Texas Blue Form PDF Details

The Texas Blue Form is a document that is used to report and track sales tax in the state of Texas. This form is important for businesses to fill out when selling taxable items, and it must be filed on a monthly basis. The Texas Blue Form can be filled out online or by hand, and instructions on how to do so are available on the Texas Comptroller of Public Accounts website. If you have any questions about the Texas Blue Form or need help filing it, please contact us today.

In the listing, there's some information relating to the texas blue form. It is definitely worth taking the time to read through this before starting filling in your document.

QuestionAnswer
Form NameTexas Blue Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestexas blue form, dps crash reporting, texas crash report, texas dps blue form

Form Preview Example

Form CR-2 (Rev. 04/15) Instructions

PLEASE READ INSTRUCTIONS CAREFULLY

(Actual form begins on

following page.)

Instructions for

DRIVER’S CRASH REPORT

When completed, mail this form to:

NOTE: If you are filling out this form

Texas Department of Transportation

electronically, you may delete this

 

Crash Records

entire instruction page (including the

PO BOX 149349

page break at the bottom) before

AUSTIN TX 78714

printing or submitting the form.

Questions? Call: 844/274-7457

 

 

The driver of a motor vehicle involved in a crash not investigated by a law enforcement officer and resulting in injury to or death of any person, or damage to the property of any one person, including himself, to any apparent extent of at least one thousand dollars ($1,000), must within 10 days after such crash complete and forward this report in accordance with the instructions below.

Who Should Complete a CR_2? The CR_2 must be completed and signed by the driver of the vehicle involved in the crash. If the driver is unable to complete the report, another person may submit the report on behalf of the driver, with an explanation as to why the driver was unable to complete the form.

Section of Form

Instructions

 

 

LOCATION

Complete all data fields to the best of your knowledge; however, fields marked with an

 

asterisk (*) are required data fields and should include sufficient information for TxDOT to

 

process the report. This information is an important element in locating reports and

 

maintaining an accurate filing system. *County or City in the LOCATION portion is

 

required; if this information is not provided, the report will be returned to you.

 

 

DATE

*Date of Crash is a required data field and must include the specific month, day, and year

 

the crash occurred. Please provide the time of the crash if known. Only provide one date; if

 

the exact date is unknown, provide the date that the damage was discovered. If the date of

 

the crash is not provided, the report will be returned to you.

 

 

VEHICLES

In the portion titled #1 Your Vehicle, the name of the *Driver involved in the crash is a

 

required data field. All remaining information should be completed to the best of your

 

knowledge. In the portion titled #2 Other Vehicle, please specify if the crash involved

 

another motor vehicle, a train, a pedestrian, etc. and provide the name of the other involved

 

party on the line labeled Driver. Please complete the remaining information to the best of

 

your knowledge.

 

 

DAMAGE TO

If the crash involved damage to property other than vehicles, please provide all available

PROPERTY

information (description of property, location, owner, etc.).

 

 

INJURIES

In the portion titled #1 Injured Person, select the position of the occupant in your vehicle

 

that was injured as a result of the crash and complete all data fields on that person. In the

 

portion titled #2 Injured Person, select the position of the other person involved in the crash

 

that was injured and complete all data fields to the best of your knowledge. If known, please

 

indicate if the injured person wore a seatbelt.

 

 

DRIVER'S

State Briefly What Happened. In this section please provide a narrative description of the

STATEMENT

facts regarding this crash. If space is insufficient, attach a full size sheet of paper for

 

continuation. Please do not send photographs! Photographs cannot be returned.

 

 

SIGNATURE

Please review the report to insure accuracy and completeness, as this will expedite the

 

processing of the report and avoid having the report returned for insufficient information.

 

Once you are satisfied with the completeness of the report, sign in black or blue ink and mail

 

to the address at the top of this instruction page.

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please read instructions on reverse side)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S CRASH REPORT

 

 

 

 

 

Form CR-2 (Rev. 04/15)

 

 

 

 

 

 

 

 

 

* Indicates Required Field

 

 

 

 

 

Page 1 of 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Questions? Call: 844/274-7457

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place Where

 

* County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* City or Town:

 

 

 

 

 

 

 

Crash Occurred

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If crash was outside city limits,

 

 

 

 

 

miles

 

 

 

 

 

 

 

 

of

 

 

 

 

 

 

 

indicate distance from nearest town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

Complete one:

 

 

 

 

 

 

 

 

 

North

S

E

 

W

 

 

 

 

City or Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Speed

 

Road on which

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Constr.

