PAR Identification Number
Vehicle Number
Police Jurisdiction
Primary Sampling Unit
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
Make Model Combined
Vehicle Identification Number
Areas of Impact- Initial Contact Point
Extent of Damage
Vehicle Removal
Most Harmful Event
Maximum Injury Severity
Number of Injured in Vehicle
Driver Presence
Last Movement
Attempted Avoidance Maneuver
Pre- Impact Stability