Fill Out Your Texas Blue Form
The Texas Blue form, officially known as Form CR-2, serves as a critical tool for drivers who find themselves involved in motor vehicle crashes that are not investigated by law enforcement. It addresses situations where injuries, fatalities, or property damage exceeding $1,000 occurs as a result of an accident. The completion of this form is mandatory within 10 days of the crash, ensuring timely reporting to the Texas Department of Transportation. It is designed to capture essential information about the incident, including details about the vehicles involved, the location of the crash, and the specifics of any injuries sustained. Using this form, the drivers provide a narrative description of the events leading up to the accident, enhancing the understanding of what transpired. The Texas Blue form mandates accuracy; a driver's signature is required to confirm that the information provided is correct. This report not only helps in maintaining accurate records for the state’s crash analysis but also serves as an important document for insurance claims and further investigations. Properly navigating this reporting process can significantly ease the path to resolution for all parties involved.
Texas Blue 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 |
|
Texas Department of Transportation |
||
electronically, you may delete this |
||
|
||
Crash Records |
entire instruction page (including the |
|
PO BOX 149349 |
page break at the bottom) before |
|
AUSTIN TX 78714 |
printing or submitting the form. |
|
Questions? Call: |
|
|
|
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 |
|
|
LOCATION |
Complete all data fields to the best of your knowledge; however, fields marked with an |
|
asterisk (*) are required data fields and should include sufficient information for TxDOT to |
|
process the report. This information is an important element in locating reports and |
|
maintaining an accurate filing system. *County or City in the LOCATION portion is |
|
required; if this information is not provided, the report will be returned to you. |
|
|
DATE |
*Date of Crash is a required data field and must include the specific month, day, and year |
|
the crash occurred. Please provide the time of the crash if known. Only provide one date; if |
|
the exact date is unknown, provide the date that the damage was discovered. If the date of |
|
the crash is not provided, the report will be returned to you. |
|
|
VEHICLES |
In the portion titled #1 Your Vehicle, the name of the *Driver involved in the crash is a |
|
required data field. All remaining information should be completed to the best of your |
|
knowledge. In the portion titled #2 Other Vehicle, please specify if the crash involved |
|
another motor vehicle, a train, a pedestrian, etc. and provide the name of the other involved |
|
party on the line labeled Driver. Please complete the remaining information to the best of |
|
your knowledge. |
|
|
DAMAGE TO |
If the crash involved damage to property other than vehicles, please provide all available |
PROPERTY |
information (description of property, location, owner, etc.). |
|
|
INJURIES |
In the portion titled #1 Injured Person, select the position of the occupant in your vehicle |
|
that was injured as a result of the crash and complete all data fields on that person. In the |
|
portion titled #2 Injured Person, select the position of the other person involved in the crash |
|
that was injured and complete all data fields to the best of your knowledge. If known, please |
|
indicate if the injured person wore a seatbelt. |
|
|
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 |
|
continuation. Please do not send photographs! Photographs cannot be returned. |
|
|
SIGNATURE |
Please review the report to insure accuracy and completeness, as this will expedite the |
|
processing of the report and avoid having the report returned for insufficient information. |
|
Once you are satisfied with the completeness of the report, sign in black or blue ink and mail |
|
to the address at the top of this instruction page. |
|
|
|
|
|
|
|
|
|
|
|
|
|
(Please read instructions on reverse side) |
|
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
DRIVER’S CRASH REPORT |
|
|
|
|
|
||||||||||||||||||
Form |
|
|
|
|
|
|
|
|
|
* Indicates Required Field |
|
|
|
|
|
||||||||||||||||||
Page 1 of 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Questions? Call: |
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Place Where |
|
* County: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* City or Town: |
|
|
|
|
|
|
|||||
|
Crash Occurred |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
If crash was outside city limits, |
|
|
|
|
|
miles |
|
|
|
|
|
|
|
|
of |
|
|
|
|
|
|
|||||||||||
|
indicate distance from nearest town |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
LOCATION |
Complete one: |
|
|
|
|
|
|
|
|
|
North |
S |
E |
|
W |
|
|
|
|
City or Town |
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Speed |
|||||
|
Road on which |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Constr. |
|
Yes |
||||
|
crash occurred |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Zone |
|
No |
Limit |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
Block Number |
|
|
|
|
Street or Road Name |
|
|
|
|
|
|
Route Number |
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
|