 

Yes

 

crash occurred

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zone

 

No

Limit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Block Number

 

 

 

 

Street or Road Name

 

 

 

 

 

 

Route Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Intersecting street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Constr.

 

Yes

Speed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zone

 

No

Limit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Block Number

 

 

 

 

Street or Road Name

 

 

 

 

 

 

Route Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Not at intersection

 

 

 

 

 

 

 

 

Feet

 

 

 

 

 

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

North

S

E

 

W

 

 

Show nearest intersecting numbered highway. If urban, show nearest intersecting street.

DATE

VEHICLES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.m.

If exactly noon or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Date of Crash

 

 

 

 

 

 

 

 

 

 

 

 

 

Day of Week

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hour

 

 

 

 

 

 

 

 

 

 

 

 

 

 

p.m.

midnight, so state.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#1 — Your Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Ident. No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

Make/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chevy, Ford, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sedan, Truck, Van, etc.

 

 

 

 

 

 

 

Year

 

 

State

 

 

 

 

 

 

Number

 

* Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

M.I.

 

 

 

Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City & State

 

 

 

Zip

 

Driver’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

 

 

Race

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approx. cost to repair

 

 

 

 

 

 

State

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

your vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance

Last

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

M.I.

 

Mail Address

 

 

City & State

 

 

 

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Company Name (not the agent)

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

 

 

 

 

 

Zip

 

 

 

 

 

 

 

 

 

 

Policy Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#2 — Other Vehicle

 

 

 

 

 

 

 

Motor Vehicle

 

Train

 

 

 

 

Pedestrian

 

Bicyclist

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Complete information you have available — if unknown, mark "Not Known")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

Make/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Model

 

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chevy, Ford, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sedan, Truck, Van, etc.

 

 

 

 

 

 

 

 

Year

 

 

State

 

 

 

 

 

 

Number

 

Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

M.I.

 

 

 

Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City & State

 

 

 

Zip

 

Owner

For

 

 

 

 

 

 

 

 

 

Last

 

 

 

 

 

 

 

First

 

 

 

 

 

M.I.

 

 

Mail Address

 

 

 

 

 

 

 

 

City & State

 

 

 

Zip

 

additional

Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vehicles

Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

another

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Company Name (not the agent)

 

 

Address

City

 

State

Zip

 

 

 

 

 

Policy Number

form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Damage to Property

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approx. cost to repair

other than vehicles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name object, show ownership, and state nature of damage.

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#1 Injured Person

 

Driver

 

 

 

Passenger

 

Pedestrian

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age

 

Sex

 

 

Race

 

 

 

 

 

Was Person Killed?

 

 

 

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INJURIES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seat Belt

Describe Injury

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Used

 

 

Not Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#2 Injured Person

 

Driver

 

 

 

Passenger

 

Pedestrian

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age

 

Sex

 

 

Race

 

 

 

 

 

Was Person Killed?

 

 

 

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seat Belt

 

Describe Injury

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Used

 

 

Not Used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Briefly What Happened.

Please do not send photographs.

(If space is insufficient, continue on another page.)

 

* Driver’s Signature

(Please use blue or black ink only.)

Date of Report

How to Edit Texas Blue Form Online for Free

We were creating this PDF editor having the notion of allowing it to be as easy to apply as possible. That's the reason the actual procedure of creating the blue form will likely to be effortless perform all of these steps:

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

Step 2: Now you should be within the document edit page. It's possible to add, alter, highlight, check, cross, include or delete areas or phrases.

Enter the information requested by the program to get the document.

entering details in texas blue form crash report stage 1

Within the part S E L C H E V, Owner, Insurance Information, Last, First, Mail Address, City State, Zip, Insurance Company Name not the, Address, City, State, Zip, Policy Number, and Other Vehicle write down the information which the software requests you to do.

stage 2 to completing texas blue form crash report

You could be requested for specific key particulars if you need to fill out the Name, Age, Describe Injury, Address, Sex, Race, Was Person Killed, Date of Death, State Briefly What Happened If, Please do not send photographs, Seat Belt, Used, Not Used, Drivers Signature Please use blue, and Date of Report field.

Entering details in texas blue form crash report step 3

Step 3: Click the button "Done". Your PDF file can be transferred. You will be able download it to your device or send it by email.

Step 4: You can make duplicates of the document tokeep clear of all of the possible issues. Don't worry, we don't distribute or record your information.

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