Ops 209 Form PDF Details

Ops 209 form is the key to your success in the trucking industry. It is a document that provides important information about your driving history and experience. When you fill out this form, you are telling potential employers about your skills and qualifications as a truck driver. Make sure to complete it accurately and honestly so that you can showcase your strengths and stand out from the competition.

This knowledge will help you grasp better the details of the ops 209 form before you begin filling it out.

QuestionAnswer
Form NameOps 209 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescivilian accident report, new york state civilian accident report, mv 104a police accident report, civilian accident report nyc

Form Preview Example

OPS-209

REV. 8/08

NEW YORK STATE PARKS AND RECREATION

 

SNOWMOBILE UNIT

 

EMPIRE STATE PLAZA AGENCY BUILDING 1

 

ALBANY, NY 12238

REGISTRATION NUMBER

DATE OF THIS REPORT

OF REPORTING SNOWMOBILE

SNOWMOBILE ACCIDENT REPORT

Pursuant to the provisions of Section 25.25 of the New York State Parks and Recreation Law, the operator of a snowmobile involved in an accident resulting in death, personal injury or damage to property of $1,000.00 or more must report the accident to Parks and Recreation, Snowmobile Unit within 7 days. If the operator is physically incapable of making such report, and there is another participant in the accident, then such participant shall make the report. In cases where the operator and the participants are physically incapable of making such report, then the owner shall make the report. Failure to comply with these requirements shall constitute an offense punishable by a fine of not more than one hundred dollars.

1. TIME AND PLACE OF ACCIDENT

A. Date of Accident

B. Time

AM □

C. State

D. Nearest City, Town, etc.

 

 

 

E. County

 

 

 

PM □

 

 

 

 

 

 

 

 

 

 

 

F. Exact Location (Name of trail/area, GPS coordinates; fix location precisely)

 

 

 

 

 

G. Type of Terrain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Trail

 

3.

Groomed Trail

 

4.

Roadway

6. Other (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Woods

 

4.

Field/Lawn

 

5.

Body of Water

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. DATA (Check all appropriate items in box to the left of the number or fill in)

A. Name & Address of Operator

 

B. Operator's Age

 

 

C. Operator's Experience

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

< 1 Year

 

3.

> 5 Years

 

 

 

 

 

 

2.

1-5 Years

 

4.

Unknown

D. Name & Address of Owner

 

E. Have you ever

completed

a Snowmobile Safety

Course?

Yes □ No □

 

 

 

F. Helmets

Was the operator wearing a helmet?

Yes

□

No □

 

 

 

 

 

Was the passenger wearing a helmet?

Yes □ No □

 

G. Snowmobile

H. Snowmobile Track: Studded?

 

I. Estimated Speed

 

 

(MPH)

Make

Model

Year Built

 

Yes

 

 

 

J. Was the operator familiar with

 

 

 

 

 

 

 

 

the area? Yes □ No □

 

Ownership: O--owner

R--rented B--borrowed

F--family machine

 

No

 

 

 

 

3. WEATHER AND SNOW CONDITIONS (Check all appropriate items in box to left of number or fill in)

 

 

 

 

 

A. Weather Conditions

 

 

B. Visibility

C. Snow Conditions

 

 

D. Wind

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Clear

 

4.

Snow

 

7. Other (Specify)

 

1.

Good

 

1.

Smooth

 

1.

None

 

4.

Strong

 

 

 

 

 

 

 

 

 

2.

Cloudy

 

5.

Sleet/Hail/Freezing Rain

 

 

 

2.

Fair

 

2.

Rough

 

2.

Light

 

5.

Storm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Rain

 

6.

Fog/Smog/Smoke

 

 

 

3.

Poor

 

3.

None

 

3.

Moderate

 

 

4. OPERATION AT TIME OF ACCIDENT (Check all appropriate items in box to left of number or fill in)

 

 

 

A. Underway

 

 

 

 

 

B. Not Underway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Cruising

 

4.

Towing (Other)

 

7. Other (Specify)

 

1.

Attended

 

 

3.

Fueling

 

2.

Maneuvering

 

5.

Being Towed

 

 

 

2.

Parked

 

 

4.

Other (Specify)

 

3.

Towing Sled

 

6.

Racing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Number of Persons on Snowmobile (Specify)

5.TYPE, NATURE OF CLASSIFICATION OF ACCIDENT (Check all appropriate items in box to left of number or fill in)

A.Cause of the Accident

 

1.

Struck by Other Snowmobile

 

6.

Fire or Explosion (Fuel)

 

 

 

 

11.

Ran off Roadway/Trail

16. Other (Specify)

 

 

 

 

 

 

 

 

2.

Collision with Another Snowmobile

 

7.

Fire or Explosion (Other than Fuel)

 

 

12.

Overturning

 

 

3.

Collision with Person

 

8.

Struck Hidden Object in Snow

 

 

 

13.

Skidding

 

 

4.