• Intersecting street |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Constr. |
|
Yes |
Speed |
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Zone |
|
No |
Limit |
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
Block Number |
|
|
|
|
Street or Road Name |
|
|
|
|
|
|
Route Number |
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
|
• Not at intersection |
|
|
|
|
|
|
|
|
Feet |
|
|
|
|
|
|
|
of |
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
North |
S |
E |
|
W |
|
|
Show nearest intersecting numbered highway. If urban, show nearest intersecting street. |
||||||||||||||
DATE
VEHICLES
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
a.m. |
If exactly noon or |
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
* Date of Crash |
|
|
|
|
|
|
|
|
|
|
|
|
|
Day of Week |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Hour |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
p.m. |
midnight, so state. |
|
|||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||
#1 — Your Vehicle |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vehicle Ident. No. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Year |
|
|
Make/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Type of |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
License |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||
Model |
|
|
|
Model |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vehicle |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Chevy, Ford, etc. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sedan, Truck, Van, etc. |
|
|
|
|
|
|
|
Year |
|
|
State |
|
|
|
|
|
|
Number |
|
||||||||||||||||||||||||||||||
* Driver |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
Last |
|
|
|
|
|
|
|
|
|
First |
|
|
|
|
|
|
|
|
|
|
M.I. |
|
|
|
Mail Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City & State |
|
|
|
Zip |
|
||||||||||||||||||||||||||
Driver’s |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
License |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Date of Birth |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sex |
|
|
|
Race |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Approx. cost to repair |
|
||||||||||||||||||||||||||
|
|
|
|
|
State |
|
|
Number |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
your vehicle |
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Owner |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance |
Last |
|
|
|
|
|
|
|
|
First |
|
|
|
|
|
|
|
|
M.I. |
|
Mail Address |
|
|
City & State |
|
|
|
|
Zip |
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Information |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
Insurance Company Name (not the agent) |
|
Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City |
|
|
State |
|
|
|
|
|
Zip |
|
|
|
|
|
|
|
|
|
|
Policy Number |
|
|||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
#2 — Other Vehicle |
|
|
|
|
|
|
|
Motor Vehicle |
|
Train |
|
|
|
|
Pedestrian |
|
Bicyclist |
|
Other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Complete information you have available — if unknown, mark "Not Known") |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||
Year |
|
|
Make/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Type of |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
License |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||
Model |
|
|
Model |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vehicle |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Chevy, Ford, etc. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sedan, Truck, Van, etc. |
|
|
|
|
|
|
|
|
Year |
|
|
State |
|
|
|
|
|
|
Number |
|
|||||||||||||||||||||||||||||
Driver |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
Last |
|
|
|
|
|
|
|
|
|
First |
|
|
|
|
|
|
|
|
|
|
M.I. |
|
|
|
Mail Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City & State |
|
|
|
Zip |
|
||||||||||||||||||||||||||
Owner
For |
|
|
|
|
|
|
|
|
|
Last |
|
|
|
|
|
|
|
First |
|
|
|
|
|
M.I. |
|
|
Mail Address |
|
|
|
|
|
|
|
|
City & State |
|
|
|
Zip |
|
|||||||||||||||||
additional |
Insurance |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
vehicles |
Information |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
use |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
another |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Insurance Company Name (not the agent) |
|
|
Address |
City |
|
State |
Zip |
|
|
|
|
|
Policy Number |
||||||||||||||||||||||||||||||||||||||||
form. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Damage to Property |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Approx. cost to repair |
||||||||||||||||
other than vehicles |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
Name object, show ownership, and state nature of damage. |
|
|
|
|
|
|
|
|
$ |
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
#1 Injured Person |
|
Driver |
|
|
|
Passenger |
|
Pedestrian |
|
Other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||||
|
Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||
|
Age |
|
Sex |
|
|
Race |
|
|
|
|
|
Was Person Killed? |
|
|
|
Date of Death |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||
INJURIES |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Seat Belt |
||||||
Describe Injury |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Used |
|
|
Not Used |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
