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KANSAS MOTOR VEHICLE ACCIDENT REPOR
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ADDITIONAL PASSENGERS & PEDESTRIANS
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Organization of the Accident Forms:
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ACCIDENT REPORTING QUALIFICATION, S
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BASIC TERMS AND QUALIFICATIONS Many
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GENERAL INFORMATION AND INSTRUCTION
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Special Notes on Working Vehicles A
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ACCIDENT LEVEL CODING 850A INVESTIG
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850A MILEPOST Enter the state milep
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Service or Rest Areas: Milepost: R
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TIME OCCURRED, TIME NOTIFIED, TIME
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property damage on the 850A in thes
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850A ACCIDENT LOCATION The Accident
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The Interchange diagram below indic
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Measuring Interchanges: For ramps,
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850A CODE '21' (1st harm occurs bey
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ACCIDENT CLASSES - CONTINUED 850A N
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850A Basic Sample Diagrams for CWOV
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LIGHT CONDITIONS Mark the option th
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850A BACK SIDE OF THE 850A COLLISIO
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TRAFFIC UNIT INFORMATION 850B SPECI
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DO NOT code legally parked vehicles
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850B DRIVER INFORMATION VIOLATIONS
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850B DRIVER ADDRESS Transcribe the
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850B EXTRICATION: Mark the extricat
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850B NON-COMMERCIAL DL A - For oper
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850B COMMERCIAL ENDORSEMENTS Enter
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850B PASSENGER INFORMATION PASSENGE
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850B CODING EXAMPLES FOR PASSENGERS
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850B REMOVED BY Record who removed
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10,000 lbs, record code ‘11.’ 8
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Present (‘P’) or Damaged (‘D
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852 COMMERCIAL MOTOR VEHICLES Vehic
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852 Important data fields for ident
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852 If this vehicle is leased or re
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Canadian carriers will not have any
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852 HAZMAT/ROADWAY INFORMATION Indi
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854 ADDITIONAL PASSENGERS & PEDESTR
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UNUSUAL ACCIDENT CODING SITUATIONS
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Towing Vehicles Vehicles in the lin
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DEFINITIONS / CLARIFICATIONS ACCIDE
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DEFINITIONS / CLARIFICATIONS HARMFU
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DEFINITIONS / CLARIFICATIONS Exampl
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DEFINITIONS / CLARIFICATIONS TRUCK
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ACCIDENT PHOTOGRAPHS An important p
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disappear and must be photographed
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90 COUNTY ABBREVIATIONS The followi
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NCIC CODES FOR COMMON AUTOMOBILE MA
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A. DRIVER INFORMATION: INSURANCE VE
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ACCIDENT CODING EXAMPLES Example No
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Accident Diagram 850A continued SPE
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Occupants & Vehicles VEHICLE# 01 SP
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Accident Diagram 850A continued SPE
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Occupants & Vehicles VEHICLE# 01 SP
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Occupants & Vehicles VEHICLE# 03 SP
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02 Kansas Motor Vehicle Accident Re
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Occupants & Vehicles KDOT Form 850B
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Accident Narrative KDOT Form 851 Re
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100 F N AT I470 SN TOPEKA 3200 Gage
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Occupants & Vehicles KDOT Form 850B
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Accident Narrative KDOT Form 851 Re
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Accident Diagram 850A continued SPE
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Occupants & Vehicles VEHICLE# 01 SP
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0.5 M W AT K023 Public Works Lane C
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Occupants & Vehicles KDOT Form 850B
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Passengers & Pedestrians KDOT Form
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EXAMPLE 7A Driver has Intent to Ent
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120.0 I070 FWY 70 11/09/2012 13:20
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Occupants & Vehicles KDOT Form 850B
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Accident Narrative KDOT Form 851 Re
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Accident Diagram 850A continued SPE
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Occupants & Vehicles VEHICLE# 01 SP
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Investigating Department Reviewed b
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Occupants & Vehicles KDOT Form 850B
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Accident Narrative KDOT Form 851 Re
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- Page 199 and 200: Example 20
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