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Content Overview

In the state of Wisconsin, when a motor vehicle accident occurs, the involved parties must navigate the process of reporting these incidents as per the guidelines set by the Wisconsin Department of Transportation. The Wisconsin Driver Report of Accident plays a crucial role in this procedure, especially in situations where the accident does not require a law enforcement officer to fill out a report. This form is specifically designed for incidents resulting in $1000 or more damage to any one person’s property, injury to any individual, or at least $200 damage to government property excluding vehicles. The form, identified by its code MV4002 and effective from March 2014 based on statute s.346.70(2) Wis. Stats., requires detailed information about the accident, including personal details of the individuals involved (designated as "Unit 1" for the person completing the form), details of other drivers or property owners involved, and comprehensive descriptions and diagrams of the accident. Completing this form accurately is imperative as it aids the Wisconsin Department of Transportation in effectively documenting and managing the aftermath of vehicular accidents within the state. In addition to providing a narrative and a visual diagram of how the collision occurred, the form mandates information on vehicle insurance, the extent of injuries, and property damage, making it a comprehensive document for accident reporting. If the required information exceeds the space provided, additional sheets may be attached, ensuring that all aspects of the incident are thoroughly documented. Once filled, the report must be mailed to the specified address, with a copy retained for personal records, underscoring the form's significance in both legal and insurance perspectives post-accident.

Preview - Wisconsin Accident Form

Wisconsin

DRIVER REPORT OF ACCIDENT

DO NOT COMPLETE this Driver Report of Accident if a law enforcement officer completed a Wisconsin Motor Vehicle Accident Report.

COMPLETE this Wisconsin Driver Report of Accident if:

There was $1000 or more damage to any one person’s property

— OR — Anyone was injured

— OR —

There was $200 or more damage to government property, other than vehicles.

MV4002 3/2014 s.346.70(2) Wis. Stats.

Wisconsin Department of Transportation

Please provide all requested information. Print clearly.

1.You are “Unit 1”.

2.An individual involved in the accident must sign the report.

3.Provide all information on the other driver(s)/owner(s) involved. Incomplete reports may be returned requesting missing information. If you need assistance, contact your insurance agent, local law enforcement agency, or Wisconsin Department of Transportation (WisDOT) at: (608) 266-8753.

4.Use the “Narrative” and “Diagram” sections to explain how the accident happened.

5.If more space is needed, use plain paper and attach to this report.

6.This form is available at: www.dot.wisconsin.gov/drivers/drivers/traffic/accident.htm

Retain a copy of this report for your records before mailing.

Mail completed report to address shown below.

(Fold report so that address panel shows to outside – tape bottom edge closed and mail – Do not staple)

Important – Please print your return address:

TRAFFIC ACCIDENT SECTION

WISCONSIN DEPT OF TRANSPORTATION

PO BOX 7919

MADISON WI 53707-7919

______

PLACE STAMP HERE

______

 

Clear Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WISCONSIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER REPORT

CONTINUE ONLY ...if there was $1000 or more damage to any one person’s property,

 

 

 

 

 

 

 

OF ACCIDENT

OR ...if anyone was injured,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR ...if there was $200 or more damage to government property, other than vehicles.

 

 

 

 

(See instructions on reverse side

 

 

 

before completing – Please Print)

 

 

Hit and Run Accident?

 

 

 

ACCIDENT

County of

 

 

 

 

City, Village or Township of

ACCIDENT Month

Day

 

Year

Day of Week

 

 

Time

 

a.m.

 

 

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

p.m.

