12 209 Alaska Form PDF Details

Are you looking for a new job in Alaska? If so, you'll need to familiarize yourself with the 12 209 Alaska form. This form is used to apply for jobs in the state of Alaska, and it's important that you understand how to complete it correctly. In this blog post, we'll provide an overview of the 12 209 Alaska form and explain how to submit it online. We'll also highlight some of the benefits of working in Alaska.

If you wish to first learn how much time you need to fill in the 12 209 alaska form and the number of pages it's got, here is some general data that will be helpful.

QuestionAnswer
Form Name12 209 Alaska Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesalaska accident report, alaska vehicle motor, vehicle alaska motor, alaska motor vehicle

Form Preview Example

ALASKA MOTOR VEHICLE CRASH FORM 12-209

SR #

C R A S H I N F O R M A T I O N

(One choice per field unless otherwise noted. Other* should be explained in narrative)

 

 

 

Total # Vehicles

Crash Date

Time of Crash

am Crash Day

01 MON

03 WED

05 FRI

07 SUN

Crash occurred in (City / Borough)

 

 

 

 

 

pm

 

 

02 TUE

04 THU

06 SAT

 

 

 

 

Name of Street or Highway

 

 

Miles

North of:

South of:

Name of Cross Street, Highway, Bridge, etc.

OFFICIAL USE ONLY

 

 

 

 

 

East of:

West of:

 

 

 

Location Control

Reference Point

 

 

 

 

Feet

 

 

 

 

 

 

 

 

 

At intersection with:

 

 

 

 

 

 

Weather

 

 

 

Lighting

 

 

 

 

Roadway / Junction

 

 

 

 

01 Blowing dirt, snow

07 Sleet, hail (freezing rain)

01 Dark - lighted roadway

07 Not reported

 

01 Crossover

07 Roundabout

13 Other*

02 Clear

 

08 Severe crosswinds

 

02 Dark - not lighted

 

08 Unknown

 

02 Driveway

08 T - intersection

 

 

03 Cloudy

 

09 Snow

 

03 Dark - unknown lighting

 

 

03 Not a junction

09 Y - intersection

 

 

04 Fog/ smoke

 

10 Other*

 

04 Daylight

 

 

 

 

04 On ramp

10 Four way intersection

 

05 Ice fog

 

11 Not reported

 

05 Twilight

 

 

 

 

05 Off ramp

11 Five point or more

 

 

06 Rain

 

12 Unknown

 

06 Other*

 

 

 

 

06 Railway crossing

12 Unknown

 

 

First Sequence of Events (what was the first thing you crashed into, or what was the first event that resulted in the crash. (CHECKONLY ONE FOR EITHER COLLISION OR NON-COLLISION

 

 

 

 

COLLISION

 

 

 

 

 

NON-COLLISION

 

 

 

01 Aircraft

 

09 Ditch

17 Median barrier

 

25 Train

 

 

33 Cargo loss / shift

 

40 Overturn

 

02 Animal

 

10 Embankment

18 Moose

 

26 Tree / shrub

 

34 Crossed median / centerline

41 Ran off road

 

03 Bicyclist

 

11 Fence

19 Parked vehicle

 

27 Utility pole

 

35 Downhill runaway

 

42 Separation of units

04 Bridge / overpass

12 Guard rail face

20 Pedestrian

 

28 Vehicle in transit

 

36 Equipment failure

 

43 Other*

 

 

05 Bridge rail

 

13 Guard rail end

21 Sideswipe

 

29 Vehicle - rear end

 

37 Explosion / fire

 

44 Unknown

 

06 Crash cushion

14 Light support

22 Sign

 

30 Vehicle - head on

 

38 Immersion

 

 

 

 

07 Culvert

 

15 Machinery

23 Snowberm

 

31 Vehicle - angle

 

39 Jackknife

 

 

 

 

08 Curb / wall

 

16 Mail box

24 Traffic signal pole

 

32 Other fixed object

 

 

 

 

 

 

 

Location of First Sequence of Events (where did the crash happen first?)

 

 

 

Road Surface

 

 

 

Did police

 

01 Bike lane

 

04 Outside of trafficway

 

07 Roadway

 

10 Unknown

01 Dry

04 Sand, mud, oil

07 Wet

Yes

 

 

 

investigate

02 Gore

 

05 Parking lot

 

08 Shared use paths

 

 

02 Ice

05 Slush

08 Other*

No

 

 

 

 

this crash?

