The Florida Traffic Crash Report form is a crucial document for drivers involved in traffic crashes in Florida that result in property damage but do not necessitate a law enforcement report. According to Section 316.066(1)(e) of the Florida Statute, drivers must submit this report within 10 days post-accident, detailing the incident on a form approved by the department. It is important to keep a copy for personal records and insurance purposes, ensuring the report is signed and submitted either via email or mail as directed. For more information on filling out the form correctly, click the button below.
In the event of a traffic accident in Florida that results in damage to a vehicle or property but doesn't necessitate law enforcement involvement, drivers must take a proactive step by completing the Florida Traffic Crash Report form. This essential document plays a crucial role in ensuring that all involved parties are accounted for and that necessary information is thoroughly documented. This form, which must be submitted within 10 days following the accident, includes vital sections such as Driver Report of Traffic Crash (Self Report) and Driver Exchange of Information, among others. It captures an array of detailed information starting from basic data such as the crash date, time, and location, extending to more specific details including the driver's, vehicle owner's, and any passengers' personal information, vehicle details like year, make, and license number, and the insurance policy details. Such comprehensive documentation assists in the smooth processing of insurance claims and serves to protect the rights of all parties involved. Additionally, it adheres to the mandate outlined in Section 316.066(1)(e) of the Florida Statutes, emphasizing its legal importance. Completing and submitting this form, which can be done via email or mail, not only complies with Florida law but also aids drivers in preserving a record for future reference, underscoring its significant role in post-accident procedures.
Driver Report of Traffic Crash (Self Report) Driver Exchange of Information
HSMV Report Number
REPORTING AGENCY CASE NUMBER
DATE OF CRASH
TIME OF CRASH AM PM
COUNTY OF CRASH (County Code)
PLACE OR CITY OF CRASH (City Code)
Check if
CRASH OCCURRED ON STREET, ROAD, HIGHWAY
Within City
Limits
AT STREET ADDRESS #
OR
FEET MILES
N
S
E
W
AT/ FROM INTERSECTION WITH STREET, ROAD, HIGHWAY
OR FROM MILEPOST#
SECTION ONE
VEHICLE
NON-MOTORIST
(optional) EMAIL OWNER/DRIVER
YEAR
MAKE (Chevy, Ford, Etc.)
VEHICLE BODY TYPE (Car, Truck. Etc.)
VEHICLE LICENSE NUMBER
STATE
VIN
INSURANCE COMPANY
INSURANCE POLICY NUMBER
NAME OF VEHICLE OWNER
(Check if same as Driver)
CURRENT ADDRESS (Number and Street)
CITY AND STATE
ZIP CODE
NAME OF DRIVER (Take From Driver License)/NON-MOTORIST
DRIVER LICENSE NUMBER
DL TYPE
DRIVER/NON-MOTORIST HOME PHONE
DRIVER/NON-MOTORIST BUSINESS PHONE
SEX
DATE OF BIRTH
Area Code
NAME OF PASSENGER
SECTION TWO
SECTION THREE
WITNESSES
(1) NAME
CURRENT ADDRESS
(2) NAME
IGNATURE OF DRIVER MAKING REPORT
DATE
YOU MUST READ AND COMPLY WITH THE INSTRUCTIONS ON THE BACK OF THIS FORM
HSMV 90011S (rev 11/2019)
J
IF YOU WERE TOLD TO COMPLETE AND FORWARD THIS REPORT TO THE DEPARTMENT, PLEASE REFER TO THE FOLLOWING INSTRUCTIONS AND EXAMPLE:
Driver Report of Traffic Crash (Self Report)
Driver Exchange of Information
01-01-10
11:30
PINELLAS (04)
ST. PETERSBURG (64)
2ND STREET SOUTH
AT STREET ADDRESS # OR
FEET MILES N
E W
0
U.S. 19
NON-MOTORIST (optional) EMAIL OWNER/DRIVER
80
FORD
CAR
ABC-123
FL
INSURANCE COMPANY OF FL
I.C.F. 120000
JOHN DOE
1111 FIRST STREET NORTH
PETERSBURG, FL
33731
BILL DOE
SAME AS OWNER
D 561345706000
M
01-01-70
SALLEY DOE
Effective July 1, 2012, Section 316.066(1)(e),Florida Statute, requires that "The driver of a vehicle that was in any manner involved in a crash resulting in damage to a vehicle or other property which does not require a law enforcement report shall, within 10 days after the crash, submit a written report of the crash to the department. The report shall be submitted on a form approved by the department."