 

Total Units Involved

Total Injured *

 

LOCATION

Name and Number of Street(s) or Highway or Parking Lot

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF

(Please check one)

 

 

Hit another motor

 

 

 

Hit a parked vehicle

Hit a deer

 

Hit a bicyclist

 

 

 

 

Other

 

ACCIDENT

 

 

 

 

 

 

 

 

 

1 vehicle in operation

 

 

 

2

 

 

 

 

 

3

 

 

 

 

4/5 or pedestrian

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U Driver Full Name (Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

U Driver Full Name (Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

NI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth Date

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Birth Date

 

T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State

 

 

 

 

 

 

 

 

 

ZIP Code

 

Daytime Telephone Number

 

City, State

 

 

 

 

 

ZIP Code

 

 

Daytime Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Driver License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuing State

 

 

2 Driver License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuing State

 

 

Vehicle Legally Parked

 

Operating a commercial vehicle?

 

 

 

 

 

If yes, check

 

 

 

 

Vehicle Legally Parked

 

 

Operating a commercial vehicle?

 

 

If yes, check

 

 

 

 

YES

 

 

 

 

 

YES

 

 

 

 

 

 

appropriate classification

 

 

 

YES

 

 

 

YES

 

 

 

 

 

appropriate classification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A B C

 

 

 

 

 

 

 

 

 

 

 

 

A B C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Full Name (Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner Full Name (Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State

 

 

 

 

 

 

 

 

 

ZIP Code

 

Daytime Telephone Number

 

 

 

City, State

 

 

 

 

 

ZIP Code

 

 

Daytime Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

)

 

 

 

 

 

 

License Plate Number

 

Exp Yr

Issuing State

 

Vehicle Make

 

Year

 

Color

 

 

 

 

License Plate Number

 

 

Exp Yr

Issuing State

Vehicle Make

Year

 

Color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was a motor vehicle liability insurance policy

 

 

Policy Holder’s Name

 

 

 

 

 

 

 

Was a motor vehicle liability insurance policy

Policy Holder’s Name

 

 

 

 

 

 

 

 

in effect on the day of the accident?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in effect on the day of the accident?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exact Name of Insurance Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exact Name of Insurance Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*INJURED Important:

Number of injuries reported must equal number entered in “Total Injured” box above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For additional injuries, provide the information on a separate piece of paper and attach. Injury Codes: A=Severe, B=Moderate, C=Minor

Unit No.

Name (Last, First, MI)

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

City, State

 

 

ZIP Code

 

Sex

 

Birth Date

 

 

Injury Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unit No.

Name (Last, First, MI)

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

City, State

 

 

ZIP Code

 

Sex

 

Birth Date

 

 

Injury Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE Unit 1 Important: Circle the numbers closest to the damaged areas.

 

 

Unit 2 Important: Circle the numbers closest to the damaged areas.

 

DAMAGE Damage Estimate

 

 

6

 

 

 

7

8

 

 

 

 

 

 

 

Damage Estimate

 

6

7

8

 

 

 

 

 

 

 

 

 

 

 

 

(Required)

5

REAR

 

 

 

 

 

 

 

 

 

FRONT

 

1

 

 

 

 

 

(If Known)

5

REAR

 

 

 

 

 

 

FRONT

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

3

2

 

 

 

 

 

 

 

4

3

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY Describe what was damaged. Property damage includes structures, trees, fences, towed items, etc. Do NOT include vehicle damage.

 

 

 

 

 

 

 

 

 

 

 

DAMAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property Owner Full Name (Last, First, MI)

 

 

Address

 

 

 

 

 

 

 

 

 

City, State

 

 

ZIP Code

 

 

 

 

 

Daytime Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NARRATIVE Print a brief description of the accident.

 

 

 

 

 

 

 

 

 

 

 

DIAGRAM Draw a basic picture of

 

 

Indicate NORTH by putting

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the accident and location.

 

 

an arrow in the circle.

 

 

 

X

(Signature Required)

Print

Form Specifications

Fact Number Detail
1 The Wisconsin Driver Report of Accident form is identified as MV4002 and was released in March 2014.
2 This form should be completed if there was $1000 or more damage to any one person's property, anyone was injured, or there was $200 or more damage to government property other than vehicles.
3 Governing law for this form is s.346.70(2) of the Wisconsin Statutes.
4 The form requires detailed information regarding the accident, the other driver(s)/owner(s) involved, and a narrative and diagram section to explain how the accident occurred.
5 Individuals completing this form must print clearly, sign the report, and provide all requested information, or the report may be returned for additional information.
6 The completed form should be mailed to the Traffic Accident Section of the Wisconsin Department of Transportation at PO BOX 7919, Madison, WI 53707-7919.
7 For assistance with completing the form, individuals can contact their insurance agent, local law enforcement agency, or the Wisconsin Department of Transportation (WisDOT) directly at (608) 266-8753.

