Dl 739 Form PDF Details

The DL-739 form, titled "School Bus Accident Report", is an essential document for reporting any accidents involving school buses within a specified timeframe. Required to be completed in blue or black ink, this form necessitates detailed information concerning the incident, including the school district, the owner of the bus—whether it's the district itself, a contractor, or another entity—and specifics about the crash, such as the date, time, and location. Critical details such as the type of crash, the purpose of the trip, any injuries or fatalities, and conditions at the time of the accident, like weather and road conditions, must be meticulously filled out. Additionally, information about the bus driver, including their name, age, driving experience, and condition at the time of the crash, is required. This form serves as a comprehensive report that aids in the analysis and prevention of future bus accidents by gathering exhaustive data on various aspects of the incident. It must be returned to the Bureau of Driver Licensing in Harrisburg, PA, within five days, making it a time-sensitive document. Thus, it stands as a critical tool in ensuring the safety of school transportation and facilitating necessary investigations and responses following accidents.

QuestionAnswer
Form NameDl 739 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names739 form, pa school bus accident report form, penn dot form dl 739, school bus accident report form dl 739

Form Preview Example

DL-739(1-08)

SCHOOLBUSACCIDENTREPORT

PLEASETYPEORPRINTINBLUEORBLACKINKALLINFORMATIUON

Return Within 5 Days To:

SpecialDriverPrograms,BureauofDriverLicensing

P.O. Box68684,Harrisburg,PA 17106-8684

IMPORTANT! Pleaserefertotheinstructionalpacket(DL-739A)ifclarificationisneededwhencompletingthisform. Answereachsectionapplicabletotheaccident. Ifadditionalinformationisnecessary,attachasheet tooriginal.

1.School District

___________________________

IntermediateUnit

___________________________

2.Bus Owner

A.SchoolDistrict

B.Contractor

C.IntermediateUnit

D.Other(specify)

______________________

Z. Unknown

3.Date of Crash

______ / _______ / _______

4.Day of Crash

A.Monday

B.Tuesday

C.Wednesday

D.Thursday

E.Friday

F.Saturday/Sunday

5.Time of Crash

A.Midnight - 6a.m.

B.6a.m. - 9a.m.

C.9a.m. - 11a.m.

D.11a.m. - 1p.m.

E.1p.m. - 3p.m.

F.3p.m. - 6p.m.

G.6p.m. - 8p.m.

H.8p.m. - Midnight

6.Location by State

___________________________

7.Location by County

___________________________

8.Location of Crash

A.Rural

B.Urban

C.Residential

D.BusinessDistrict

E.SchoolProperty

F.BusOwnerProperty

G.Other(specify)

______________________

Z. Unknown

9.Type of Crash

A.HeadOn

B.SideSwipe

C.OurRightTurn

D.OurLeftTurn

E.RearEnd(our)

F.RearEnd(other)

G.Backing

H.OurU-Turn

I.Accelerating

J.HitFixedObject

K.Slowing

L.Passing

M.Intersection

N.LaneChange

O.LostControl

P.RailroadCrossing

Q.Rollaway

R.Stopped

S.Non-Collision

T.Pedestrian

U.Fire - Engine

V.Fire - Brakes

W.Fire - Other

X.Other(specify)

______________________

Z. Unknown

10.PurposeforTransporting

A.RegularRoute

B.ActivityTrip

C.Other(specify)

______________________

Z. Unknown

11.Injuries/Fatalities

A.No

B.Yes (Ifyes,complete supplement - Item35)

12.BusOccupiedBy

A.Unoccupied

B.DriverOnly

C.Driver/Students

D.StudentsOnly - (Givetotal numberofstudents) ______

Z. Unknown

13.VehicleMake

_________________________

14.VehicleCapacity

A.TypeI

B.TypeII

C.SchoolVehicle

Z. Unknown

15.VehicleAge

A.2yearsorless

B.2-5years

C.5-8years

D.Over8years

Z.Unknown

16.DriverʼsName

___________________________

17.DriverʼsOperatorNumber

___________________________

18.DriverʼsAge

A.16 -17

B.18 -19

C.20 - 24

D.25 - 34

E.35 - 44

F.45 - 59

G.60 - 74

H.75 or over

19.Years Driving a Bus

A.1 or less

B.1 - 2

C.3 - 4

D.5 - 10

E.Over 10

20.Driverʼs Condition

A.Normal

B.Sick

C.Impaired

D.Fatigue

E.Other (specify)

______________________

21.Driverʼs Status

A.Instructor

B.Instructor Coordinator

C.Neither

22.Highway Type

A.Divided

B.Not Divided

C.Non-Highway

Z. Unknown

23.Highway Lanes

A.1

B.2

C.3

D.4 or More

E.NotApplicable

24.PostedSpeedLimit

A.NotApplicable

B.Under 20 MPH

C.20 - 35 MPH

D.40 - 45 MPH

E.50 - 55 MPH

F.Over 55 MPH

25.Weather

A.NoAdverse Condition

B.Raining

C.Snowing

D.Sleet/Hail

E.Fog/Smoke

F.Other (specify)

