Sr1 Form Nevada PDF Details

Do you need more information on the SR1 form in Nevada? This post is designed to help inform and guide you through the process of correctly completing an SR1 form in order to meet your needs in the state of Nevada. It’s important that all motor vehicle owners become educated on these forms so they know what to expect and can properly get it filled out before driving a vehicle legally. Here, we will discuss how to go about filling out an SR1 correctly so you won’t have any issues with your insurance as well as other pertinent information related to this document.

QuestionAnswer
Form NameSr1 Form Nevada
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdmv sr 1, sr 1, sr1 nevada, dmv sr1

Form Preview Example

555 Wright Way

Carson City, NV 89711

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas Area (702) 486-4DMV (4368)

Rural Nevada (877) 368-7828

Website: www.dmvnv.com

REPORT OF TRAFFIC ACCIDENT

(NRS 484.229, 484.236)

INSTRUCTIONS:

Pursuant to NRS 484.229, this SR-1 report needs to be completed within 10 days after an accident that occurred in the State of Nevada and was NOT investigated at the scene by law enforcement. Please complete ALL sections. This report cannot be accepted or processed unless ALL information has been completed for ALL DRIVERS AND VEHICLES that were involved in the accident.

THE FOLLOWING ATTACHMENTS MUST BE INCLUDED (this SR-1 report will be considered VOID if not attached):

(1)a copy of your insurance that was in effect on the date of the accident for the vehicle involved;

(2)an estimate of repairs or a statement of total loss if there was $750 or more in vehicle or property damage (of any one person); and

(3)a doctor’s statement of injury for each person injured in your vehicle (if the accident resulted in bodily injury or death).

Once completed, please sign your name on the second page, attach all required documents, and mail the complete report to the DMV at the above address. Only reports that have been properly completed for all drivers and vehicles, and include the required attachments, will be accepted and processed. Any SR-1 report that is incomplete or does not meet the requirements of NRS 484.229, as specified above, will not be retained by the Department. Failure to submit this report after it has been requested by the Department of Motor Vehicles may result in the suspension of your driving privilege for up to one year (per NRS 484.236).

ACCIDENT INFORMATION:

Date and time of accident:

DateDay of WeekTime

LOCATION WHERE THE ACCIDENT OCCURRED:

Highway No. or Street Name

 

City

 

County

DRIVER AND VEHICLE INFORMATION:

If more than two vehicles were involved, please provide the additional driver and vehicle information on a separate page. NOTE: Plate number only will NOT be accepted.

No. 1

Driver

Pedestrian

Parked Vehicle

Pedal Cyclist

Other

No. 2

Driver

Pedestrian

Parked Vehicle

Pedal Cyclist

Other

1-

2-

3-

4-

5-

1-

2-

3-

4-

5-

 

 

 

 

 

 

 

 

 

 

Name (LAST, FIRST, MIDDLE)

 

 

 

Name (LAST, FIRST, MIDDLE)

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

Street Address

 

City

State

Zip

 

 

 

 

 

 

 

 

 

 

 

 

Driver License No. and State

 

Date of Birth (MM/DD/YYYY)

Driver License No. and State

Date of Birth (MM/DD/YYYY)

 

 

 

 

 

 

 

License Plate No. and State

Year and Make

 

License Plate No. and State

Year and Make

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Body Type

 

 

Vehicle ID No.

 

 

Body Type

 

 

Vehicle ID No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER’S INFORMATION: If the driver and owner of the vehicle are the same, please print “Same as Above.”

No. 1

No. 2

Owner’s Name (LAST, FIRST, MIDDLE)

Owner’s Name (LAST, FIRST, MIDDLE)

Owner’s Street Address

City

State

Zip

Owner’s Street Address

City

State

Zip

Owner’s Driver License No. and State

Owner’s Date of Birth

Owner’s Driver License No. and State

Owner’s Date of Birth

SR-1 (Revised 04/2008)

INSURANCE INFORMATION:

A COPY OF YOUR INSURANCE CARD MUST BE ATTACHED TO THIS REPORT.

Please ensure to attach a copy of your insurance card that was in effect on the date of the accident for the vehicle involved. This information is necessary to verify that the vehicle was insured at the time of the accident. If insurance was not in effect on the date of the accident, your driving privilege and registration may be suspended under Chapter 485 of Nevada Revised Statutes.