•Keep a copy of this report for your records and for insurance purposes.
•Sign the report at the bottom of the front page.
•Submit this via email to SelfReportCrashes@flhsmv.gov, OR;
•Mail this report to: Florida Highway Safety & Motor Vehicles Self Report Crash Team
2900 Apalachee Pkwy, MS 28 Tallahassee, Florida 32399
Please use this space for comments and for listing any witnesses and/or additional passengers, stating which vehicle the passenger was in. For additional vehicles or other involved parties, please add additional front pages for this Driver Report of Traffic Crash.
Filling out the Florida Traffic Crash Report form is an essential step for drivers involved in a traffic crash that results in damage to a vehicle or other property but does not require a law enforcement report. This process is not only a legal requirement but also aids in documenting the incident for insurance and personal records. By following the steps outlined below, drivers can ensure that their report is complete, accurate, and submitted within the 10-day period specified by Florida law.
After completing the form, it's advisable to keep a copy for personal and insurance records. Timely and accurate submission of the Florida Traffic Crash Report is crucial for compliance with state laws and can assist in the smooth handling of any resultant insurance claims or legal proceedings.
Under Florida law, specifically Section 316.066(1)(e), any driver involved in a crash that results in damage to a vehicle or other property, and does not necessitate a law enforcement report, must submit a Florida Traffic Crash Report form to the department within 10 days following the crash. This requirement applies regardless of whether you are deemed at fault for the incident.
The Florida Traffic Crash Report form requires various pieces of information to be filled out accurately. Key details include:
It is also advised to include any available information about witnesses or additional passengers, specifying which vehicle they were in at the time of the accident.
Upon completion, you have two primary methods for submitting the Florida Traffic Crash Report form:
Florida Highway Safety & Motor Vehicles Self Report Crash Team 2900 Apalachee Pkwy, MS 28 Tallahassee, Florida 32399
Remember to keep a copy of the report for your personal records and for insurance purposes.
Failing to report a crash within the mandated 10-day period might lead to certain legal consequences, including potential fines and penalties. If you find yourself outside this window, it’s advisable to still complete and submit the form as soon as possible. Prompt reporting, even if late, may help mitigate any negative outcomes. Additionally, you should contact your insurance provider to inform them of the incident and seek further guidance regarding your specific situation.
Filling out the Florida Traffic Crash Report form accurately is crucial for ensuring the proper handling of the incident by insurance companies and possibly the court system. However, several common mistakes can lead to incorrect or incomplete reporting. Highlighting these errors can help individuals avoid them and ensure their reports are accurately completed.
Not including complete information for all parties involved: Every section that requests details about the drivers, passengers, and any non-motorists involved should be filled out fully to provide a clear picture of the crash.
Omitting the exact date and time of the crash, which are essential for establishing the timeline of the event. This includes failing to indicate AM or PM correctly.
Leaving the location details vague: The county, city, and specific location on the street or intersection should be accurately noted to pinpoint where the accident occurred.
Failing to report the correct vehicle information, such as the year, make, and body type. This also includes not providing or inaccurately listing the vehicle license number and the state.
Inadequately documenting insurance information, including the insurance company name and policy number, which are crucial for processing claims.
Skipping details about the vehicle owner and the relationship to the driver, if they are not the same person.
Mistakes in recording driver and passenger names, addresses, sex, and dates of birth, diminishing the report's reliability and might lead to identification issues.
Incorrect or incomplete driver license information, including the license number, state, and type, could lead to difficulties in legal and insurance processes.
Forgetting to list witnesses or providing insufficient information about them, which could be vital in resolving disputes about the crash.
Not signing the report or failing to submit it within the stipulated timeframe, both of which could render the report invalid or result in penalties.
By avoiding these errors and ensuring that every piece of information is accurately reported, individuals can help streamline the post-accident processes, aiding in insurance claims and any necessary legal actions. Diligence in completing the Florida Traffic Crash Report form not only facilitates a smoother resolution but also contributes to a more accurate legal record of the incident.
