Call Us Today! (802) 846-4107
Home Departments Police Department Online Forms Late Reported Crash Form (Online)
Date of Accident: Time of Accident: Location of Crash: Owner/Operator Last Name: Owner/Operator First Name: Owner/Operator Middle Initial: Owner/Operator Address (Street, City, State, Zip): Owner/Operator Date of Birth: Owner/Operator Driver License Number: Owner/Operator License State: Owner/Operator Vehicle Year, Make, and Model: Owner/Operator Vehicle Registration (Plate) Number: Owner/Operator Vehicle Registration State: Owner/Operator Phone Number: Owner/Operator E-mail address: Damage to your vehicle: Approximate Dollar Value of Damage to your vehicle: Other Operator and Vehicle Information (if known): Damage to other vehicle (if known) - include approximate dollar value of damage: Description of events: By checking this box, you confirm that the information you are submitting is true. It is a crime to make false reports to police.