TABLE of CONTENTS ACKNOWLEDGEMENTS................................................................................................................7 FOREWARD ...................................................................................................................................... 8 USES OF THE CRASH REPORTS................................................................................................... 9 DI-9 CRASH FORM CHANGES .................................................................................................... 10 GENERAL INSTRUCTIONS.......................................................................................................... 11 OVERLAY INFORMATION .......................................................................................................... 13 Side One Information:....................................................................................................................... 13 Front Page Overlay Boxes: ............................................................................................................... 13 DI-9 Form ......................................................................................................................................... 14 REPORT SUBMISSION GUIDELINES ......................................................................................... 15 Page Number of Total Report Pages................................................................................................. 15 TIME................................................................................................................................................. 15 Date of Crash .................................................................................................................................... 15 Day of Week ..................................................................................................................................... 16 Military Time.................................................................................................................................... 16 DLD Number .................................................................................................................................... 16 LOCATION ...................................................................................................................................... 16 Place Where Crash Occurred............................................................................................................ 16 County............................................................................................................................................... 17 City or Town of Jurisdiction............................................................................................................. 17 Distance from City Limits of Nearest Town..................................................................................... 17 Road, Street, Highway Crash Occurred............................................................................................ 18 Intersection........................................................................................................................................ 18 UDOT Use Box................................................................................................................................. 18 Case Number..................................................................................................................................... 19 Latitude/Longitude............................................................................................................................ 19 Reportable Crash............................................................................................................................... 19 UDOT Use ........................................................................................................................................ 19 VEHICLE INFORMATION ............................................................................................................ 20 Vehicle Number 1............................................................................................................................. 20 Trailers .............................................................................................................................................. 21 Vehicle Identification Number (VIN)............................................................................................... 21 License Plate Information................................................................................................................. 21 Number ............................................................................................................................................. 22 State…............................................................................................................................................... 22 Expiration Date ................................................................................................................................. 22 Make… ............................................................................................................................................. 22 Model.. .............................................................................................................................................. 23 Year…............................................................................................................................................... 23 OCCUPANTS................................................................................................................................... 24 Occupant(s) #.................................................................................................................................... 24 Driver.. .............................................................................................................................................. 24 Driver Address.................................................................................................................................. 24 Driver’s License................................................................................................................................ 24 State…............................................................................................................................................... 25 Number ............................................................................................................................................. 25 License Class .................................................................................................................................... 25 Endorsement Codes .......................................................................................................................... 25 2 Restriction Codes.............................................................................................................................. 26 Date of Birth ..................................................................................................................................... 26 Age…................................................................................................................................................ 26 Law Enforcement Action.................................................................................................................. 26 Charge(s)........................................................................................................................................... 27 Citation #........................................................................................................................................... 27 Owner................................................................................................................................................ 27 Address ............................................................................................................................................. 27 COMMERCIAL VEHICLES ........................................................................................................... 28 Commercial Vehicle Information ..................................................................................................... 28 US DOT # ......................................................................................................................................... 28 CVSA Inspection # ........................................................................................................................... 29 G.C.W.R. / G.V.W.R. ....................................................................................................................... 29 Hazardous Materials ......................................................................................................................... 29 Haz Mat Released ............................................................................................................................. 30 Haz Mat Placard Number – Class..................................................................................................... 30 Description of Cargo......................................................................................................................... 30 Purpose of Use .................................................................................................................................. 30 Trailing Units...................................................................................................................................