03 Median

 

06 Roadside

 

09 Shoulder

 

 

 

03 Water

06 Snow

 

 

 

 

 

 

 

 

 

 

 

Y O U R D R I V E R I N F O R M A T I O N

Your Name (Vehicle Driver's Last Name, First Name, Middle Name)

Your Date of Birth

Your Contact Telephone

Your Mailing Address

Your Driver License Number

Your Driver License State

Your Driver License Country

Your City

Your State

Your Zip Code

Your Residence Country

Y O U R V E H I C L E I N F O R M A T I O N

 

Your Vehicle Damage

No. of Occupants

 

 

 

Your Vehicle Owner's Name (Last, First, Middle Initial)

 

 

 

 

Vehicle Owner's Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 None / minor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 Disabling

05 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle Owner's Mailing Address

 

 

 

 

 

 

 

 

02 Functional

04 Totaled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02

03

 

04

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle Owner's City

 

 

 

Your Vehicle Owner's State

 

Vehicle Owner's Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

Vehicle Make

 

Vehicle Model

 

 

 

License Plate #

 

Vehicle License State

 

01

 

 

05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Vehicle's Direction of Travel

 

 

 

 

 

 

Damage Estimate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 North

02 South

03 East

04 West

 

05 Unknown

 

Over $501

 

 

 

 

 

 

 

 

Your Vehicle Driver's Injury Status (vehicle passengers are listed on page 2)

 

 

 

08

07

 

06

 

 

 

01 Fatal

 

 

03 Non-incapacitating

 

05 None

07 Unknown

 

CHECK ONLY ONE TO SHOW FIRST AREA OF IMPACT

 

 

02 Incapacitating

04 Possible

 

06 Not reported

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Roadway Circumstances (that may have contributed to the crash)

 

 

 

 

Your Vehicle Action

 

 

 

 

 

 

 

 

01 Debris

 

07 Road surface condition

 

 

13 Other*

 

01 Avoiding objects in road

 

08 Out of control

 

15 Straight ahead

 

02 Inoperative traffic device

08 Ruts, holes, bumps

 

 

14 Unknown

 

02 Backing

 

 

09 Passing

 

16 Turning right

 

03 Missing traffic device

 

09 School zone

 

 

 

 

 

03 Changing lanes

 

 

10 Parked

 

17 Turning left

 

04 Obscured traffic device

 

10 Work zone

 

 

 

 

 

04 Entering traffic lane

 

 

11 Skidding

 

18 Other*

 

05 Obstruction in roadway

 

11 Worn, polished road surface

 

 

05 Leaving traffic lane

 

 

12 Slowing

 

19 Unknown

 

06 Shoulder

 

12 None

 

 

 

 

 

 

 

06 Making U-turn

 

 

13 Starting in traffic

 

 

 

 

 

 

 

 

 

 

 

07 Merging

 

 

14 Stopped

 

 

 

Traffic Control

 

 

 

 

 

 

 

 

Vehicle Configuration

 

 

 

 

 

 

 

 

01 Flashing signal

05 School zone signs

09 Officer / Flagman / Guard

 

01 Dog sled

 

 

05 Off highway vehicle

 

09 Other*

 

02 No traffic controls

06 Stop sign

 

 

10 Yield sign

 

 

02 Light truck (4 tires)

 

 

06 Passenger car

 

10 Unknown

 

03 Road construction signs

07 Traffic control signal

11 Other*

 

 

03 Motorhome

 

 

07 Pedalcycle

 

 

 

04 RR crossing device

08 Warning signs

 

 

12 Unknown

 

 

04 Motorcycle

 

 

08 Pedestrian

 

 

 

C R A S H D E S C R I P T I O N

(Write a brief narrative describing the crash)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fairbanks Police Department Rev. 07/05

Crash Form 12-209 - Page 1

ALASKA MOTOR VEHICLE CRASH FORM 12-209

O T H E R D R I V E R ' S I N F O R M A T I O N

Other Driver's Name (Last Name, First Name, Middle Name)

Other Driver's Date of Birth

Other Driver's Contact Telephone

Other Driver's Mailing Address

Other Driver's License #

Other Driver's License State

Other Driver's License Country

Other Driver's Mailing Address City

Other Driver's State

Other Driver's Zip Code

Other Driver's Residence Country

O T H E R D R I V E R V E H I C L E I N F O R M A T I O N

 

Other Vehicle Damage

Other Vehicle No. of Occupants

 

 

 

Other Vehicle Owner's Name (Last, First, Middle Initial)

 

 

 

