Homepage Pa Aa 600 Form

Common mistakes

Completing the Pennsylvania AA-600 form can be a straightforward process, but several common mistakes can lead to complications or delays in processing. One frequent error is failing to provide accurate location information. It is essential to include the name of the city, borough, or township where the accident occurred, along with the street name or highway route number. If the accident happened at an intersection, the name of the intersecting roadway must also be indicated. Omitting this information can result in the form being returned.

Another mistake involves the omission of required signatures. The form must be signed on page two; without a signature, the report cannot be processed. Individuals often forget to date their signatures as well, which can further complicate matters. Additionally, if the form is filled out electronically, it is necessary to print it and sign it afterward. This requirement is often overlooked.

Inaccurate or incomplete details regarding the vehicles and drivers involved can also lead to issues. It is crucial to copy information directly from official documents such as driver's licenses and vehicle registration cards. Errors in the driver's name, license number, or vehicle information can cause delays in processing the report.

Another common oversight is the failure to include details about injuries and safety restraints. When filling out the injury section, individuals must record the injuries sustained by all occupants and pedestrians involved. This includes selecting the appropriate codes for injury severity, seating position, and safety devices used. Neglecting to provide this information can result in a return of the form.

Some individuals may also forget to include the accident narrative, which is a detailed description of the events leading up to, during, and after the collision. This narrative is critical for understanding the circumstances of the accident. A vague or overly brief description may not suffice; instead, it should accurately reflect the actions of all involved parties.

When it comes to the accident diagram, many people either skip this section or fail to draw it clearly. The diagram must accurately represent the accident scene, including vehicle movements and roadways. A missing or unclear diagram can lead to the report being rejected.

Another mistake involves the handling of payment for a date-stamped copy of the report. If a payment is required, it must be made by check or money order. Cash payments are not accepted, and any discrepancies in payment amounts can result in rejection. Furthermore, individuals must ensure that payment is accompanied by a request for a copy; otherwise, it may not be processed.

Finally, individuals sometimes submit the form without confirming that all necessary information has been filled out. Missing information, such as the date of the accident or details about towing, can lead to complications. It is essential to review the form thoroughly before submission to ensure that all sections are completed accurately.

Dos and Don'ts

When filling out the PA AA-600 form, it is essential to follow specific guidelines to ensure the report is accepted and processed efficiently. Below are four things you should and shouldn't do.

  • Do: Use the official form from the Pennsylvania Department of Transportation website to avoid rejection.
  • Do: Complete all required fields accurately, including details about the accident, vehicles, and individuals involved.
  • Do: Sign and date the form on page 2, as it cannot be processed without your signature.
  • Do: Retain a copy of the completed form for your records after submission.
  • Don't: Leave any sections blank, especially the accident date, location, and injury information.
  • Don't: Submit the form without a detailed narrative describing the accident.
  • Don't: Use informal references like house numbers or utility poles for accident location; stick to official street names and markers.
  • Don't: Forget to include a diagram of the accident scene, as it is a required part of the report.

Similar forms

The Pennsylvania AA-600 form, known as the Driver’s Accident Report, shares similarities with the SR-1 form used in many states. The SR-1 form serves a similar purpose, capturing details about motor vehicle accidents. Like the AA-600, it requires information on the parties involved, the circumstances of the accident, and any injuries sustained. Both forms aim to document accidents for insurance purposes and help state agencies analyze accident data to improve road safety. The SR-1 form must also be submitted within a specific timeframe, emphasizing the importance of timely reporting.

Another document that resembles the AA-600 is the DMV Accident Report form. This form is often utilized in various states to report accidents to the Department of Motor Vehicles. Similar to the AA-600, it gathers essential details such as the date, time, and location of the accident, as well as the involved parties' information. Both forms serve as crucial records for insurance claims and legal matters, ensuring that all relevant details are captured for future reference.

The police accident report is yet another document that parallels the AA-600 form. When law enforcement investigates a crash, they typically complete this report, which includes comprehensive details about the incident. While the AA-600 is filled out by drivers when no police investigation occurs, the police report serves as an official account of the event. Both documents are critical for understanding the circumstances surrounding an accident and may be used in legal proceedings or insurance claims.