#2 Injured Person |
|
Driver |
|
|
|
Passenger |
|
Pedestrian |
|
Other |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||
|
Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||
|
Age |
|
Sex |
|
|
Race |
|
|
|
|
|
Was Person Killed? |
|
|
|
Date of Death |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Seat Belt |
||||||
|
Describe Injury |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Used |
|
|
Not Used |
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State Briefly What Happened. |
Please do not send photographs. |
|
(If space is insufficient, continue on another page.) |
||
|
* Driver’s Signature
(Please use blue or black ink only.) |
Date of Report |
Form Characteristics
| Fact Name | Description |
|---|---|
| Governing Law | The Texas Blue Form is governed by Section 550.063 of the Texas Transportation Code. |
| Purpose | The form is used to report crashes not investigated by law enforcement, resulting in injury or property damage. |
| Submission Timeline | Drivers must complete and submit the form within 10 days of the crash. |
| Required Fields | Certain fields, marked with an asterisk (*), are required for submission, such as date, location, and driver information. |
| Driver Responsibility | The driver involved in the crash is responsible for completing and signing the form. |
| Alternative Submission | If the driver cannot complete the form, another individual may submit it, provided they explain the driver's absence. |
| Contact Information | Questions regarding the form can be directed to the Texas Department of Transportation at 844-274-7457. |
Guidelines on Utilizing Texas Blue
Completing the Texas Blue Form is an important step for reporting a motor vehicle crash. After filling out the form, you will need to send it to the Texas Department of Transportation within ten days from the date of the crash. Ensure all required fields are completed accurately to avoid delays.
- Locate the Form: Obtain the Texas Blue Form CR-2.
- Fill Out Location Information: Complete the fields for County and City where the crash occurred. Be sure to include all required data.
- Provide the Date: Enter the exact date of the crash, including the month, day, and year. If you don't know the exact date, indicate when you discovered the damage.
- Enter Vehicle Details: In the section for Your Vehicle, fill in the driver's name, vehicle identification number, year, make, model, and other pertinent information. If another vehicle was involved, complete the details about that vehicle in the Other Vehicle section.
- Detail Damage to Property: If there was damage to property other than vehicles, provide a description, location, and ownership information.
- List Injuries: Indicate injured persons in the accident, including their position in the vehicle and other relevant information. Note whether they were wearing a seatbelt.
- Describe What Happened: Write a brief narrative of the crash. If more space is necessary, attach an additional sheet of paper.
- Sign the Document: Review the completed form for accuracy. Sign the form in black or blue ink.
- Send the Form: Mail the completed form to the Texas Department of Transportation at the address provided on the instruction page.
What You Should Know About This Form
What is the Texas Blue form?
The Texas Blue form, also known as Form CR-2, is a Driver’s Crash Report used in the state of Texas. It is required for drivers involved in a crash that wasn't investigated by law enforcement and resulted in injury or damage. Specifically, if damages exceed $1,000, the driver must complete and submit this report to the Texas Department of Transportation (TxDOT) within ten days of the incident.
Who is required to complete the Texas Blue form?
The form must be completed by the driver of the vehicle involved in the crash. In cases where the driver is unable to complete the form—due to injury or other valid reasons—another individual may submit the report on their behalf. This alternate submitter must include a brief explanation regarding the driver's inability to complete the report.
What information is essential to include on the Texas Blue form?
Several critical pieces of information must be provided on the form. Required fields include the county or city where the crash occurred, the date of the crash, and specific details about the drivers and vehicles involved. If injuries are reported, details about the injured parties should also be captured. Sections pertaining to damage to property and a narrative description of what happened during the crash are crucial for TxDOT's processing needs. Missing or incomplete information can lead to the report being returned.
Where should the completed Texas Blue form be sent?
Once the form is filled out and reviewed for accuracy, it should be mailed to the Texas Department of Transportation. The address to send the completed form is as follows: PO BOX 149349, Austin, TX 78714. For any questions or clarifications while filling out the form, individuals can contact the TxDOT hotline at 844-274-7457.
Common mistakes
Filling out the Texas Blue form correctly is crucial for accurately reporting vehicle crashes. Despite an intention to provide complete and accurate information, individuals often make mistakes that can lead to delays or complications in processing the report. Understanding these pitfalls can significantly enhance the accuracy of the report.