Other Vehicle Owner's Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 None / minor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

03 Disabling

05 Unknown

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle Owner's Mailing Address

 

 

 

 

 

 

 

 

02 Functional

 

04 Totaled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

02

 

03

 

04

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle Owner's City

 

 

 

Other Vehicle Owner's State

 

Other Vehicle Owner's Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Year

Vehicle Make

 

Vehicle Model

 

 

License Plate #

 

Vehicle License State

 

01

 

 

 

05

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Vehicle's Direction of Travel

 

 

 

 

 

 

Damage Estimate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

01 North

02 South

03 East

04 West

 

05 Unknown

 

Over $501

 

 

 

 

 

 

 

 

 

Other Vehicle Driver's Injury Status (vehicle passengers are listed below)

 

 

 

08

 

07

 

06

 

 

 

01 Fatal

 

 

03 Non-incapacitating

05 None

07 Unknown

 

CHECK ONLY ONE TO SHOW FIRST AREA OF IMPACT

 

 

02 Incapacitating

04 Possible

06 Not reported

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Driver's Roadway Circumstances (that may have contributed to the crash)

 

Other Driver's Vehicle Action

 

 

 

 

 

 

 

 

01 Debris

 

 

07 Road surface condition

 

 

13 Other*

 

01 Avoiding objects in road

08 Out of control

 

15 Straight ahead

 

02 Inoperative traffic device

08 Ruts, holes, bumps

 

 

14 Unknown

 

02 Backing

 

09 Passing

 

16 Turning right

 

03 Missing traffic device

 

 

09 School zone

 

 

 

 

 

03 Changing lanes

 

10 Parked

 

17 Turning left

 

04 Obscured traffic device

 

10 Work zone

 

 

 

 

 

04 Entering traffic lane

 

11 Skidding

 

18 Other*

 

05 Obstruction in roadway

 

11 Worn, polished road surface

 

 

05 Leaving traffic lane

 

12 Slowing

 

19 Unknown

 

06 Shoulder

 

 

12 None

 

 

 

 

 

 

 

06 Making U-turn

 

13 Starting in traffic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

07 Merging

 

14 Stopped

 

 

 

Other Driver's Traffic Control (traffic control for the other driver may have been different from yours)

Other Driver's Vehicle Configuration

 

 

 

 

 

 

 

01 Flashing signal

 

05 School zone signs

09 Officer / Flagman / Guard

 

01 Dog sled

 

05 Off highway vehicle

 

09 Other*

 

02 No traffic controls

 

06 Stop sign

 

 

10 Yield sign

 

 

02 Light truck (4 tires)

 

06 Passenger car

 

10 Unknown

 

03 Road construction signs

07 Traffic control signal

11 Other*

 

 

03 Motorhome

 

07 Pedalcycle

 

 

 

04 RR crossing device

 

08 Warning signs

 

 

12 Unknown

 

 

04 Motorcycle

 

08 Pedestrian

 

 

 

 

 

 

 

I N J U R Y S E C T I O N

(Fill in the name of injured person, injury status, telephone number, and which vehicle they occupied when the crash occurred)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

Injury Status

 

 

 

Telephone

Vehicle License

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

02 Incapacitating

03 Non-incapacitating

04 Possible

05 None

07 Unknown

 

YOUR INSURANCE INFORMATION

C E R T I F I C A T E O F

I N S U R A N C E

 

Failure to complete the Certificate of Insurance could

 

 

 

result in the suspension of your driver's license)

CRASH

 

Crash Date

 

Crash Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your Name (Driver's Last Name, First Name, Middle Initial)

 

 

Your Date of Birth

 

 

 

Your Driver's License Number

Your Driver's License State

DRIVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

Your Mailing Address

 

 

 

Your City

 

 

 

 

Your State

 

 

 

 

Your Zip Code

Your Contact Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

Vehicle Owner's Name (Last Name, First Name, Middle Initial)

 

 

 

Owner's Date of Birth

 

 

Owner's License Number

Owner' License State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Owner's Mailing Address

 

 

Owner's City

 

 

 

 

 

Owner's State

 

 

 

 

Owner's Zip Code

Owner's Contact Telephone

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

Vehicle year

Vehicle make

 

Vehicle model

 

License plate #

 

Vehicle License State

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you have a current automobile liability policy in effect covering this accident?