In addition, the Incident Report form used by insurance companies shares similarities with the AA-600. This form collects information from individuals involved in an accident to assess claims and determine liability. Like the AA-600, it requires details about the accident, including the parties involved and any damages or injuries sustained. Both forms facilitate the claims process, ensuring that all necessary information is available for review.

The importance of having a well-defined agreement is paramount in the realm of renting properties, similar to how legal and formal documents govern the processes of other aspects, such as vehicle accidents. For landlords and tenants in Ohio, utilizing the topformsonline.com/ohio-residential-lease-agreement/ can significantly aid in outlining their rights and responsibilities, ensuring that both parties are protected and have a clear understanding of the rental terms, much like the detailed documentation required in vehicle collision reports.

The Motor Vehicle Accident Report, often required by employers for workplace-related accidents, is another document akin to the AA-600. This report captures information about accidents involving company vehicles or employees while performing job duties. Both forms focus on documenting the specifics of the incident, including involved parties and the nature of any injuries. This ensures that employers can address liability and support employees through the claims process.

Finally, the Statement of Claim form used in personal injury lawsuits bears resemblance to the AA-600. This document is filed by individuals seeking compensation for injuries sustained in an accident. While the AA-600 is primarily for reporting, the Statement of Claim outlines the specifics of the injury and the damages sought. Both documents serve to establish a record of the accident, but they differ in their ultimate purpose—one focuses on reporting, while the other aims to initiate legal action.

Guidelines on How to Fill Out Pa Aa 600

Filling out the PA AA 600 form is an important step after an accident. This report needs to be submitted to the Pennsylvania Department of Transportation within five days of the incident. Completing the form accurately ensures that all necessary information is recorded and can aid in any future processes related to the accident.

  1. Obtain the Form: Download the official AA 600 form from the Pennsylvania Department of Transportation website at this link.
  2. Fill Out Accident Information: Start by entering the date of the accident, day of the week, and time. Indicate if it was a hit-and-run, how many vehicles were involved, and the number of injuries or fatalities.
  3. Provide Location Details: Fill in the county, city or borough, and the street name or highway number where the accident occurred. If it wasn’t at an intersection, include the nearest cross street.
  4. Record Driver Information: For each vehicle involved, provide the driver's name, date of birth, driver’s license number, address, and vehicle plate number.
  5. Enter Vehicle Details: Include the year, make, model, and VIN of each vehicle. Note the number of occupants in each vehicle.
  6. List All Persons Involved: Document the names, dates of birth, ages, sexes, and any injuries sustained by all individuals involved, including pedestrians.
  7. Insurance Information: Fill in the insurance company details and policy numbers for each vehicle.
  8. Describe Weather and Road Conditions: Choose the weather conditions at the time of the accident and the state of the roadway.
  9. Indicate Impact Points: Use the provided codes to indicate the initial impact points for each vehicle.
  10. Draw the Accident Diagram: Create a clear diagram showing the accident scene, vehicle positions, and direction of travel. Include a north arrow.
  11. Write the Narrative: Describe the events leading up to, during, and immediately after the accident. Use vehicle numbers to refer to each vehicle.
  12. Sign and Date the Form: Ensure the form is signed and dated. A signature is required for processing.
  13. Submit the Form: Send the completed form to the Pennsylvania Department of Transportation, Bureau of Maintenance and Operations, P.O. Box 2047, Harrisburg, PA 17105-2047 within five days.

Form Preview Example

AA-600 (10-21)

Driver’s Accident Report

The official AA600 form can be found at http://www.dot.state.pa.us/public/PubsForms/Forms/AA-600.pdf.

It is suggested to use only the form located from this location or the form may be returned to you.

FORWARD THIS REPORT WITHIN 5 DAYS TO THE PENNSYLVANIA DEPARTMENT OF TRANSPORTATION, BUREAU OF

MAINTENANCE AND OPERATIONS, P.O. Box 2047, HARRISBURG, PA 17105-2047

Pennsylvania Vehicle Code, Section 3747 states: All reports are confidential, not available as trial evidence

I M E

Date of Accident (Month - Day - Year)

 

Day of Week

Hour (AM - PM)

 

Check if Hit-Run o

 

 

 

 

 

 

 

 

 

 

Was Towing Required?

 

Number of Vehicles Involved

Number Injured

 

Number Killed

 

T

 

 

 

UNIT 1: oYES oNO UNIT 2: oYES

oNO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

County

 

City / Borough / Township

 

On: (Street Name or Highway Number/Mile Marker)

 

 

 

 

Closest Road:

 

 

 

 

Long (from GPS)

 

 

 

 

 

 

 

 

 

Lat (from GPS)

 

 

 

 

 

 

 

 

 

 

 

 

At Intersection With:

 

If Not At Intersection :

 

Feet From

N S E W

 

 

 

 

 

 

 

 

 

 

 

 

 

Operator’s Name (First, Middle, Last)

 

 

 

Date of Birth

Driver's License Number and State

1

 

 

 

 

 

 

 

 

 

 

Address (Street, City, State, Zip Code)

 

 

 

Vehicle Plate Number and State

 

• NO

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE

 

 

 

 

 

 

 

 

 

Owner’s Name (First, Middle, Last)

 

 

 

Year

 

Make

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MY

Address (Street, City, State, Zip Code)

 

 

 

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Occupants, Including Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USE THE FOLLOWING SECTION TO RECORD VEHICLE NUMBER 2, PEDESTRIAN INFORMATION.

 

 

 

IF MORE THAN TWO VEHICLES/PEDESTRIANS ARE INVOLVED USE ADDITIONAL REPORT FORMS.

 

 

 

 

 

 

 

 

 

 

 

Operator’s Name (First, Middle, Last)

 

 

 

Date of Birth

Driver's License Number and State

 

 

 

 

 

 

 

 

 

 

 

Address (Street, City, State, Zip Code)

 

 

 

Vehicle Plate Number and State

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

Owner’s Name (First, Middle, Last)

 

 

 

Year

 

Make

 

Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address (Street, City, State, Zip Code)

 

 

 

VIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Occupants, Including Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USE THE FOLLOWING SECTION TO RECORD ALL PERSONS INVOLVED IN THE CRASH,

 

 

 

 

 

 

AS WELL AS THEIR AGE AND SEX, AND ANY INJURIES THAT WERE SUSTAINED.

 

 

 

 

NAME

DOB

AGE SEX

VEH.

INJURY

SEATING

ACTIVE

PASSIVE

 

 

 

NO.

TYPE

POSITION

RESTRAINT

RESTRAINT

 

 

 

 

 

 

 

 

PERSONS INVOLVED

INJURY TYPE

SEATING POSITION

0

- NO INJURY

1

- DRIVER

1

- FATAL INJURY

2-6 - PASSENGER

2

- SUSPECTED SERIOUS INJURY

7

- PEDESTRIAN

3

- SUSPECTED MINOR INJURY

8

- OTHER

4

- POSSIBLE INJURY

9

- UNKNOWN

8

- INJURY, UNKNOWN SEVERITY

 

 

9

- UNKNOWN

 

 

IF UNSURE, DESCRIBE INJURY IN NARRATIVE (SEE PAGE 2)

1 2 3

4 5 6

ACTIVE RESTRAINT

PASSIVE RESTRAINT

0

- NONE OR PEDESTRIAN

0

- NONE OR PEDESTRIAN

1

- SHOULDER BELT ONLY

1

- AIRBAG (DEPLOYED)

2

- LAP BELT ONLY

2

- AIRBAG (NOT

3

- COMBINATION (SHOULDER & LAP)

DEPLOYED)

4

- CHILD RESTRAINT

8

- OTHER

7

- MOTORCYCLE HELMET

9

- UNKNOWN

8- OTHER

9- UNKNOWN

Insurance

Company

 

Insurance

Company

Information

 

Information

 

 

 

 

 

 

 

 

Vehicle 1

Policy No.

 

Vehicle 2

Policy No.

 

 

 

 

 

 

 

Page 1

 

WEATHER (Choose up to two items)

o Clear

o Rain

o Snow

o Sleet

o Fog

ROADWAY (Choose up to two items)

o Dry

o Wet

o Snow

o Ice

o Other

IMPACT POINTS:

0

= None

 

10

= 10 o'clock

 

1

= 1 o'clock

 

11

= 11 o'clock

 

2

= 2 o'clock

 

12

= 12 o'clock

 

3

= 3 o'clock

 

13

= Top of Vehicle

9

4

= 4 o'clock

 

14

= Vehicle Undercarriage

5

= 5 o'clock

 

15

= Use when the initial

 

6

= 6 o'clock

 

 

impact was with a towed unit

 

7

= 7 o'clock

 

