GA DOT Traffic Fatality Notification Sheet

by | May 19, 2023 | Landing

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Form: DOT0314 – GA DOT Traffic Fatality Notification Sheet
Reports To: Office of Traffic Operations Contact: 404-635-2850
Date Sent to GDOT:
Agency:
Immediatelyemailto:[email protected] Officer:
Case No:
FaxNumber (Recommended):
(404) 635-2963
Total Number of Pages:
PhoneNumbers:
(404) 635-2825
(404 635-2826
(404) 635-2826
Sender’s PhoneNumber:
Re: DOT Traffic Fatality Notification Sender’s Fax Number:
STATE OF GEORGIA
DEPARTMENT OFTRANSPORTATION
Name(s):
Age: Check One: Driver: Passenger: Pedestrian: Bicyclist:
Date of Crash: Est. Crash Time:
Date of Death (if different): County:
Crash Location Description:
Remarks:
Most Harmful Event:
Check All Applicable Below:
Intersection Crash Safety Equipment Used
Lane Departure Suspected Speeding
Roadway Departure Suspected U.I.
Work Zone Suspected Distracted