YES

NO

 

 

 

 

 

 

Insurance Company or Insurance Carrier Name

 

 

 

 

 

 

 

 

 

 

Insurance Policy Number

 

 

INSURANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address and Telephone Number of Insurance Agent

 

 

 

 

 

 

 

 

Insurance Policy

FROM

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Period:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE

 

YOUR SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE VERIFICATION: If the motor vehicle liability insurance policy listed above was not in effect for the motor vehicle listed at the time of the crash indicated above, the insurance company is to complete the following and return this form to the Division of Motor Vehicles at the address listed on the bottom right corner on page 2 of this form. If indicated coverage was in effect at the time of the crash, no action is required.

REASON FOR DENIAL:

Policy expired before crash

Driver is not covered on policy

 

Policy effective after crash

Lapse in policy

 

Policy number given is incorrect

Other:

 

 

Authorized Representative Signature / Date

 

MAIL THIS FORM TO:

DMV MAIN OFFICE

P.O. BOX 110221

JUNEAU, AK 99811-0221

(907) 465-4361

Crash Form 12-209 - Page 2

How to Edit 12 209 Alaska Form Online for Free

You can complete the vehicle motor alaska document using our PDF editor. The next steps will enable you to easily prepare your document.

Step 1: On the following website page, select the orange "Get form now" button.

Step 2: Now you can manage the vehicle motor alaska. You should use the multifunctional toolbar to include, delete, and modify the text of the file.

These particular segments will help make up your PDF form:

portion of blanks in alaska crash report

Type in the details in the Your City, Your State, Your Zip Code, Your Residence Country, Y O U R V E H I C L E I N F O R M, Your Vehicle Damage, No of Occupants, Your Vehicle Owners Name Last, Vehicle Owners Telephone, None minor Functional, Disabling Totaled, Unknown, Your Vehicle Owners Mailing Address, Your Vehicle Owners City, and Your Vehicle Owners State field.

alaska crash report Your City, Your State, Your Zip Code, Your Residence Country, Y O U R V E H I C L E I N F O R M, Your Vehicle Damage, No of Occupants, Your Vehicle Owners Name Last, Vehicle Owners Telephone, None  minor  Functional, Disabling  Totaled, Unknown, Your Vehicle Owners Mailing Address, Your Vehicle Owners City, and Your Vehicle Owners State fields to fill

You will be demanded specific essential information so you can fill in the ALASKA MOTOR VEHICLE CRASH FORM O, Other Drivers Name Last Name First, Other Drivers Date of Birth, Other Drivers Contact Telephone, Other Drivers Mailing Address, Other Drivers License, Other Drivers License State, Other Drivers License Country, Other Drivers Mailing Address City, Other Drivers State, Other Drivers Zip Code, Other Drivers Residence Country, O T H E R D R I V E R V E H I C L, Other Vehicle Damage, and Other Vehicle No of Occupants field.

Completing alaska crash report part 3

The space Debris Inoperative traffic, Road surface condition Ruts, Avoiding objects in road Backing, Out of control Passing Parked, Other Drivers Traffic Control, Other Drivers Vehicle Configuration, Flashing signal No traffic, School zone signs Stop sign, Officer Flagman Guard Yield, Dog sled Light truck tires, Off highway vehicle Passenger, Straight ahead Turning right, Other Unknown, I N J U R Y S E C T I O N Fill in, and Injury Status is where you can put all parties' rights and responsibilities.

alaska crash report Debris  Inoperative traffic, Road surface condition  Ruts, Avoiding objects in road  Backing, Out of control  Passing  Parked, Other Drivers Traffic Control, Other Drivers Vehicle Configuration, Flashing signal  No traffic, School zone signs  Stop sign, Officer  Flagman  Guard  Yield, Dog sled  Light truck  tires, Off highway vehicle  Passenger, Straight ahead  Turning right, Other  Unknown, I N J U R Y S E C T I O N Fill in, and Injury Status fields to complete

Review the fields VEHICLE INFORMATION, INSURANCE INFORMATION, Vehicle year, Vehicle make, Vehicle model, License plate, Vehicle License State, Vehicle Identification Number VIN, Did you have a current automobile, YES, Insurance Policy Number, Address and Telephone Number of, Insurance Policy Period, FROM, and SIGNATURE and next complete them.

Filling in alaska crash report step 5

Step 3: Choose the Done button to make certain that your finished document may be exported to any electronic device you pick out or sent to an email you indicate.

Step 4: Generate copies of the document - it can help you refrain from upcoming concerns. And don't be concerned - we do not share or check the information you have.

Watch 12 209 Alaska Form Video Instruction

Please rate 12 209 Alaska Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .