Report a Vehicle Accident

General Services Department
John F. Simms Building // PO Box 6850 // Santa Fe, NM 87502 // (505) 827-2000

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<>ACCIDENT DETAILS
	Date of Loss:
	Location of Accident or Incident:
	Description of Accident or Incident:

<>VEHICLE INFORMATION
	Vehicle (Year, Make & Model):
	License Number:
	Driver Name:
	Phone:
	Agency:
	Location of Vehicle:
	Damage:

<>CONTACT
	Contact Person:
	Email address:
	Phone:
	Person Reported By:
	Date:
	Adverse Driver/Owner:

Report a Vehicle Accident or Vandalism