Detailed Instructions for Using Wisconsin Accident

Filling out the Wisconsin Accident Report form is a necessary step following a vehicle accident in Wisconsin under specific conditions. This form must be completed if the accident resulted in $1000 or more damage to any one person's property, someone was injured, or there was $200 or more damage to government property other than vehicles. It serves as a detailed record of the incident for the Wisconsin Department of Transportation. Below are the step-by-step instructions on how to accurately fill out this form.

  1. Verify that none of the involved law enforcement officers have filled out a Wisconsin Motor Vehicle Accident Report for the incident. If they have, you do not need to complete this form.
  2. Identify yourself as "Unit 1" on the form, indicating you are the reporting driver.
  3. Ensure the report is signed by any individual involved in the accident. A signature is mandatory for the report to be processed.
  4. Provide detailed information on the other driver(s) or owner(s) involved in the accident including full names, addresses, birth dates, driver license numbers, and vehicle information.
  5. Give a concise yet comprehensive account of how the accident occurred in the “Narrative” section of the form. Include all relevant details to paint a clear picture of the incident.
  6. Draw a diagram of the accident in the designated section, indicating the point of impact and position of vehicles involved. Use the circle provided to denote north.
  7. If additional space is needed for the narrative or diagram, attach a separate piece of plain paper and include all pertinent information.
  8. Review the form to ensure all required fields are completed. Incomplete forms may be returned, delaying the processing time.
  9. Before mailing, make a copy of the completed form for your personal records.
  10. Mail the original completed form to the Traffic Accident Section at the Wisconsin Department of Transportation at the provided address: PO Box 7919, Madison, WI 53707-7919. Ensure the form is folded correctly so the address panel shows, tape the bottom edge closed, and place a stamp where indicated.
  11. Include your return address on the form in the space provided to ensure any necessary follow-up correspondence can be made.

By following these steps carefully, you will have properly completed the Wisconsin Accident Report, ensuring that all necessary information is provided to the Wisconsin Department of Transportation. This document is crucial for the official record and any potential insurance claims related to the accident. Remember, it’s important to provide clear and accurate information to facilitate the processing of your report.

Listed Questions and Answers

When should I fill out the Wisconsin Driver Report of Accident form?

You should complete the Wisconsin Driver Report of Accident form if any of the following conditions apply to your accident:

  • There was $1000 or more in damage to any one person's property.
  • Anyone was injured in the accident.
  • There was $200 or more in damage to government property, other than vehicles.

However, do not fill out this form if a law enforcement officer has completed a Wisconsin Motor Vehicle Accident Report for the incident.

How can I get help if I'm having trouble completing the Wisconsin Driver Report of Accident?

If you need assistance while completing the Wisconsin Driver Report of Accident, you have several options:

  • Contact your insurance agent for guidance and clarification.
  • Reach out to your local law enforcement agency for help.
  • Call the Wisconsin Department of Transportation (WisDOT) at (608) 266-8753 for specific inquiries and support.

What information is required on the Wisconsin Driver Report of Accident?

When filing the Wisconsin Driver Report of Accident, it is essential to provide detailed and clear information, including:

  • Identification as "Unit 1" for yourself, and all information on other involved driver(s)/owner(s).
  • Details of the accident, such as the location, type of accident, date, and time.
  • Personal information for all drivers involved, including driver's license numbers and vehicle ownership details.
  • Vehicular information, including license plate numbers, vehicle make and year, as well as insurance information.
  • An estimate of vehicle and property damage, and a detailed narrative and diagram explaining how the accident happened.

