Delayed Crash Reporting

As a matter of you convenience, APD offers online crash reporting. If you have been in a minor fender-bender and all parties exchange information, or during inclement weather where there are several collisions happening at the same time, this is a great way to report your crash without having to wait for an officer to arrive.

Do not use this form if:

Anyone in the crash sustained an injury;
One of the parties involved in the crash left the scene;
Your crash occurred on private property

Please fill out the contact form and we will get back to you. Don’t forget to leave a phone number or an email address!

If this is an emergency, please dial 911 on the nearest phone for emergency assistance!

Date of Crash

YYYY

Time of Crash

Hour

Minute

Second

Location of Crash

Description of the incident

Please be as descriptive as possible.

Vehicle Year

First Name

Last Name

Vehicle Make

First Name

Last Name

Vehicle Model

First Name

Last Name

Vehicle License Plate Number

First Name

Last Name

Vehicle Registration State

Description of Vehicle Damage

Driver 1 Name

You are Driver 1.

First Name

Last Name

Date of Birth

YYYY

Driver 1 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

Male

Female

Other

Phone

(###)

###

####

Occupant 1 Name (if applicable)

Occupant 1 Date of Birth

YYYY

Occupant 2 Name (if applicable)

Occupant 2 Date of Birth

YYYY

Insurance Company

Insurance Company Phone

(###)

###

####

Insurance Policy Number

Other Driver's Information

Please enter all the info you have about the other driver and vehicle involved (if any). Name, phone number, vehicle make & model, insurance information, etc.