Get Doa-6496 Vehicle Accident/incident Report - Department Of ...

The DOA-6496 Vehicle Accident/Incident Report is a crucial document for reporting incidents involving state-owned vehicles. Filling it out accurately and submitting it on time is essential for compliance with reporting requirements.

Follow the steps to effectively complete the form online.

1. Click ‘Get Form’ button to access the report and open it in the editing interface.
2. Begin by entering the agency or department name in the designated field at the top of the form. This should reflect the actual department responsible for the vehicle involved.
3. Provide accurate details about the location of the accident, including the street or highway name, city, county, and state. Make sure to include the specific address where the incident took place.
4. In the section labeled 'State Vehicle Owner Agency/Dept. Name', include the name of the agency that owns the vehicle involved in the incident.
5. Describe the reason for vehicle use and fill in the vehicle details, including year, make/model, fleet number, body type, mileage, color, vehicle identification number, and license plate number.
6. Circle any numbered areas on the vehicle diagram that show damage and provide a description of the damaged parts in the specified section.
7. Complete the driver information section with personal and contact details, including name, date of birth, email address, home phone, work phone, and address.
8. Respond to the questions regarding passengers in the vehicle and any injuries sustained, providing detailed information as required.
9. For each party involved in the incident, fill in the relevant details in the provided sections, including vehicle information, driver information, and insurance details.
10. Indicate whether the accident was investigated by law enforcement and provide information on the officer and agency if applicable.
11. Complete the section that outlines traffic conditions, speeds, and signals during the incident. Describe the actions taken to avoid the accident and provide witness information if available.
12. Fill in the provided diagram to illustrate the accident scene, making sure to accurately depict vehicle positions and points of contact.
13. Finally, sign and date the report as the driver and have your supervisor sign, affirming the information's accuracy and adherence to employment scope.
14. After completing the form, save your changes and take the opportunity to download or print the document for your records. You can also share it as necessary.

Complete your forms online today to maintain compliance and ensure efficient reporting.