Incident report INCIDENT/ACCIDENT REPORT FORM MT HOOD MEADOWS INCIDENT/ACCIDENT REPORT FORM Date(Required) TIME OF ACCIDENT(Required) Hours : Minutes AM PM AM/PM Locator ButtonINCIDENT LOCATION(Required)TYPE(Required)MVCGUEST ASSISTANCE ISSUESNOW REMOVAL/GROOMINGSNOMO/ATVWEATHER(Required)ROAD CONDITIONS(Required)DESCRIPTION OF INCIDENT(Required)How did the incident occur? WITNESS INFORMATIONFIRST, LAST NAMEPHONE NUMBERVEHICLE OPERATOR #1MHM Vehicle NumberOPERATORS NAME & DRIVERS LICENSE NUMBER(Required)VIN NUMBER(Required)LOCATED DRIVERS SIDE WINDSHEILDLICENSE PLATE NUMBER(Required)PHOTO OF LICENSE(Required)Max. file size: 8 MB. ESTIMATED SPEED?(Required)VEHICLE COLOR, MAKE, MODEL(Required)PHONE NUMBER(Required)ADDRESS(Required)INSURANCE CARDAccepted file types: jpg, jpeg, png, gif.INSURANCE COMPANY(Required)POLICY NUMBER(Required)EYE GLASSES?(Required) YES NO SAFETY BELT ON?(Required) YES NO VEHICLE TOWED?(Required) YES NO SIGNS OF IMPARMENT?(Required) YES NO VEHICLE DRIVABLE?(Required) YES NO TRACTION TIRES OR DEVICES?(Required) YES NO EMPLOYEE?(Required) YES NO DAMAGE TO VEHICLE(Required)Accepted file types: jpg, jpeg, png, gif.AREA OF ACCIDENT(Required)Accepted file types: jpg, jpeg, png, gif.VEHICLE OPERATOR #2OPERATORS NAME & DRIVERS LICENSE NUMBER(Required)PHOTO OF LICENSE(Required)Accepted file types: jpg, jpeg, png, gif.ESTIMATED SPEED?(Required)COLOR, MAKE, MODEL(Required)LICENSE PLATE NUMBER(Required)INSURANCE CARDAccepted file types: jpg, jpeg, png, gif.INSURANCE COMPANY(Required)POLICY NUMBER(Required)PHOTOS OF INCIDENT(Required)Accepted file types: jpg, jpeg, png, gif.PHONE NUMBER(Required)ADDRESS(Required)EYE GLASSES?(Required) YES NO SAFETY BELT ON?(Required) YES NO VEHICLE TOWED?(Required) YES NO SIGNS OF IMPARMENT?(Required) YES NO TRACTION TIRES OR DEVICES?(Required) YES NO VEHICLE PARKED?(Required) YES NO VEHICLE DRIVABLE?(Required) YES NO VEHICLE VISABLE?(Required) YES NO