashes on private property may still require a report, especially if there is significant damage or injuries involved.

  • Misconception 6: The 12-209 form is only for Alaska residents.
  • Any driver involved in a crash in Alaska, regardless of residency, must complete this form.

  • Misconception 7: You can leave sections of the form blank.
  • Completing all relevant sections is crucial. Missing information can lead to delays or issues with processing the form.

  • Misconception 8: The form is not needed if you exchange information with the other driver.
  • Exchanging information is important, but the 12-209 form is still required for official documentation of the crash.

  • Misconception 9: You can only get the form from the DMV.
  • The 12-209 form can often be obtained online, from police departments, or other authorized locations, not just the DMV.

  • Misconception 10: The form is only necessary for insurance claims.
  • While it is important for insurance, the form also serves legal purposes and may be needed for law enforcement records.

Common mistakes

  1. Incomplete Information: Many people forget to fill out all required fields, such as the crash date, time, or location. Missing details can delay processing and may lead to complications.

  2. Incorrect Vehicle Information: Entering the wrong vehicle make, model, or license plate number is a common error. Ensure that all vehicle details are accurate to avoid issues with insurance claims.

  3. Failure to Report Police Investigation: Some individuals neglect to indicate whether police investigated the crash. This information is crucial for official records and insurance purposes.

  4. Missing Driver Information: Omitting details about the driver, such as their name or contact information, can hinder communication and the claims process.

  5. Choosing Multiple Options: When selecting the first sequence of events, some people mistakenly check more than one option. Only one choice is allowed, so be sure to select the most relevant incident.

  6. Neglecting Weather Conditions: Failing to accurately describe the weather at the time of the crash can impact liability assessments. Weather conditions can significantly affect driving safety.

  7. Ignoring Injury Information: Not providing complete injury details for all involved can create problems down the line, especially if medical claims arise.

  8. Inaccurate Insurance Information: Errors in the insurance policy number or company name can lead to complications in claims processing. Double-check this information before submission.

  9. Failure to Sign: Some individuals forget to sign the form. A missing signature can render the form invalid, causing unnecessary delays.