N.H. Admin. Code § Saf-C 208.02

Current through Register No. 50, December 12, 2024

Section Saf-C 208.02 - Operator's Report of Accident

(a) A person required by RSA 264:25 to report an accident shall submit form DSMV 400 to the division.

(b) A person required by RSA 264:25 to report an accident shall submit the following on form DSMV 400:

(1) A statement as to the day, date and time of accident;

(2) A description of the location of accident, including:

a. Route number or street name;

b. Nearest intersecting route number or street name; and

c. City or town, and county;

(3) The number of vehicles involved;

(4) A statement as to whether police investigated at scene;

(5) A statement as to identification of drivers, including:

a. Their names;

b. Their addresses;

c. Their telephone numbers;

d. Their license numbers, states where issued, and classifications;

e. Their dates of birth; and

f. Their sex;

(6) A statement as to the identification of the owner of the vehicle driven by each driver, including:

a. Their name;

b. Their addresses; and

c. Their telephone numbers;

(7) A statement as to the identification and description of the vehicle of each owner, including:

a. Its year of manufacture;

b. Its make;

c. Its plate number and state where issued;

d. Its trailer plate number and state where issued, if applicable;

e. Its vehicle identification number;

f. A description of the extent of the damage and estimated cost of repair; and

g. An indication as to whether the vehicle is a commercial motor vehicle;

(8) A diagram of the accident;

(9) A narrative description of accident;

(10) Description of occupants and witnesses, including:

a. Their names;

b. Their addresses and phone numbers;

c. Their ages;

d. Their sex;

e. An indication as to whether safety equipment was used;

f. A statement as to the type and location of injury;

g. An indication as to whether the individual was a vehicle occupant, bicyclist, or pedestrian;

h. A statement as to the injured person's position in or on vehicle, motorcycle, bicycle, or snowmobile;

i. A statement as to whether helmet was worn; and

j. A statement as to whether the injured person was thrown from vehicle;

(11) The following regarding the operator's insurance:

a. The name of the company;

b. The insured's agent;

c. The insured's agent's address;

d. The policy number; and

e. The effective date of the policy;

(12) A description of property, other than vehicle, damage;

(13) A statement as to the details of the accident, including:

a. The type of accident, such as:

1. Collision; or

2. Noncollision;

b. A description of any object struck;

c. The accident's location;

d. A description of any traffic controls;

e. A description of the road design;

f. A statement as to the road surface condition;

g. A description of the weather at the time of the accident;

h. A description of the types of vehicles involved in the accident;

i. A statement as to the directions in which the vehicles were traveling; and

j. A statement as to the pre-accident action of vehicles, bicyclists, or pedestrians; and

(14) The signature of the operator and the date of the report.

N.H. Admin. Code § Saf-C 208.02

#2250, eff 12-31-82; ss by #2946-a, eff 1-3-85; ss by #4451, eff 6-24-88; ss by #4844, eff 6-20-90; ss by #6249, INTERIM, eff 6-16-96, EXPIRES: 10-14-96; ss and moved by #6337, eff 9-25-96 (from Saf-C 207.02 ); ss by #8174, INTERIM, eff 9-25-04, EXPIRES: 3-24-05; ss by #8230-B, eff 12-17-04

Amended by Volume XXXIII Number 37, Filed September 12, 2013, Proposed by #10395-B, Effective 8/15/2013, Expires 8/15/2023.