New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 200 - PROCEDURAL AND HEARINGS RULES
Part Saf-C 208 - ACCIDENT REPORTS, HEARINGS
Section Saf-C 208.02 - Operator's Report of Accident
Universal Citation: NH Admin Rules Saf-C 208.02
Current through Register No. 40, October 3, 2024
(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.
#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
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