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Non-Injury-Accident Form
Please submit this form to complete an accident report; include a Case Number in the comments if you have one.  If not, one will be generated by the department.  A copy of the complete report will be available for a fee of $5.00 within 14 days.

Driver's First & Last Name, Address, DL Number and Tag Number are required*
Injuries?

Thanks for submitting!

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