KANSAS MOTOR VEHICLE ACCIDENT REPORT CODING MANUAL
KANSAS MOTOR VEHICLE ACCIDENT REPORT CODING MANUAL
KANSAS MOTOR VEHICLE ACCIDENT REPORT CODING MANUAL
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Occupants & Vehicles<br />
<strong>VEHICLE</strong># 01 SPECIAL DATA<br />
850B Continued<br />
(01, 03, N3, X3, etc)<br />
OWNER Last Name ("Same" if Driver) OWNER First Name Middle Name<br />
Same<br />
OWNER ADDRESS (Number, Street)<br />
New address? Personal Phone<br />
<strong>VEHICLE</strong>#<br />
SPECIAL DATA<br />
Local Case No. Page of<br />
Example 13 4 5<br />
(02, 04, N2, X4, etc)<br />
OWNER Last Name ("Same" if Driver) OWNER First Name Middle Name<br />
OWNER ADDRESS (Number, Street)<br />
New address? Personal Phone<br />
CITY ST ZIP Work Phone<br />
CITY ST ZIP Work Phone<br />
COLOR YEAR MAKE MODEL BODY STYLE ST<br />
BLU 1989 CHEV S10 PK TX<br />
LICENSE PLATE # County Exp YR Removed by: MC CCs<br />
YHB 1376 SN 2012 St Francis Tow<br />
<strong>VEHICLE</strong> IDENTIFICATION NUMBER Dir of Travel # Occupants<br />
1GCBS14E3K2206421<br />
E 1<br />
Insurance Company<br />
Policy Number<br />
Lone Star Ins. A-7873874<br />
SPECIAL CONDITIONS FOR 1 2 3 4 5 Odometer<br />
Fire?<br />
TRAFFIC UNITS 7<br />
112743<br />
1 Hit & Run 2 Non-Contact 3 Stolen 7 Towed away<br />
4 Legally Parked 5 Pursued by LE 6 Driverless due to damage<br />
05 <strong>VEHICLE</strong> BODY TYPE LARGE / HEAVY <strong>VEHICLE</strong> (GCVWR over 10,000lbs)<br />
01 Automobile<br />
10 Single heavy truck >10,000 lbs<br />
02 Motorcycle<br />
11 Truck & trailer(s)<br />
03 Motor scooter or Moped 12 Tractor-trailer(s)<br />
Calculated speed<br />
at impact<br />
04 Van<br />
13 Cross country bus<br />
05 Pickup truck 10,000 lbs<br />
02 Motorcycle<br />
11 Truck & trailer(s)<br />
03 Motor scooter or Moped 12 Tractor-trailer(s)<br />
Calculated speed<br />
at impact<br />
04 Van<br />
13 Cross country bus<br />
05 Pickup truck
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