 

(such as utility trailer vehicle,

 

8

= 8 o'clock

 

 

horse van, etc…)

 

9

= 9 o'clock

 

99

= Unknown

 

 

12

 

 

12

 

11

1

 

10

2

3

9

3

8

4

 

7

5

 

 

6

 

 

6

 

VEHICLE NUMBER 1:

 

VEHICLE NUMBER 2:

INITIAL IMPACT POINT _______

 

INITIAL IMPACT POINT _______

LEGAL SPEED _______ MPH

 

LEGAL SPEED _______ MPH

ESTIMATED SPEED _______ MPH

 

ESTIMATED SPEED _______ MPH

 

 

 

INSTRUCTIONS:

1.Draw Diagram As Clearly As You Can.

2.Show Your Vehicle As Number 1.

3.Label All Streets, Highways, and Landmarks.

4.Draw An Arrow

In Circle Below So It Points North.

5.Complete Narrative.

Indicate North By

Arrow

Please note that a diagram is required in order for us to process your form. You may need to print this form and hand draw the diagram portion in order to complete the form.

GIVE A DETAILED DESCRIPTION OF THE ACCIDENT IMMEDIATELY PRIOR TO IMPACT,

AT IMPACT, AND IMMEDIATELY AFTER IMPACT, REFER TO VEHICLES BY NUMBERS

PLEASE SIGN AND DATE BELOW. THIS FORM CANNOT BE PROCESSED WITHOUT A SIGNATURE.

DRIVER SIGNATURE

DATE

Email Address:

POLICE INVESTIGATED: o YES

o NO

If Yes, Name of Police Department:

 

 

 

Page 2

AA-600 (7-21)

Driver’s Accident Report

This Form is to be completed only in the event that the accident was not investigated by a policy agency.

The Driver’s Accident Report Form is required to be completed by ALL drivers involved in motor vehicle traffic accidents occurring within the Commonwealth of Pennsylvania and involves:

(1)injury to or death of any person; or

(2)damage to any vehicle involved to the extent that it cannot be driven under its own power in its customary manner without further damage or hazard to the vehicle, other traffic elements, or the roadway, and therefore requires towing.

Section 3747(a) of Title 75, Pennsylvania Consolidated Statutes of the Vehicle Code requires that if a police officer does not investigate an accident required to be investigated by section 3746 (relating to immediate notice of accident to police department), the driver of a vehicle which is in any manner involved in the accident shall, within five days of the accident, forward a written report of the accident to the department.

A form, supplied by the Department of Transportation, has been designed for this purpose. That form is the attached AA-600, Commonwealth of Pennsylvania Driver’s Accident Report.

The primary objective of this form is to obtain information which can be used to develop accident prevention and reduction programs aimed at reducing accidents and accident losses. In order for these programs to succeed, every attempt must be made to obtain the information for all items listed on the Report Form. Compliance with the following instructions will help to assure that the Report is filled out completely and accurately.

A copy of the completed Accident Report should be retained for your records. There is NO fee to file this report. If copies of THIS submitted form are requested from the Department of Transportation, a fee of $5.00 per copy will be required to cover our processing costs. If the Department receives a $5.00 check with the submission of the report from you, it is assumed that you wish to obtain a date-stamped copy, and one will be sent to you. PLEASE NOTE: Only the driver submitting this form may request a copy. If you prefer to receive your copy via email, please indicate that and provide an email address.

PLEASE NOTE: PennDOT does not conduct investigations into crashes. Additionally, you will not be sent a response to your form unless it cannot be accepted, is not fully completed, or a copy has been requested. No confirmations of receipt will be provided by PennDOT. If you require confirmation of receipt, it is recommended using certified mail, or requesting a date stamped copy of your submitted report, along with the required remittance.

Please send completed Forms to the following address:

Pennsylvania Department of Transportation

BOMO - Crash Unit

P.O. Box 2047

Harrisburg, Pennsylvania 17105-2047

Page 3

GENERAL INSTRUCTIONS FOR COMPLETING DRIVER’S ACCIDENT REPORT

This form is a PDF fillable form and is the preferred method for completion. If you chose to hand-write the information, please use a a ballpoint pen and print all required information. Fill in every block applicable. The Form is self-explanatory.

However, the following guidelines should be utilized:

The form must be signed on page 2. We cannot accept a form without a signature. If filling this out electronically, please print and sign after you have completed all fields.