ACCIDENT DESCRIPTION

Please write a brief description of the accident:

PROPERTY DAMAGE (other than the vehicle):

If you answer “Yes” below, please explain in the space provided:

Yes

No Was there damage to property other than the vehicle? If Yes, describe:

Property Owner’s Name:

Property Owner’s Address:

ESTIMATE OF REPAIRS:

AN ESTIMATE OF REPAIRS OR A STATEMENT OF TOTAL LOSS MUST BE ATTACHED if there was $750 or more in vehicle or property damage (of any one person). Pursuant to NRS 484.229, the estimate of repairs or statement of total loss must be from an established repair garage, an insurance adjuster employed by an insurer licensed to do business in the State of Nevada, an adjuster licensed pursuant to chapter 684A of NRS, or an appraiser licensed pursuant to Chapter 684B of NRS.

This SR-1 report will be considered VOID if not attached.

PERSONAL INJURY:

If an injury occurred, A DOCTOR’S STATEMENT OF INJURY FOR EACH INDIVIDUAL INJURED IN YOUR VEHICLE MUST BE ATTACHED. VOID if not attached!

Driver

Passenger

Name

 

 

 

 

 

Age

 

Sex

 

 

 

 

 

 

 

 

 

Street Address

 

City

 

State

 

Zip Code

 

Relationship to Driver of Your Vehicle*

 

 

 

 

 

 

 

 

*Husband, wife, son, daughter, etc.

 

 

 

 

 

 

 

 

 

Nature and Extent of Injuries

 

 

 

 

 

 

 

 

SIGNATURE:

By completing this report, you are authorizing the Department of Motor Vehicles to release your name, mailing address, and insurance information to the other parties involved in the traffic accident and/or to their insurer (NRS 484.229).

I hereby certify all statements made in this report are true. I agree and understand any person who completes this report knowing or having reason to believe the information is false is guilty of a gross misdemeanor. (NRS 484.236)

Signature

Date Signed

*** VOID IF NOT SIGNED ***

NOTE: Only reports that have been properly completed for all drivers and vehicles, and include the required attachments, will be accepted and processed. Any SR-1 report that is incomplete or does not meet the requirements of NRS 484.229, as specified above, will not be retained by the Department.

SR-1 (Revised 04/2008)

How to Edit Sr1 Form Nevada Online for Free

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Step 2: As you open the file editor, you will notice the document all set to be filled out. Aside from filling out different blank fields, you may as well do some other things with the form, particularly adding your own text, editing the initial text, adding illustrations or photos, putting your signature on the form, and a lot more.

It really is easy to fill out the form with our practical tutorial! Here is what you want to do:

1. It is advisable to fill out the form sr 1 pdf correctly, hence be mindful while working with the parts that contain all these blank fields:

How you can complete sr 1 report portion 1

2. The third part would be to complete the following blank fields: ACCIDENT INFORMATION Date and time, Date, Day of Week, Time, LOCATION WHERE THE ACCIDENT, County, City, Driver, Pedestrian, Parked Vehicle, Pedal Cyclist, Other, Driver, Pedestrian, and Parked Vehicle.

Filling out section 2 of sr 1 report

3. This third part is usually simple - fill out all the blanks in Body Type Vehicle ID No OWNERS, Owners Name Last First Middle, Owners Name Last First Middle, Owners Street Address, City, State, Zip, Owners Street Address, City, State, Zip, Owners Driver License No and State, Owners Date of Birth, Owners Driver License No and State, and Owners Date of Birth in order to complete this process.

How one can fill in sr 1 report stage 3

4. The next section will require your details in the following areas: INSURANCE INFORMATION A COPY OF, PROPERTY DAMAGE other than the, If you answer Yes below please, Yes No, Was there damage to property other, Property Owners Name Property, and ESTIMATE OF REPAIRS AN ESTIMATE OF. It is important to enter all of the needed info to go further.

Filling in section 4 in sr 1 report

5. As a final point, this final section is what you will need to finish prior to using the form. The blank fields here are the following: ESTIMATE OF REPAIRS AN ESTIMATE OF, Driver, Passenger, Name, Street Address, City, State, Age, Sex, Zip Code, Relationship to Driver of Your, Husband wife son daughter etc, Nature and Extent of Injuries, Signature, and Date Signed.

Writing section 5 of sr 1 report

Always be very attentive when filling out Signature and Husband wife son daughter etc, as this is where a lot of people make errors.

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