W. Va. Code R. agency 141, tit. 141, ser. 141-65, app A

Current through Register Vol. XLI, No. 50, December 13, 2024

Appendix A

UNIT:

UNIT TELEPHONE NUMBER: UNIT POINT OF CONTACT: DATE/TIME OF ACCIDENT: TYPE OF ACCIDENT:

VEHICLE(S) INVOLVED:

LOCATION OF ACCIDENT:

NUMBER OF ARNG PERSONNEL INVOLVED: ARE CIVILIANS INVOLVED? NUMBER OF FATALITIES: NAMES OF FATALITIES:

NUMBER OF INJURED: NAMES OF INJURED:

SYNOPSIS OF ACCIDENT:

NEAREST AIRPORT WITH 4000 FOOT RUNWAY: NEAREST AIRPORT SERVED BY COMMERCIAL AIRLINES:

W. Va. Code R. agency 141, tit. 141, ser. 141-65, app A