When dealing with a traffic incident in Florida, various documents complement the Florida Traffic Crash Report form for a comprehensive overview of the event. These forms ensure proper documentation for legal, insurance, and personal record purposes. Here are some crucial ones often used in conjunction:
Together, these documents form a holistic view of the incident, aiding all parties involved in understanding the circumstances, determining fault, and facilitating the claims process. Accurate and thorough documentation can significantly impact the outcomes of insurance claims and legal proceedings following a traffic incident.
Police Incident Report: Similar to the Florida Traffic Crash Report, a Police Incident Report documents specific details about an event, including date, time, location, and involved parties. Both forms serve as official records for potentially legal or insurance-related purposes.
Insurance Claim Form: This form resembles the Florida Traffic Crash Report in gathering detailed information about an incident, particularly focusing on the parties involved, vehicle information, and circumstances of the event. Both forms are essential for processing claims and determining financial responsibility.
Vehicle Registration Form: While serving different purposes, both this form and the Florida Traffic Crash Report collect detailed vehicle information, including make, model, year, and license number, as well as owner information. These details are crucial for identification and legal processes following an incident.
Accident Witness Statement Form: This form complements the Florida Traffic Crash Report by providing firsthand accounts from witnesses. Both documents capture crucial details about the incident from different perspectives, contributing to a comprehensive understanding of the event.
DMV Accident Report Form: Similar to the Florida Traffic Crash Report, a DMV Accident Report is required in some states after a collision involving property damage or injury. Both forms document the specifics of the crash to inform legal and insurance inquiries.
Emergency Contact Information Form: While primarily for medical or emergency use, this form shares a common feature with the Florida Traffic Crash Report by collecting contact information, which is valuable during post-accident procedures and communication between involved parties.
When filling out the Florida Traffic Crash Report form, there are specific do's and don'ts that are crucial to ensuring the report is accurate, thorough, and submitted properly. Following these guidelines can help avoid common mistakes and ensure that all necessary information is clearly communicated.
Do's:
Don'ts:
One common misconception is that the Florida Traffic Crash Report form is only necessary for serious accidents. In reality, any crash resulting in damage to a vehicle or other property which does not require law enforcement at the scene must be reported within 10 days post-accident. This ensures all incidents are documented, regardless of their perceived severity.
Many believe that if they exchange information with the other driver at the scene, they don't need to complete the form. However, this isn't the case. Even after exchanging details, drivers are required to submit a comprehensive report to the Department. This formal documentation is crucial for legal and insurance purposes.
There's a misconception that the report must be filed in person. While personal submission is an option, the state provides flexibility by allowing drivers to submit their reports via email or mail. This adaptation aims to make the process more convenient for everyone involved.
It's wrongly assumed that if the crash occurred within city limits, the local city police must handle it, and no self-report is necessary. Regardless of the crash location, if law enforcement does not file a report, it is the driver's responsibility to complete and submit the self-report form.
Some drivers believe that including non-motorist information is optional and unnecessary. While labeling the section as "optional," providing comprehensive details, including non-motorists, when applicable, can offer a fuller picture of the incident, which is beneficial for accurate record-keeping and any ensuing investigations or insurance claims.
There's a false belief that the form is too complex for the average person to complete without legal help. Though detailed, the form comes with instructions to guide individuals through the process. Accurate and complete answers help ensure a thorough documentation of the crash.
Another misconception is that you only need to report the accident if you are at fault. The statute requires any driver involved in a crash that results in property damage to submit a report, regardless of who is to blame. This helps in the fair assessment and resolution of the incident.
Lastly, many think witness information is irrelevant if no one was injured. Witness accounts can provide essential perspectives on the crash, offering clarity and supporting details that may influence the resolution of claims or disputes. Including witness information, when available, can significantly impact the understanding and outcome of the incident.
Filling out the Florida Traffic Crash Report form is a critical step for drivers involved in a crash that results in property damage but does not require a law enforcement report. Understanding the key components and instructions can ensure that the process is completed accurately and efficiently. Here are four key takeaways for dealing with this form:
Understanding and correctly adhering to these key points when filling out the Florida Traffic Crash Report form not only complies with the state’s legal requirements but also streamlines the handling of the aftermath of a traffic crash.
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