Get Arizona Occupant Supplement 01-2712, Rev. 6/2010 - Traffic Records - Nhtsa-tsis

Filling out the Arizona Occupant Supplement 01-2712 form is essential for capturing detailed traffic incident information. This guide provides a straightforward overview of each section in the form, ensuring that all users can complete it accurately and efficiently.

Follow the steps to complete the Arizona Occupant Supplement 01-2712 form online.

1. Click ‘Get Form’ button to access the Arizona Occupant Supplement 01-2712 and open it for editing.
2. Begin by filling out the agency report number, report ID, and date details including the year, month, day, and hour of the incident at the top of the form.
3. In the qualifying information section, ensure this form is utilized only for incidents involving 10 or more occupants, as dictated.
4. For each occupant, specify the unit number, seat position, and safety device used. Choose the appropriate safety device code such as lap belt, child restraint system, or none used.
5. Record the injury severity for each occupant by selecting from options like no injury, possible injury, or fatal injury.
6. Indicate if an occupant was ejected, partially ejected, or not ejected during the incident. Use the respective codes provided.
7. Fill in personal details for each occupant including name, address, city, state, zip code, and telephone number.
8. Finally, have the supervisor sign and date the report, and ensure the officer's name and badge number are included before submission.
9. Once all fields are completed, users can save changes, download, print, or share the form as necessary.

Complete the necessary documents online to ensure thorough incident reporting.