Tow and injury information must be filled out on page 1. We cannot accept a form that does not have these blocks filled out.

Here follows a short list of other circumstances in which we cannot accept your form:

The date next to the signature on page 2 is missing

The crash description on page 2 is missing

The diagram on page 2 is missing

Page 2 is missing

Location information is missing (i.e. County, City / Borough / Township, Street, Intersecting Street)

The crash date is missing or incorrect

Missing tow/injury information on page 1

Your vehicle was parked

Crash occurred out-of-state

Crash report was submitted by a non-driver (property owner, passenger, pedestrian, not involved in crash, crash submitted by another party of behalf of driver)

Signature issues

Here follows a short list of reasons why your payment may not be accepted if you are remitting payment for a stamped received copy of your submitted report:

Cash remitted (we can only accept a check or money order)

Payment remitted but not signed

Payment remitted by over/under paid

Payment remitted without request and/or AA600

Request copy of report but no payment remitted

1.For the Accident Location - - - Be sure to indicate the name of the City, Borough, or Township where the accident occurred as well as the Street name or Highway Route Number. If the accident occurred at an intersection, identify the name of the Street or Highway Route Number of the intersecting Roadway.

If the accident did not occur at an Intersection, please use the nearest Cross Street, Mile Posts, or Segment Markers. Segment Markers are signs erected along the roadside. Where possible, the signs are placed at physical features such as bridges, pipes, or intersections. Mile Posts are generally erected along the roadside of Interstates. Do not use House Numbers, Utility Poles, etc. as reference points.

2.For the Vehicles, Drivers and Pedestrians - - - Copy information about drivers and vehicles directly from the official Driver’s License, Vehicle Registration Card, and Proof of Financial Responsibility Card.

3.Persons Involved - - - Record the names and addresses of all occupants (including Drivers) in the vehicles involved and ALL INVOLVED PEDESTRIANS regardless of injury severity. Begin with the Driver of Unit 1, then list the other occupants of Unit 1, if any. Repeat the procedure with any other units.

4.Injury, Seating Position, Safety Restraints - - - If applicable, select the appropriate codes for all occupants and pedestrians for the type of injury incurred, seating positions of all occupants, and the type of safety device used.

5.Damage Area of Vehicle - - - Select the appropriate code for the Initial Impact Point for each vehicle involved. To indicate the impact area, use clock points as shown at the vehicle representation on the back of the report.

6.Speed Limit and Travel Speed - - - Enter the speed limit of the roadway at the accident site. If the speed limit is not posted, write NP.

Enter your estimate of the travel speed of each vehicle immediately before the accident.

Page 4

7.For the Accident Diagram - - - The diagram is a visual representation of the accident location and the events that occurred. Show the movement of the vehicles, identify the roadways and be sure to include the North Arrow displayed on the back of the Report Form.

8.For the Narrative - - -Describe the actions of all involved persons and vehicles before, during and after the collision. Be as factual as possible and use the same Unit Numbers as those on the front of the Report to identify the vehicles and pedestrians. Avoid such brief narratives as “Unit 1 hit Unit 2”.

IF MORE THAN TWO (2) VEHICLES ARE INVOLVED, OR ADDITIONAL SPACE IS NEEDED FOR OCCUPANTS, PLEASE USE ANOTHER FORM TO CAPTURE THE REQUIRED INFORMATION. IN THESE CASES, STAPLE REPORTS TOGETHER BEFORE SUBMISSION.

Page 5

Form Information

Fact Name Description
Form Purpose The AA-600 form is used to report motor vehicle accidents in Pennsylvania.
Submission Deadline Reports must be submitted within 5 days of the accident.
Governing Law Section 3747 of the Pennsylvania Vehicle Code governs the use of this form.
Confidentiality All reports filed are confidential and not available as trial evidence.
Filing Fee There is no fee to file the report, but a $5.00 fee applies for copies.
Form Location The official AA-600 form can be found at the Pennsylvania Department of Transportation's website.
Diagram Requirement A diagram of the accident scene is required for processing the form.
Signature Requirement The form must be signed; submissions without a signature will be rejected.
Contact Information Reports should be sent to the Pennsylvania Department of Transportation, BOMO, P.O. Box 2047, Harrisburg, PA 17105-2047.