Blank Texas Blue PDF Template
Form Example
Form
PLEASE READ INSTRUCTIONS CAREFULLY
(Actual form begins on
following page.)
Instructions for
DRIVER’S CRASH REPORT
When completed, mail this form to: |
NOTE: If you are filling out this form |
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Texas Department of Transportation |
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electronically, you may delete this |
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Crash Records |
entire instruction page (including the |
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PO BOX 149349 |
page break at the bottom) before |
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AUSTIN TX 78714 |
printing or submitting the form. |
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Questions? Call: |
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The driver of a motor vehicle involved in a crash not investigated by a law enforcement officer and resulting in injury to or death of any person, or damage to the property of any one person, including himself, to any apparent extent of at least one thousand dollars ($1,000), must within 10 days after such crash complete and forward this report in accordance with the instructions below.
Who Should Complete a CR_2? The CR_2 must be completed and signed by the driver of the vehicle involved in the crash. If the driver is unable to complete the report, another person may submit the report on behalf of the driver, with an explanation as to why the driver was unable to complete the form.
Section of Form |
Instructions |
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LOCATION |
Complete all data fields to the best of your knowledge; however, fields marked with an |
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asterisk (*) are required data fields and should include sufficient information for TxDOT to |
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process the report. This information is an important element in locating reports and |
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maintaining an accurate filing system. *County or City in the LOCATION portion is |
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required; if this information is not provided, the report will be returned to you. |
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DATE |
*Date of Crash is a required data field and must include the specific month, day, and year |
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the crash occurred. Please provide the time of the crash if known. Only provide one date; if |
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the exact date is unknown, provide the date that the damage was discovered. If the date of |
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the crash is not provided, the report will be returned to you. |
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VEHICLES |
In the portion titled #1 Your Vehicle, the name of the *Driver involved in the crash is a |
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required data field. All remaining information should be completed to the best of your |
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knowledge. In the portion titled #2 Other Vehicle, please specify if the crash involved |
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another motor vehicle, a train, a pedestrian, etc. and provide the name of the other involved |
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party on the line labeled Driver. Please complete the remaining information to the best of |
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your knowledge. |
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DAMAGE TO |
If the crash involved damage to property other than vehicles, please provide all available |
PROPERTY |
information (description of property, location, owner, etc.). |
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INJURIES |
In the portion titled #1 Injured Person, select the position of the occupant in your vehicle |
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that was injured as a result of the crash and complete all data fields on that person. In the |
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portion titled #2 Injured Person, select the position of the other person involved in the crash |
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that was injured and complete all data fields to the best of your knowledge. If known, please |
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indicate if the injured person wore a seatbelt. |
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DRIVER'S |
State Briefly What Happened. In this section please provide a narrative description of the |
STATEMENT |
facts regarding this crash. If space is insufficient, attach a full size sheet of paper for |
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continuation. Please do not send photographs! Photographs cannot be returned. |
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SIGNATURE |
Please review the report to insure accuracy and completeness, as this will expedite the |
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processing of the report and avoid having the report returned for insufficient information. |
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Once you are satisfied with the completeness of the report, sign in black or blue ink and mail |
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to the address at the top of this instruction page. |
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(Please read instructions on reverse side) |
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DRIVER’S CRASH REPORT |
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Form |
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* Indicates Required Field |
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Place Where |
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* County: |
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* City or Town: |
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Crash Occurred |
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If crash was outside city limits, |
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miles |
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of |
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indicate distance from nearest town |
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LOCATION |
Complete one: |
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North |
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City or Town |
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Speed |
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Road on which |
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Constr. |
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Yes |
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crash occurred |
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Block Number |
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Street or Road Name |
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Route Number |
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• Intersecting street |
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Constr. |
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Yes |
Speed |
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Zone |
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Block Number |
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Street or Road Name |
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Route Number |
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• Not at intersection |
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Feet |
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North |
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Show nearest intersecting numbered highway. If urban, show nearest intersecting street. |
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DATE
VEHICLES
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a.m. |
If exactly noon or |
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* Date of Crash |
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Day of Week |
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Hour |
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p.m. |
midnight, so state. |
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#1 — Your Vehicle |
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Vehicle Ident. No. |
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Year |
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Make/ |
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Type of |
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License |
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Model |
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Model |
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Vehicle |
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Plate |
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Chevy, Ford, etc. |
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Sedan, Truck, Van, etc. |
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Year |
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State |
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Number |
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* Driver |
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Last |
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First |
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M.I. |
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Mail Address |
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City & State |
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Driver’s |
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License |
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Date of Birth |
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Sex |
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Race |
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Approx. cost to repair |
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State |
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Number |
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your vehicle |
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Owner |
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Insurance |
Last |
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M.I. |
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Mail Address |
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City & State |
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Insurance Company Name (not the agent) |
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#2 — Other Vehicle |
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(Complete information you have available — if unknown, mark "Not Known") |
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Year |
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Make/ |
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Type of |
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License |
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Vehicle |
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Plate |
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Chevy, Ford, etc. |
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Sedan, Truck, Van, etc. |
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Driver |
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First |
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M.I. |
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Mail Address |
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City & State |
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Owner
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additional |
Insurance |
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vehicles |
Information |
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Insurance Company Name (not the agent) |
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Damage to Property |
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Approx. cost to repair |
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other than vehicles |
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Name object, show ownership, and state nature of damage. |
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#1 Injured Person |
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Driver |
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Other |
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Name |
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Address |
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Was Person Killed? |
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INJURIES |
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Seat Belt |
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Describe Injury |
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Used |
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#2 Injured Person |
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Driver |
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Other |
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Name |
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Address |
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Was Person Killed? |
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Date of Death |
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Describe Injury |
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Used |
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State Briefly What Happened. |
Please do not send photographs. |
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(If space is insufficient, continue on another page.) |
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* Driver’s Signature
(Please use blue or black ink only.) |
Date of Report |
More PDF Templates
Petition to Modify the Parent-child Relationship - The petition also highlights the importance of adhering to legal protocols in family law matters.