Ensure that you, as an individual involved in the accident, sign the report. Incomplete reports may be returned for additional information.

Where do I mail the completed Wisconsin Driver Report of Accident?

Once you have filled out the Wisconsin Driver Report of Accident form, retain a copy for your records. Mail the completed form to the following address:

TRAFFIC ACCIDENT SECTION
WISCONSIN DEPT OF TRANSPORTATION
PO BOX 7919
MADISON WI 53707-7919

Make sure to fold the report so that the address panel is visible on the outside, tape the bottom edge closed, and remember not to staple it. Also, print your return address on the form and place a stamp on the provided area before mailing.

Common mistakes

When completing the Wisconsin Driver Report of Accident form, several common mistakes can compromise the accuracy and completeness of your submission. These mistakes not only can lead to delays in processing but might also affect the outcome of insurance claims or legal proceedings. It is imperative to approach this document with attention and care, ensuring that all information is thoroughly and accurately presented.

Firstly, one of the primary errors involves misunderstanding when to complete the form. Not all incidents require the submission of this report. It's specifically for accidents where there is $1000 or more damage to any one person's property, someone was injured, or there was $200 or more damage to government property, not including vehicles. Providing a report for minor incidents not meeting these criteria is unnecessary and can overload the system with irrelevant information.

Additionally, a common mistake is failing to provide all requested information or leaving sections of the form blank. This oversight can lead to the form being returned for completion, thus delaying the entire process. Essential details include accurate contact information, license numbers, and insurance details for all parties involved.

  1. Not realizing you are "Unit 1" on the form, leading to confusion or incorrect completion of sections meant for the reporting party.
  2. Skipping the signature section where the individual involved in the accident must sign the report, which is a crucial step for the form’s validation.
  3. Omitting details about the other driver(s) or owner(s) involved, which hampers the ability of authorities or insurance companies to fully understand the accident’s scope and determine liability.
  4. Providing an incomplete or unclear narrative in the "Narrative" section, leaving out important details about how the accident occurred.
  5. Attempting to cram information into the provided spaces rather than attaching additional pages, when necessary, can lead to illegible or incomplete reports.
  6. Not adequately utilizing the “Diagram” section to provide a visual account of the accident can also lead to a lack of clarity about the incident’s dynamics.
  7. Failing to accurately list and describe the property damage in the relevant section, excluding vehicle damage, can undervalue the extent of the loss incurred.

It is also crucial to understand the importance of reporting the correct estimate of vehicle and property damage. Underestimating or overestimating these amounts can affect claims processing and outcomes. Furthermore, ensuring the insurance information, including the policyholder's name and the insurance company's exact name, is accurately reported is vital for efficient processing of any claims related to the accident.

Finally, while many focus on the content of the report, the manner in which it's submitted also matters. Properly folding the report so that the address panel shows to the outside, securing its bottom edge without using staples as instructed, is important for the report to reach its intended destination securely and promptly. By avoiding these common mistakes and following the instructions closely, individuals can ensure their report is comprehensive and processed without unnecessary delays.

Documents used along the form

When dealing with the aftermath of a vehicle accident in Wisconsin, especially one that necessitates filling out the Wisconsin Driver Report of Accident, individuals may find themselves needing additional documents to comprehensively address the incident. These documents are invaluable for legal, insurance, and personal record-keeping purposes.

