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Get WI DNR 4100-174 2018-2024

Te ZIP Code Witnesses First, MI, Last Name Address Birthdate Phone Number Sex 1. M F 2. M F 3. M F Type and Cause of Accident Type of Incident: (select all that apply) Fell/ejected from OHV Collision with fixed object Collision with another OHV Collision with moving motor vehicle Collision with parked motor vehicle Broke through ice Driven into open water OHV rolled over/Tip over Struck fence or cable Injured by contact with part of OHV Activity at Time of Incident: Recreational.

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