Marion County Justice Court - The participating member's signature certifies the provided information.
Common mistakes
-
Missing Required Fields: Failing to complete fields marked with an asterisk (*) can lead to the report being returned. Ensure all required information is filled out accurately.
-
Incorrect Date Format: The date of the crash must include the specific month, day, and year. Providing an ambiguous date or omitting it entirely will result in processing delays.
-
Insufficient Narrative: The section for describing what happened in the crash should be clear and concise. A vague or incomplete statement may not provide the necessary context for the report.
-
Neglecting to Sign: Forgetting to sign the report in black or blue ink can halt the submission process. Always review the report for accuracy and completeness before signing.
Key takeaways
When filling out the Texas Blue form (Form CR-2), it is essential to adhere to specific guidelines to ensure accurate reporting. Here are key takeaways to consider:
- Timeliness is Crucial: The form must be submitted within 10 days of the crash if there was injury, death, or property damage exceeding $1,000.
- Who Should Complete the Form: The driver involved in the crash is responsible for filling out the form. If unable, another person may do so with an explanation.
- Required Fields: Pay attention to fields marked with an asterisk (*). These are mandatory and must be completed accurately to avoid delays.
- Location Details: Include the county or city where the crash occurred. Omitting this information will result in the report being returned.
- Date of the Crash: The specific date must be provided. If the exact date is unknown, use the date damage was discovered.
- Vehicle Information: Complete details for both your vehicle and any other vehicles involved, including the driver's name and vehicle identification number.
- Property Damage: If there was damage to property other than vehicles, describe the property and provide ownership details.
- Injury Reporting: Clearly indicate the position of any injured parties in your vehicle and provide detailed information about their injuries.
- Narrative Statement: Offer a brief description of what happened during the crash. If more space is needed, attach additional pages.
- Final Review: Before mailing the form, review it for accuracy. A complete and correct report will expedite processing.
Following these guidelines will help ensure that the Texas Blue form is filled out correctly, minimizing the risk of delays in processing your report.
Steps to Using Texas Blue
Completing the Texas Blue form, formally known as Form CR-2, is a crucial step for drivers involved in a crash that meets certain criteria. After filling out the form, it must be submitted to the Texas Department of Transportation within ten days of the incident. This process ensures that the necessary information is documented and can be reviewed by the appropriate authorities.
- Begin by gathering all necessary information regarding the crash, including the date, location, and details about the vehicles and individuals involved.
- In the LOCATION section, fill in the county or city where the crash occurred. This field is mandatory, so ensure it is completed accurately.
- Provide the DATE of the crash, including the specific month, day, and year. If known, include the time of the crash as well.
- In the VEHICLES section, complete the details for your vehicle. This includes the driver’s name, vehicle identification number, make, model, and license plate information.
- If another vehicle was involved, fill out the information for the Other Vehicle section, specifying whether it was another motor vehicle, a train, or a pedestrian.
- For any DAMAGE TO PROPERTY other than vehicles, provide a description of the property, its location, and the owner’s information.
- In the INJURIES section, detail any injured persons. Indicate their position in the vehicle, their name, age, and whether they were using a seatbelt at the time of the crash.
- In the DRIVER'S STATEMENT section, provide a narrative description of the events leading up to and during the crash. If necessary, attach additional pages for more detail.
- Review the entire form for accuracy and completeness. Ensure all required fields are filled out to avoid delays.
- Finally, sign the form in black or blue ink and mail it to the address provided at the top of the instruction page.