Laserfiche WebLink
Agency Case No.classified as reportable.or exceeds $1,500 arevehicle damage equalsCrashes in which the(check up to 4)DAMAGE ESTIMATE96 TRACS KEY NO.(up to 5 choices)99 - Unknown06 - <br /> Automation Level Unknown05 - Full Automation04 - High Automation03 - Conditional Automation02 - Partial Automation01 - Driver Assistance00 - No Automation(up to 5 choices)99 - Unknown06 <br /> - Automation Level Unknown05 - Full Automation04 - High Automation03 - Conditional Automation02 - Partial Automation01 - Driver Assistance00 - No AutomationINITIAL CONTACT POINTDAMAGED <br /> AREA(S)Investigator’s Motor Vehicle Crash Report - Vehicle ofSheet Automation System Levels in VehicleEngaged at Time of CrashAutomation System LevelsL VEHICLE NO.01 MOTOR VEHICLE UNIT <br /> TYPE01 - Motor Vehicle in Transport 02 - Parked Motor Vehicle 03 - Working Vehicle/EquipmentNOYESDRIVER PRESENT?2 OWENS, RICHARD, G VEHICLE OWNER NAME (Last, First, <br /> Middle)(308) 940-0395 CONTACT PHONE 801 14TH ST MAILING ADDRESS CENTRAL CITY CITY NE STATE 68826 ZIP 46467DNE STATE 2023 REG. YEAR FORD MAKE F150 MODEL 2018 MODEL YEAR WHI COLORLICENSE <br /> PLATE TYPE 1FTEW1E54JFB85330 VIN 01 INSURANCE COVERAGE01 - Yes 02 - No 99 - Unk.STATE FARM0111657272 INSURANCE POLICY NO.13 MOTOR VEHICLE TYPE CATEGORY99 - Unknown98 - Other32 <br /> - Farm Equipment (tractor, combine harvester, etc.)31 - Construction Equipment (backhoe, bulldozer, etc.)29 - Motor Home (greater than 10,000 lbs GVWR)**28 - Motor Home (10,000 lbs <br /> or less GVWR)27 - Other Bus Type**26 - Transit Bus**24 - Mini-bus**22 - Cargo Van (greater than 10,000 lbs GVWR)**21 - Cargo Van (10,000 lbs or less)20 - 15-Passenger Van**19 - 9 or <br /> 12-Passenger Van**17 - Truck Tractor**16 - Single-Unit Truck**15 - Medium/Heavy Truck (greater than 10,000 lbs GVWR)**14 - Pickup (greater than 10,000 lbs)**13 - Pickup (10,000 lbs <br /> or less)12 - (Sport) Utility Vehicle11 - Passenger Van (less than 9 seats)10 - Passenger Car09 - Autocycle08 - Motorcycle - 3 Wheel07 - Motorcycle - 2 Wheel06 - Moped or motorized bicycle05 <br /> - Snowmobile04 - Recreational Off-Highway Vehicles (ROV)03 - Low Speed Vehicle02 - Golf Cart01 - All-Terrain Vehicle / Cycle (ATV/ATC)Body Type 00 SPECIAL FUNCTION OF MOTOR VEHICLE <br /> IN TRANSPORT99 - Unknown98 - Other23 - Vehicle Used for Electronic Ride-hailing (Uber, Lyft, etc.)22 - Truck Acting as Crash Attenuator21 - Towing – Incident Response20 - Taxi19 - Safety <br /> Service Patrols – Incident Response18 - Rental Truck (Over 10,000 lbs)17 - Public Utility16 - Police15 - Other Incident Response14 - Non-Transport Emergency Services Vehicle13 - Military11 <br /> - Highway/Maintenance10 - Fire Truck08 - Bus – Other07 - Bus – Transit/Commuter06 - Bus – Shuttle05 - Bus – School (Public or Private)04 - Bus – Intercity03 - Bus – Childcare/Daycare02 <br /> - Bus – Charter/Tour01 - Ambulance00 - No Special Function 97 EMERGENCY MOTOR VEHICLE USE99 - Unknown97 - Not Applicable04 - Non-Emergency, Transport03 - Non-Emergency, Non-Transport <br /> Warning Equipment Not in Use02 - Emergency Operation, Emergency Warning Equipment in Use01 - Emergency Operation, Emergency 02 AUTOMATED DRIVING SYSTEM(S)MOTOR VEHICLEAutomation <br /> System(s) in Vehicle?99 - Unknown02 - No01 - Yes 0002 HIT AND RUN?99 - Unknown02 - No - Did Not Leave Scene01 - Yes - Driver or Car/Driver Left Scene 0001 VEHICLE MANEUVER / ACTION09 <br /> - Passing/Overtaking a Vehicle08 - Parked07 - Negotiating a Curve06 - Making a U-Turn05 - Leaving Traffic Lane04 - Entering Traffic Lane03 - Changing Lanes02 - Backing01 - Movement <br /> Essentially Straight Ahead99 - Unknown98 - Other13 - Turning Right11 - Stopped in Traffic10 - Slowing 02 hazardous materials (HM) placard?Did this motor vehicle display a02 - No <br /> 99 - Unknown01 - Yes** 97 - Not Applicable**Heavy Truck/Bus form must be completed 00 VEHICLE CONTRIBUTING CIRCUMSTANCE(S)99 - Unknown98 - Other13 - Wipers12 <br /> - Windows/Windshield11 - Wheels10 - Truck Coupling/Trailer Hitch/Safety Chains09 - Tires08 - Suspension07 - Steering06 - Power Train05 - Mirrors04 - Lights (head, signal, tail)03 - <br /> Exhaust System02 - Brakes01 - Body, Doors00 - None 97 Number of trailing units97 - Not Applicable (vehicle with no trailing units)00 - No Damage99 - Unknown16 - Vehicle Not at Scene15 <br /> - All Areas14 - Undercarriage13 - TopTotaled$ 20001 04 - Vehicle Not at Scene03 - Disabling Damage02 - Functional Damage00 - No Damage 06 99 - Unknown16 - Vehicle Not at Scene15 - Cargo <br /> Loss14 - Undercarriage13 - Top00 - Non-Collision 01 TOWED DUE TO DISABLING DAMAGE03 - Towed Not Due to Disabling Damage02 - Towed Due to Disabling Damage01 - Not Towed L23112651 <br /> <br />