______________________

Z. Unknown

26.Visibility

A.Unrestricted

B.Hill

C.Curve

D.Other (specify)

______________________

Z. Unknown

27.RoadCondition

A.Dry

B.Wet

C.Muddy

D.Snow/Ice

E.Other (specify)

______________________

Z. Unknown

28.Light

A.Daylight

B.Dark

C.Artificial

D.Other (specify)

______________________

29.CollisionWith

A.Non-Collision

B.Fixed Object

C.Train

D.Animal

E.Pedestrian

F.Motor Vehicle (M/V) - Car, Bus,Truck,Motorcycle,etc. (If M/V, complete supplement - Item 36.)

G.Other (specify)

______________________

30.Damage(bus)

A.$100 or less

B.$100 - $500

C.$500 - $2,000

D.$2,000 and Up

E.None

Z. Unknown

31.Damage(allother)

A.$100 or less

B.$100 - $500

C.$500 - $2,000

D.$2,000 and Up

E.None

Z. Unknown

32.Causes,CheckallthatApply

A.Follow Too Close

B.Too Fast for Conditions

C.Improper Pass

D.Improper Backing

E.Improper Right Turn

F.ImproperLeftTurn

G.ImproperStop

H.ImproperLoading

I.Inattention

J.RightofWay

K.MechanicalDefect

L.Other(specify)

______________________

33.PoliceReport

A.No

B.Yes - GiveReportNumber

______________________

Z. Unknown

34.AnyTrafficCitationIssued?

A.No

B.Yes

Z. Unknown

35.SupplementtoItem11

A.Injuries

a.None

b.BusDriver

c.Student(s)-Number_______

d.OtherVehicle - _________

Occupant(s)-Number _____

e.Pedestrian(s)-Number ____

f.Other(specify)

_________________________

B.Fatalities

a.None

b.BusDriver

c.Student(s)-Number_______

d.OtherVehicle - _________

Occupant(s)-Number _____

e.Pedestrian(s)-Number ____

f.Other(specify)

_________________________

C.AtSceneFirstAidAdministered

a.No

b.None

z. Unknown

D.MedicalAssistanceSummoned

a.No

b.None

z. Unknown

36.Supplement to Item 29 (collision with another M/V)

1-A. Other Driverʼs Name

__________________________

B.Other Driverʼs Operator Number

__________________________

C.Other Vehicle, Type, Make, Model

__________________________

(If Required):

2-A. Other Driverʼs Name

__________________________

B.Other Driverʼs Operator Number

__________________________

C.Other Vehicle, Type, Make, Model

__________________________

If more than 2 other motor vehicles are involved, attach separate sheet giving information as shown in (A), (B), (C).

Report Submitted By:__________________________________________ Date: ______________

(signature)

Name: __________________________________________________________________________

(please print)

Position: ________________________________________________________________________

Phone Number: (

)__________________________________________________________

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1. It's very important to complete the dl739 form properly, thus be mindful when filling out the segments that contain these fields:

The best ways to fill out dl739 stage 1

2. After performing the last part, head on to the subsequent stage and enter all required particulars in these fields - DayofCrash A Monday B Tuesday C, TimeofCrash, A Midnight am B am am C, LocationbyState, TypeofCrash A Head On B Side, A years or less B years C, DriversName, DriversOperatorNumber, Z Unknown, LocationbyCounty, PurposeforTransporting, and A Regular Route B Activity Trip.

dl739 writing process explained (step 2)

3. Completing Z Unknown is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Step # 3 of filling out dl739

4. The following subsection requires your involvement in the subsequent areas: F Other specify, CausesCheckallthatApply, DriversAge A B C D, Z Unknown, Visibility, A Unrestricted B Hill C Curve D, A Follow Too Close B Too Fast, PoliceReport, A No B Yes Give Report Number, Z Unknown, AnyTrafficCitationIssued, A No B Yes Z Unknown, YearsDrivingaBus, Z Unknown, and A or less B C D E. Be sure you fill out all needed details to go forward.

Stage number 4 for completing dl739

5. The pdf has to be finished by dealing with this part. Further you have a comprehensive list of form fields that need appropriate details for your form submission to be accomplished: A No B Yes Z Unknown, SupplementtoItem, Injuries, a None b Bus Driver c, Fatalities a None b Bus Driver, At Scene First Aid Administered, a No b None z Unknown, DriversStatus A Instructor B, HighwayType A Divided B Not, HighwayLanes, A B C D or More E Not, PostedSpeedLimit A Not, A Daylight B Dark C Artificial, CollisionWith, and A NonCollision B Fixed Object C.

Part number 5 of submitting dl739

It's simple to get it wrong when filling in the HighwayLanes, and so make sure that you reread it prior to when you finalize the form.

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