Collision with Motor Vehicle

 

9.

Disappearance of Snowmobile

 

 

14.

Fell Off

 

 

5.

Collision with a Fixed Object

 

10 Submersion

 

 

 

 

15.

Track Injury

 

 

 

B. PERSONAL INJURIES

 

 

 

 

 

 

 

 

C. Property Damage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Burns or Scalds

 

5.

Fracture-Dislocation

 

Item Damage

 

 

This Vehicle

Other Vehicle

 

2.

Crushed or Pinched

 

6.

Other (Specify)

1.

Snowmobile

 

 

$

$

 

 

 

 

 

 

 

3.

Concussion

 

 

 

2.

Accessory Equipment

 

$

$

 

4.

Abrasion

 

 

 

3.

Damage to Other Property (Describe on Reverse)

$

6. GIVE A BRIEF, BUT CLEAR DESCRIPTION OF THE ACCIDENT. USE ADDITIONAL SHEETS IF NECESSARY.

NOTE -

MAKE 2 COPIES OF THIS FORM. SEND THE ORIGINAL TO NYS PARKS SNOWMOBILE UNIT. SEND 1 TO THE LAW

ENFORCEMENT AGENCY IN THE AREA WHERE THE ACCIDENT OCCURRED AND KEEP 1 FOR YOUR RECORDS.

 

 

 

OVER

7. WHAT, IN YOUR OPINION, CAUSED THE ACCIDENT?

8. LIVES LOST

9. PERSONS INJURED

A. List Names & Addresses

A. List Names & Address, Nature & Extent of Injuries

 

 

10. PROPERTY DAMAGE

Describe Property Damage, Include Name and Address of Owner

11. WITNESSES

12. ASSISTANCE FURNISHED

A. List Names & Addresses of All Known Witnesses

A. List Known Police, Fire Dept., Rescue Squads, Etc.

 

 

13. PERSONS ON SNOWMOBILE (Other than Operator)

NAME

ADDRESS

AGE

 

 

 

NAME

ADDRESS

AGE

 

 

 

NAME

ADDRESS

AGE

14. REMARKS (Include opinion how similar accidents can be prevented in the future)

15. NAME, ADDRESS OF OPERATOR AND REGISTRATION NUMBER OF OTHER VEHICLES INVOLVED

I declare under the penalties of perjury that to the best of my knowledge and belief, the description and statements made herein are true and correct.

OPERATOR'S SIGNATURE

TELEPHONE NUMBER

(COMPLETE ALL APPLICABLE SECTIONS OR FORMS WILL BE RETURNED)

How to Edit Ops 209 Form Online for Free

The PDF editor was designed to be as clear as possible. Since you keep up with these steps, the procedure for filling out the civilian accident report ny document will be straightforward.

Step 1: Press the "Get Form Now" button to start out.

Step 2: When you've entered the civilian accident report ny editing page you'll be able to see all of the actions you'll be able to use with regards to your file from the top menu.

Type in the details demanded by the application to create the file.

civilian accident report nyc empty fields to fill in

You need to fill out the Clear, Cloudy, Rain, A Weather Conditions, Snow, SleetHailFreezing Rain, FogSmogSmoke, Other Specify, B Visibility, C Snow Conditions, D Wind, Good, Fair, Poor, and Smooth space with the required details.

part 2 to entering details in civilian accident report nyc

Make sure you highlight the necessary data within the GIVE A BRIEF BUT CLEAR, NOTE, MAKE COPIES OF THIS FORM SEND THE, and OVER box.

part 3 to completing civilian accident report nyc

Spell out the rights and responsibilities of the parties in the section WHAT IN YOUR OPINION CAUSED THE, A List Names Addresses, A List Names Address Nature, LIVES LOST, PERSONS INJURED, Describe Property Damage Include, PROPERTY DAMAGE, A List Names Addresses of All, A List Known Police Fire Dept, WITNESSES, and ASSISTANCE FURNISHED.

civilian accident report nyc WHAT IN YOUR OPINION CAUSED THE, A List Names Addresses, A List Names Address Nature, LIVES LOST, PERSONS INJURED, Describe Property Damage Include, PROPERTY DAMAGE, A List Names Addresses of All, A List Known Police Fire Dept, WITNESSES, and ASSISTANCE FURNISHED blanks to insert

End up by checking all these areas and preparing them accordingly: A List Names Addresses of All, A List Known Police Fire Dept, NAME, NAME, NAME, PERSONS ON SNOWMOBILE Other than, ADDRESS, ADDRESS, ADDRESS, REMARKS Include opinion how, AGE, AGE, AGE, and NAME ADDRESS OF OPERATOR AND.

stage 5 to entering details in civilian accident report nyc

Step 3: Hit the Done button to be certain that your finalized file may be exported to any type of gadget you want or forwarded to an email you specify.

Step 4: Be certain to keep away from upcoming complications by getting a minimum of a couple of duplicates of your document.

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