  • Insurance Claim Form: This form is submitted to your insurance company. It provides details about the accident and the extent of damages, helping in the process of claiming insurance for damages incurred.
  • Medical Records Release Form: If injuries were sustained in the accident, this form allows for the release of medical records to insurance companies for the purpose of verifying claims related to personal injury.
  • Vehicle Repair Estimates: These are detailed estimates from auto repair shops that outline the cost of repairing the damages done to a vehicle. Insurance companies often require them for processing claims.
  • Police Report: A formal report filed by the responding officer at the scene of the accident. It includes the officer’s assessment of the accident and is crucial for insurance and legal matters.
  • Witness Statements: Written accounts from individuals who witnessed the accident can be critical in determining fault. These statements can be used in legal proceedings and insurance disputes.
  • Photographic Evidence: Photos taken at the scene of the accident showing the damages, vehicle positions, and any relevant road conditions or signage that may have contributed to the accident.
  • Personal Injury Log: A detailed account of injuries sustained as a result of the accident, including dates of medical appointments, treatments received, and descriptions of pain and suffering. This is particularly important for personal injury cases.
  • Release of Liability Form: A legal document that, once signed, releases one party from future legal claims from another. This might be used when settlements are made out of court, to prevent further claims related to the accident.

In summary, completing the Wisconsin Driver Report of Accident is just the beginning. The collection and organization of related documents - from insurance forms to medical records and beyond - play a critical role in efficiently handling the consequences of an accident. Each document serves its purpose, from legal protection to ensuring fair insurance compensation.

Similar forms

The Wisconsin Driver Report of Accident is quite similar to an Incident Report Form generally used in workplaces for reporting accidents, injuries, or incidents that occur on the job. Both forms are designed to collect detailed information about an event, including the date, time, and location, as well as a narrative description of what happened. The main objective is to have a written record that can be reviewed for the prevention of future incidents, determining the need for medical attention, and possibly assisting in legal matters.

An Auto Insurance Claim Form shares similarities with the Wisconsin Driver Report of Accident, particularly in its purpose to gather detailed information following a vehicle accident. Both documents require information about the drivers involved, insurance details, and a description of the incident and the damage incurred. The primary difference is that an insurance claim form is submitted to an insurance company for the purpose of requesting financial compensation, whereas the driver report is usually submitted to a governmental department for record-keeping and statistical purposes.

A Property Damage Report Form, used by property owners to report damage to their premises, also bears resemblance to the Wisconsin Driver Report of Accident. They both require the person filling out the form to detail the extent and nature of the damage, which could include property and vehicles, and provide personal contact information. Where they differ primarily is in their specific focus—property damage reports focus more on buildings and stationary objects, whereas the driver report is concerned with vehicle-related incidents.

The Wisconsin Driver Report of Accident also aligns with a Police Report, in that both are used to document incidents that require official investigation or record. Police reports can cover a broader range of incidents, including accidents, thefts, and assaults, while the driver report specifically relates to vehicle accidents. Additionally, police reports are typically filed by responding officers, whereas the driver report is completed by individuals involved in the accident.

Lastly, a Personal Injury Report Form, often used in medical or legal settings to document injuries sustained by an individual, shares objectives with the Wisconsin Driver Report of Accident. Both seek detailed descriptions about the incident, including the date, location, and injuries. The injury report focuses closely on the physical injuries and potential long-term effects on the person, while the driver report encompasses a wider range of information, including property damage and insurance details.

Dos and Don'ts

When the unexpected happens and you're involved in a vehicular accident in Wisconsin, you might find yourself needing to fill out a Wisconsin Accident Form. Navigating through this process can be a bit daunting. To ensure you complete the form accurately and efficiently, here's a helpful guide on what you should and shouldn't do:

  • Do ensure that you actually need to fill out this form. If the accident resulted in $1,000 or more damage to any person's property, injury, or $200 or more damage to government property, excluding vehicles, you're required to complete it.
  • Do carefully read the instructions provided. These instructions are there to guide you in filling out the form correctly.
  • Do print clearly in ink. This helps avoid any misunderstandings or misinterpretations of your report.
  • Do use the narrative and diagram sections to accurately describe how the accident occurred. These details are crucial for a thorough understanding of the event.
  • Do attach additional plain paper if more space is needed. Sometimes the space provided on the form is not enough to fully describe the accident.
  • Don't leave any sections incomplete. Incomplete reports might be returned, which could delay the processing time.
  • Don't staple your documents. Instead, follow the mailing instructions which usually request you to tape the bottom edge of the report shut.
  • Don't guess information. If you're unsure about certain details, it's better to seek clarification or leave the information pending until you can verify it.
  • Don't forget to retain a copy for your records before mailing. Having a copy can be very helpful for future reference or if there are any discrepancies or questions about your report.

