PROD - K2PROD
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You are filling this form in on behalf of a caller
Enter your PD number:
*
SAPOL Location:
*
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...
Traffic Incident
Is this a life threatening emergency or is urgent medical help required?*
Yes
No
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Call Triple Zero (
000
) as this is an emergency
Is the traffic incident happening now?*
Yes
No
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Call
131444
for police attendance
Was anyone injured, threatened or are you prepared to make a detailed statement about the traffic incident?*
Yes
No
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Report this incident in person at your
local police station
Was property damaged or video evidence taken during the traffic incident?*
Yes
No
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These matters cannot be reported using this on-line form
If property damage is caused from a vehicle collision
find out what to do here
.
If other property was damaged or you have video evidence report this incident in person at your
local police station
Did the traffic incident happen within South Australia?*
Yes
No
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Only incidents that occured in South Australia can be recorded on this form
Details of the incident
Select all Fatal 5 categories that apply:*
Select the specific offences (You must select at least one offence):*
Provide an overview of the incident;
Overview:*
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Provide details about the location of the incident;
Address:*
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Provide date and time of the incident;
Date and time:*
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Description of vehicles involved
Provide details about the vehicle/s involved in the incident.
Registration:
Year:
State:
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Colour:
Vehicle type:
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Make/Model:
Additional details:
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{0}
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Description of people involved
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Type:
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Age:
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Gender:
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Height:
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Hair colour:
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Additional details:
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Your details
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First name:
Surname:
Street number:
Street name:
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Phone:
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This site aligns to the Government of South Australia Information Privacy Principals where personal information is collected, stored or passed through. Please refer to the {0} on the SAPOL website for specific details.
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