PROD - K2PROD
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You are filling this form in on behalf of a caller
Enter your PD number:
*
PDNumberTextBox
SAPOL Location:
*
Traffic Incident
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Is this a life threatening emergency or is urgent medical help required?*
LifeThreateningList
No items to display
Call Triple Zero (
000
) as this is an emergency
Is the traffic incident happening now?*
HappeningNowList
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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?*
InjuredList
No items to display
Report this incident in person at your
local police station
Was property damaged or video evidence taken during the traffic incident?*
PropertyList
No items to display
These matters cannot be reported using this on-line form
{0}
Did the traffic incident happen within South Australia?*
InSAList
No items to display
Only incidents that occured in South Australia can be recorded on this form
Details of the incident
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Select all Fatal 5 categories that apply:*
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CatGroupChoice
Select the specific offences (You must select at least one offence):*
hidden_checkbox_11
CategoryChoice
Provide an overview of the incident;
Overview:*
OverviewTextArea
Type a maximum of 400 characters
Characters left:
400
{0}
Provide details about the location of the incident;
Address:*
Get current location
Provide date and time of the incident;
Date and time:*
IncidentDateTimeCal
Select a date and time
...
Description of vehicles involved
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Provide details about the vehicle/s involved in the incident.
Registration:
VehicleRegoNumber Text Box
Year:
VehicleYear Text Box
State:
Colour:
VehicleColour Text Box
Vehicle type:
Make/Model:
VehicleMakeModel Text Box
Additional details:
VehicleAdditionalDetailsText
Type a maximum of 400 characters
Characters left:
400
{0}
Add vehicle
Vehicles involved
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Delete
Save
Refresh
Selected Filter:
Configure a new filter
Quick Search:
Apply quick search
Rego
Type
Colour
No items to display
Vehicle Rego Number Text Box1
Vehicle Colour Text Box1
Description of people involved
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Provide details of the people involved.
Type:
Age:
Gender:
Height:
Hair colour:
Body shape:
Additional details:
People Other Text Area
Type additional details
Characters left:
400
{0}
Add person
List of people involved
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Delete
Selected Filter:
Configure a new filter
Quick Search:
Apply quick search
People Type
Gender
Age
No items to display
Gender Text Box
Age Text Box
Your details
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Provide your person details if you wish to do so.
First name:
ReporterFirstName Text Box
Surname:
ReporterSurname Text Box
Street number:
ReporterStreetNumber Text Box
Street name:
ReporterStreetName Text Box
Suburb:
ReporterSuburb Text Box
State:
Phone:
ReporterPhone Text Box
Email:
Your details email
Privacy statement
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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