One common mistake is neglecting to complete all required fields, particularly those marked with an asterisk (*). For example, the county or city where the crash occurred is mandatory. If this information is omitted, the form will be returned, causing unnecessary delays. Ensuring that all required fields are filled out completely is essential for smooth processing.
Another frequent error involves the date of the crash. The report requires the specific date, including the month, day, and year. People sometimes mistakenly provide just a year or an approximate date, which can lead to a return of the report. If the exact date is unknown, it is advisable to record the date of damage discovery instead.
Moving to vehicle information, many people forget to include details for both their vehicle and any other vehicles involved in the crash. While details about one’s own vehicle are usually provided, information regarding the other vehicle may be incomplete or inaccurately represented. This oversight can result in missing contact information for the parties involved.
Inaccuracies can also arise in the section addressing detailed descriptions of injuries. When reporting injuries, individuals sometimes fail to select the appropriate position of the injured person, such as driver or passenger, or neglect to provide essential details such as whether a seatbelt was used. Such omissions can hinder the invoice of precise medical documentation later.
Additionally, many people overlook the need for a clear, concise narrative in the driver’s statement section. A vague description of events may lead to misunderstandings and misinterpretations regarding the circumstances of the crash. A well-articulated account of what transpired is key to ensuring the intent of the report is communicated accurately.
Moreover, the signature field deserves special attention. Some individuals forget to sign their reports altogether or use an ink color other than black or blue. Without an appropriate signature, the form cannot be processed, which further extends the time it takes for the report to reach the relevant authorities.
Finally, individuals frequently do not review the completed report before submission. A simple review could prevent many errors, as it allows the person to double-check for any missing information or mistakes. By taking this extra step, individuals can help ensure that their report is processed efficiently and accurately.
Documents used along the form
When a car accident occurs in Texas that meets specific criteria, filling out the Texas Blue form (Form CR-2) is essential. However, this form isn't the only document you might need in relation to a crash. Understanding the additional forms can help ensure a smoother process. Here's a list of other important forms and documents that are often used alongside the Texas Blue form.
- Texas Peace Officer's Crash Report (Form CR-3): This report is completed by law enforcement officers who investigate traffic accidents. It contains detailed information about the crash, including diagrams and witness statements, and is often essential for insurance claims.
- Driver's License Details: A copy of the driver's license of everyone involved in the accident may be required for verification purposes. It's also helpful for insurance and legal documents.
- Insurance Information Exchange Form: This document allows drivers to share their insurance details with each other after an accident. It typically includes information such as policy numbers and contact information for agents.
- Medical Reports: If injuries occurred during the crash, medical records will be important. These documents detail the extent of injuries and treatment received, which can be crucial for any personal injury claims.
- Witness Statements: Collecting contact information and written statements from witnesses can provide an unbiased perspective of the accident. These statements can support either party's account of what happened.
- Property Damage Estimates: If property was damaged as a result of the crash, obtaining estimates for repairs is important. These estimates can support claims for compensation from the responsible party's insurance.
- Vehicle Registration Papers: Documentation proving vehicle ownership can be necessary, especially if there are disputes about vehicle damages or ownership after the accident.
- Demand Letter: This letter is sent to the other party's insurance company outlining the damages and losses incurred. It sets the stage for negotiations regarding compensation for those affected by the accident.
- Settlement Agreement: Once compensation is finalized between the parties, a settlement agreement may be signed to document the outcome. This document protects both parties by outlining the terms of the agreement.
Having these documents organized and ready can significantly ease the process following a vehicle accident. Being informed and prepared ensures that all aspects concerning the aftermath of the incident are appropriately addressed.
Similar forms
- Texas Form CR-3: Similar to the Texas Blue form, this is a motor vehicle crash report filled out by law enforcement officers. It collects data about the crash, including the parties involved, damages, and any injuries. Both forms provide essential information for insurance companies and legal matters.
- Texas Form CR-1: This form is used for non-reportable crashes, where the damage is under $1,000. Like the Texas Blue form, it records basic information about the incident and the parties involved, but is intended for less severe cases.
- Florida Crash Report (HSMV 90010S): This form serves a similar purpose in Florida. It gathers details of motor vehicle crashes, including witness statements and damage estimates, much like the Texas Blue form.