Completing the Wisconsin Accident Form with accuracy and care is important for all parties involved. It serves as an official record of the event and can be a critical document for insurance claims, legal matters, or personal records. By following these dos and don'ts, you can contribute to a smoother process for everyone involved. Remember, when it comes to reporting an accident, clarity, completeness, and accuracy are key.

Misconceptions

Many people harbor misunderstandings about the Wisconsin Accident Form (MV4002), which can lead to inaccuracies in reporting and potential legal complications. Below are four common misconceptions clarified to ensure proper compliance and understanding.

  • Requirement to Complete the Form: It is a common misconception that this form must be completed for all traffic accidents, no matter the circumstances. However, the requirement is specific: you only need to complete this form if there was $1,000 or more damage to any one person’s property, someone was injured, or there was $200 or more damage to government property, other than vehicles. This guideline helps filter minor incidents from the reporting process.
  • Reporting Minor Accidents: There is a belief that minor accidents without significant damage or injuries do not need to be reported. This misunderstanding can lead to legal issues, especially if the damage to any government property exceeds $200 or if any discrepancies arise later. Reporting is essential when any of the criteria mentioned in the form are met, regardless of the perceived severity at the time of the accident.
  • Necessity of Law Enforcement Report: Another misconception is that if a law enforcement officer arrives on the scene, the involved parties do not need to submit a Wisconsin Driver Report of Accident. In truth, the form expressly states that it should not be completed if a law enforcement officer has completed a Wisconsin Motor Vehicle Accident Report. Trusting in the process that a filed law enforcement report fulfills the official documentation requirement can save duplicative effort.
  • Completeness of Report: Some believe that providing partial information is sufficient, especially during stressful post-accident scenarios where complete details may not be readily accessible. This assumption is incorrect— the form warns that incomplete reports may be returned requesting missing information. It’s essential for individuals to provide as complete a report as possible, including all information on other drivers or owners involved. If assistance is needed to complete the report fully, the instructions suggest contacting insurance agents, local law enforcement, or the Wisconsin Department of Transportation.

Correcting these misconceptions ensures that individuals involved in accidents in Wisconsin report accurately and comply with legal expectations. It's crucial to review the form’s instructions and criteria carefully before and after accidents to ensure all legal obligations are met.

Key takeaways

Understanding how to fill out the Wisconsin Accident form correctly is vital for anyone involved in a vehicle accident in Wisconsin. Here are the key takeaways that will help ensure the process is done accurately:

  • The form should only be completed if law enforcement did not file a report, and the accident meets specific criteria, such as causing $1000 or more in damage to any one person's property, injury to anyone, or $200 or more in damage to government property, excluding vehicles.
  • It's crucial to identify yourself as "Unit 1" on the form, highlighting your role in the incident.
  • All involved parties must provide their information, and the form requires the signature of an individual involved in the accident, emphasizing the need for accountability and accuracy.
  • The form contains sections for a narrative explanation of the accident and a diagram. These areas must be used to explain the incident thoroughly, using additional paper if necessary.
  • Details about the insurance policy in effect at the time of the accident, including the insurance company's name and policy holder's name, are required, underlining the importance of insurance information in the reporting process.
  • Estimates of vehicle damage and descriptions of other property damage must be included, making clear the extent and type of damages incurred.
  • Accurate completion and timely submission of the form are crucial. It should be mailed to the address provided by the Wisconsin Department of Transportation (WisDOT), ensuring it reaches the correct department for processing.
  • The form is available online at the WisDOT website, making it easily accessible for drivers to download, complete, and submit following an accident.

This guide aims to make the process as straightforward as possible, but if there are any uncertainties, contacting the Wisconsin Department of Transportation or a legal adviser is recommended for further assistance.

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