Crash102 Motor Vehicle Crash Operator Report at a glance
What it is: Commonwealth of Massachusetts Motor Vehicle Crash Operator Report, the Crash Report to complete.
Who signs: Section K: Signature. Please sign and print your name and indicate the date you completed the form.
A filled-in Crash102 Motor Vehicle Crash Operator Report example: a driver reports a two-vehicle crash
How to fill out Crash102 Motor Vehicle Crash Operator Report, box by box
B1 and B2: occupants, vehicle damage and who must file
M.G.L. Chapter 90, Section 26 requires a person who was operating a motor vehicle involved in a crash in which (i) any person was killed or (ii) injured or (iii) in which there was damage in excess of $1,000 to any one vehicle or other property, to complete and file a Crash Operator Report with the Registrar within five (5) days after such crash (unless the person is physically incapable of doing so due to incapacity). The person completing the report must also send a copy of the report to the police department having jurisdiction on the way where the crash occurred. If the operator is incapacitated but is not the vehicle's owner, the owner is required to file the crash report within the five (5) days based on his/her knowledge and information obtained about the crash. The Registrar may require the owner or operator to supplement the report and he/she can revoke or suspend the license of any person violating any provision of this legal requirement. A police department is required to accept a report filed by an owner or operator whose vehicle has been damaged in a crash in which another person unlawfully left the scene even if damage to the vehicle does not exceed $1,000 (checked November 1, 2026).
B1. Number of occupants in vehicle (including yourself). B2. Was vehicle damage over $1000? Yes No (checked November 1, 2026).
A. Crash Location
Please carefully complete all sections of this form that apply to your crash, circling the answer where appropriate. Illegible reports will be returned to you. Section A: Crash Location. Provide the city/town where the crash occurred, the date and time of the crash, and the number of vehicles involved. Complete section A6 or A7. Use official names of all locations, streets and landmarks. Use street name and route #, if applicable. Be as precise as possible when describing the location. Provide enough information to locate the crash to a specific point, not just a street or roadway.
A5 to A7: where the crash occurred
A5. Did the crash occur at an intersection of two or more streets? Yes No. Please complete Section A6 or A7 to indicate the location of the crash. If you need additional space to describe the crash location, please use Section J on the last page of this form.
A6. If Yes. Step 1. Please indicate the route or roadway where you were travelling when the crash occurred: Route# Name of Roadway/Street. Step 2. What was the name (or names) of the intersecting streets? A7. If No. Please indicate the route, roadway and address where the crash occurred: at Street or Address Number, on the Street/Roadway known as Route# Name of Roadway/Street. Step 2. Provide as much specific location information as possible: The crash occurred (estimate number of feet) (indicate direction as N/S/E/W) of: a) Mile Marker number OR: b) Exit Number OR: c) Intersecting Route# Name of Roadway/Street OR: d) Landmark.
B. Vehicle You Were Driving
Section B: Vehicle You Were Driving. Provide information on your license and the vehicle you were driving. Use the codes provided to indicate the cause of the crash.
B3. Driver's License Number. B4. License State. B5. DOB. B6. Age. B7. Sex: M, X, F or U. B8. License Class: D, A, Unknown, C, B or M.
B9. Commercial Driver's License Endorsements: P (Passenger transport), T (Doubles/Triples), H (Hazardous), X (Tank and Hazardous), N (Tank vehicles), S School Bus. B10. Vehicle Travel Direction: N, S, E or W.
B11. Your Full Name (Last, First, Middle). B12. Street Address, City, State, Zip Code.
B13. Insurance Company. B14. Vehicle Registration #. B15. Reg. Type. B16. Reg. State. B17. Vehicle Year. B18. Vehicle Make.
B19. Indicate your type of vehicle: 1 Passenger car, 2 Light truck (van, mini-van, pick-up, sport utility), 3 Motorcycle, 4 Bus (16 or more passengers), 5 Bus (9-15 passengers), 6 Single-unit truck (2 axles), 7 Single-unit truck (3 or more axles), 8 Truck/trailer, 9 Truck tractor (bobtail), 10 Tractor/semi-trailer, 11 Tractor/doubles, 12 Tractor/triples, 13 Unknown heavy truck, 14 Motor home/recreational vehicle, 15 Moped, 16 Low Speed Vehicle, 17 All terrain vehicle (ATV), 18 Snowmobile, 97 Other, 99 Unknown.
B20. Full Name of Vehicle Owner (Last, First, Middle). B21. Street Address, City, State, Zip Code.
B23. Sequence of events and B25. Vehicle damaged area
B22. What Was Your Vehicle Doing Prior to the Crash? 1 Travelling straight ahead, 2 Slowing or stopped, 3 Turning right, 4 Turning left, 5 Changing lanes, 6 Entering traffic lane, 7 Leaving traffic lane, 8 Making U-turn, 9 Overtaking/passing, 10 Backing, 11 Parked, 97 Other, 99 Unknown.
B23. Please Indicate the Sequence of Events as they occurred to YOUR Vehicle by writing the corresponding number (1-52, or 97, 99) in up to 4 boxes: What happened first? Second? Third? Fourth?
B24. Was your Vehicle Towed from the Scene Due to Damage? Yes No. B25. Vehicle Damaged Area (check up to three): 1, 2, 3, 4, 5, 6, 7, 8, 9, 0 None, 97 Other, 10 Undercarriage, 99 Unknown, 11 Totaled.
Where to send completed reports
Where to send completed reports: mail or deliver one copy to the local police department or state police in the city or town where the crash occurred; mail one copy to your Insurance Company; mail one copy to the RMV at Registry of Motor Vehicles, Crash Records, P.O. Box 55889, Boston, MA 02205-5889.
K. Signature
Section K: Signature. Please sign and print your name and indicate the date you completed the form.
"Signed under Pains and Penalties of Perjury" Print Date.
More rules for Crash102 Motor Vehicle Crash Operator Report
Section C: You and Your Passengers. Provide information on you and your passengers at the time of the crash. Use the codes provided to indicate occupant information.
Provide the full name, address, and DOB or Age for all passengers in your vehicle. Then write the corresponding code in each of the boxes for each occupant of the vehicle (yourself and all passengers). A list of the possible codes is provided at the bottom of this section.
Section D: Other Vehicles Involved in the Crash. Provide information on the other vehicle(s) and operator(s) involved in the crash. If more than one vehicle involved, please use additional form completing Section D only.
Section E: Non-Motorist(s) Involved. Provide information on the non-motorist(s) involved in the crash. If more than one non-motorist involved, please use additional form completing Section E only.
Section F: Crash Conditions. Use the codes provided to indicate the conditions at the time of the crash.
Section G: Crash Diagram. Draw a diagram of how the crash occurred. On the diagram, Vehicle 1 represents your vehicle.
Select one if the crash did not occur on a public way: Off-street parking lot, Garage, Mall/shopping center, Other private way.
Section H: Witness Information. List all the people who saw the crash but were not involved.
Section I: Property Damage Information. Indicate all non-vehicular property that was damaged in the crash.
Section J: Description of What Happened. Describe the crash including events prior to the crash for your vehicles and all other vehicles.
Sources
[1] Motor Vehicle Crash Operator Report (CRASH102_0124), Registry of Motor Vehicles, Commonwealth of Massachusetts (the Official source link on this page).