- California Traffic Collision Report (Form SR 1): This report is required for drivers involved in an accident resulting in injury or death. It shares commonalities with the Texas Blue form in terms of data collected and the necessity for submission.
- New York State Vehicle Accident Report (Form MV-104): This document collects information regarding vehicle accidents in New York. It is similar to the Texas Blue form in that it chronicles details of the incident, including injuries and property damage.
- Pennsylvania Accident Report (Form AA-600): This form is completed in Pennsylvania for reportable accidents. Like the Texas Blue form, it requires detailed information about the drivers, vehicles, and crash specifics.
- Georgia Motor Vehicle Accident Report: This report is used in Georgia and includes similar information. It collects data from drivers involved in an accident for the purpose of insurance and legal processes.
- Arizona Accident Report (Form TR-100): Like the Texas Blue form, this document must be filed for accidents that meet certain criteria. It also collects information about vehicle details, driver information, and crash circumstances.
Dos and Don'ts
- Do read all instructions carefully before starting the Texas Blue form.
- Do ensure that all required fields (marked with an asterisk) are completed with accurate information.
- Do provide the exact date of the crash, including month, day, and year.
- Do clearly describe what happened in the narrative section.
- Do review your form for accuracy before submission to avoid delays.
- Don’t forget to include the county or city where the crash occurred.
- Don’t submit photographs, as they will not be returned.
- Don’t leave any required fields blank; your report may be returned.
- Don’t use colored ink other than blue or black for your signature.
- Don’t wait more than 10 days after the crash to submit the report.
Misconceptions
Misconceptions about the Texas Blue form can lead to confusion. Here are seven common misunderstandings:
- Only law enforcement can fill out the form. The truth is, the driver involved in the crash must complete the form. If the driver is unable to do so, someone else may fill it out for them with a proper explanation.
- You don’t need to submit a form for minor accidents. In fact, if damages exceed $1,000 or someone is injured, it is required to file this report within 10 days, regardless of how minor the accident may seem.
- All sections of the form must be filled out with absolute certainty. While accuracy is important, incomplete knowledge is acceptable as long as required fields are filled in to the best of your ability.
- You can submit photographs with the report. This is a misconception. The Texas Blue form specifically prohibits submitting photographs, as they cannot be returned.
- The form is only for vehicle accidents. This is incorrect. The form applies to various situations, including those involving pedestrians or other entities like bicycles or trains.
- It doesn’t matter if I miss the 10-day deadline. Missing this deadline can result in complications. Timely submission is crucial to avoid fines or further issues with your driving record.
- You do not need to review the report before sending it. This is misleading. It is essential to review the report for accuracy to avoid delays or the report being returned due to insufficient information.
Understanding these misconceptions can help ensure that the process of reporting accidents in Texas is approached correctly.
Key takeaways
Filling out the Texas Blue form, officially named Form CR-2, is an essential step in reporting a motor vehicle crash that has not been investigated by law enforcement. Here are some key takeaways to keep in mind:
- Who Can File: The driver of the vehicle involved in the crash is responsible for completing and signing the form. If they are unable to do so, another person can submit it on their behalf, but an explanation will be necessary.
- Required Information: Make sure to fill in all fields accurately, especially those marked with an asterisk (*). Missing required information can delay processing and may result in the report being returned.
- Deadline for Submission: The completed report must be submitted within 10 days following the crash. This timeframe is crucial for compliance with Texas law.
- Narrative Description: Provide a clear and concise description of what happened during the crash. If you need more space than what's available, attach an additional sheet to continue the description.
- Double-Check Your Work: Before mailing in the report, review it for accuracy and completeness. A thorough review can help prevent any issues that might arise from incomplete information.
Browse Other Templates
Enrollment Update Request,Application Change Form,Admission Modification Request,Term Change Application,Enrollment Status Update,Deferral and Update Form,Application Information Change,Enrollment Adjustment Form,University Enrollment Amendment,Stude - Enrollment deferral requests can facilitate your planning.
Tourist Visa Australia - Complete this application carefully for tourism or recreational visits to Australia.
What Happened to Forethought Life Insurance Company? - Claimants must provide the last four digits of the insured's Social Security Number.