12-200.v1 Field Definitions
Click on the links below to get to the desired section of the Alaska Collision Report and then click on the fields within the images for definition and usage:

Crash Summary (fields 1 - 40)
Crash Description and Diagram (fields 41 - 43)
Motor Vehicle - Page 1 (fields 44 - 74)
Motor Vehicle - Page 2 (fields 75 - 98)
Person - Page 1 (fields 99 - 133)
Person - Page 2 (fields 134 - 164)
Charges for this Crash (fields 155 - 169)
Witnesses to this Crash (fields 170 - 180)



OFFICER NAME SR # INCIDENT/CASE # OFFICER PERM ID AGENCY REVIEWING OFFICER PERM ID REVIEW DATE LAW ENFORCEMENT USE ONLY CRASH DATE CRASH DAY CRASH TIME UNKNOWN CRASH TIME LATITUDE LONGITUDE PROPERTY LOCATION IN PARKING LOT CRASH CITY/PLACE COUNTY/BOROUGH ON STREET OR HIGHWAY DISTANCE MEASUREMENT DIRECTION FROM INTERSECTION WITH STREET/NEAREST STREET, BRIDGE, ETC. PHOTOS TAKEN NON-VEHICULAR PROPERTY DAMAGE MOST CONTRIBUTING UNIT KNOWN TOTAL WITNESSES TOTAL MOTORIZED UNITS TOTAL NON-MOTORIZED UNITS TOTAL MOTORISTS TOTAL NON MOTORISTS FIRST HARMFUL EVENT - LIVE ANIMAL FIRST HARMFUL EVENT LOCATION OF FIRST HARMFUL EVENT RELATIVE TO TRAFFICWAY MANNER OF COLLISION IMPACT WEATHER LIGHT CONDITION ROAD SURFACE CONDITION CONTRIBUTING CIRCUMSTANCE(S), ENVIRONMENT CONDITION(S) WITHIN INTERCHANGE AREA SPECIFIC LOCATION INTERSECTION TYPE SCHOOL BUS RELATED WORK ZONE LOCATION OF THE CRASH TYPE OF WORK ZONE WORKERS PRESENT LAW ENFORCEMENT PRESENT

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SR # INCIDENT/CASE # CRASH DESCRIPTION CHECK IF SUPPLEMENTAL DIAGRAM CRASH DIAGRAM

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SR # INCIDENT/CASE # MOTOR VEHICLE # MOST CONTRIBUTING UNIT TOTAL NUMBER OF PEOPLE IN VEHICLE MOTOR VEHICLE TYPE DRIVER PRESENCE VIN LICENSE PLATE # REGISTRATION STATE REGISTRATION YEAR COLOR MAKE MODEL MODEL YEAR VEHICLE OWNER NAME MAILING ADDRESS CITY STATE ZIP CONTACT PHONE BODY TYPE SPECIAL FUNCTION EMERGENCY USE POSTED SPEED LIMIT DIRECTION OF TRAVEL TRAFFICWAY DESCRIPTION TOTAL THRU LANES ROADWAY HORIZONTAL ALIGNMENT ROADWAY GRADE TRAFFIC CONTROL DEVICE TYPE TRAFFIC CONTROL DEVICE WORKING OTHER VEHICLE MANEUVER / ACTION PRIOR TO RECOGNITION OF CRITICAL EVENT BUS USE

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SR # INCIDENT/CASE # MOTOR VEHICLE # INITIAL CONTACT POINT ON VEHICLE DAMAGED AREAS UNDERCARRIAGE DAMAGE DAMAGE OVER $501 EXTENT OF DAMAGE VEHICLE REMOVAL TOWED BY HIT AND RUN LIVE ANIMAL MOST HARMFUL EVENT FIRST EVENT SECOND EVENT THIRD EVENT FOURTH EVENT SEQUENCE OF EVENTS HEADLIGHTS ON VEHICLE CONTRIBUTING CIRCUMSTANCE(S) CONTRIBUTING CIRCUMSTANCE(S), ROAD MOTOR CARRIER TYPE IDENTIFICATION # IDENTIFICATION # ISSUING STATE ISSUING AUTHORITY CARRIER NAME SOURCE CARRIER NAME ADDRESS CITY STATE ZIP COUNTRY PHONE GVWR / GCWR CONFIGURATION CARGO BODY TYPE HAZ MAT INVOLVEMENT PLACARD DISPLAYED HM 4-DIGIT # HM CLASS # WAS HAZ MAT RELEASED FROM THIS VEHICLE'S CARGO?

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SR # INCIDENT/CASE # PERSON # MOTOR VEHICLE # MOST CONTRIBUTING UNIT PERSON TYPE FULL NAME SEX MAILING ADDRESS MAILING CITY MAILING STATE MAILING ZIP PHYSICAL ADDRESS PHYSICAL CITY PHYSICAL STATE PHYSICAL ZIP CONTACT PHONE DOB OL / DL # OL/DL STATE APSIN ID INJURY STATUS SOURCE OF TRANSPORT TO FIRST MEDICAL FACILITY EMS VEHICLE AGENCY ID EMS RUN # NAME OF MEDICAL FACILITY CONTRIBUTING ACTION(S)/CIRCUMSTANCE(S) AT TIME OF CRASH SPEEDING SUSPECTED VISUAL OBSTRUCTION MIS USE RESTRAINT SYSTEM/SAFETY EQUIPMENT(S) DISTRACTED BY CONDITION(S) AT TIME OF CRASH ALCOHOL SUSPECTED ALCOHOL TEST STATUS ALCOHOL TEST TYPE READING VALUE ALCOHOL TEST RESULT

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SR # INCIDENT/CASE # PERSON # DRUGS SUSPECTED DRUG TEST STATUS DRUG TEST TYPE DRUG TEST RESULT DRUG(S) DETECTED TOTAL CHARGE(S) CHARGE(S) CDL DL CLASS(ES) NON-CDL STATUS CDL STATUS LICENSE COMPLIANCE WITH CLASS OF VEHICLE DL ENDORSEMENT(S) COMPLIANCE WITH CDL ENDORSEMENT(S) DRIVER LICENSE RESTRICTION(S) COMPLIANCE WITH DRIVER'S LICENSE RESTRICTION(S) INSURANCE COVERAGE INSURANCE COMPANY INSURANCE POLICY # NFR ROW SEAT OTHER LOCATION AIRBAG DEPLOYED EJECTION EJECTION PATH EXTRICATION COLLISION WITH MOTOR VEHICLE # DIRECTION OF TRAVEL ACTION(S)/CIRCUMSTANCE(S) PRIOR TO CRASH GOING TO OR FROM SCHOOL (K-12) TRAFFIC CONTROL DEVIDE TYPE LOCATION AT TIME OF CRASH

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SR # INCIDENT/CASE # PERSON # CITATION NUMBER CHARGE (STATUTE ORDINANCE CITE) CITATION ISSUED CHARGE DESCRIPTION

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SR # INCIDENT/CASE # FULL NAME SEX OL/DL # OL/DL STATE DOB PHYSICAL ADDRESS CITY STATE ZIP CONTACT PHONE APSIN ID #

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