PAR Identification Number
Vehicle Number
Police Jurisdiction
Number of vehicle forms submitted for MV in transport
Number of Occupants
Crash Date (Month)
Crash Time (Hour)
Crash Time (Minute)
First Harmful Event
Manner of Collision
Unit Type
Hit and Run
Vehicle Make
Vehicle Model
Body Type
Vehicle Model Year
Vehicle Identification Number
Area of Impact- Initial Damaged
Area of Impact- Most Damaged
Extent of Damage
Vehicle Removal
Most Harmful Event