Blank Texas Blue PDF Form Get Texas Blue Here

Blank Texas Blue PDF Form

The Texas Blue Form, officially known as Form CR-2, is a report that drivers must complete following a motor vehicle crash that is not investigated by law enforcement. This form is necessary when the crash results in injury, death, or property damage exceeding $1,000. Timely submission of the report, within 10 days of the incident, is crucial for compliance with Texas law.

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The Texas Blue form, officially known as Form CR-2, plays a crucial role in documenting motor vehicle crashes that do not involve law enforcement intervention. It is specifically designed for situations where an accident results in injury or death, or where property damage exceeds $1,000. Drivers must complete this report within ten days of the incident, ensuring that accurate information is provided. Key sections of the form include details about the crash location, the vehicles involved, and any injuries sustained by occupants. Additionally, the driver is required to provide a narrative statement describing the events surrounding the crash. Proper completion of the form is vital, as missing information can lead to delays in processing. The Texas Department of Transportation emphasizes the importance of submitting this report to maintain accurate records and facilitate any necessary follow-up. For those unable to fill out the form themselves, a representative may do so with an explanation. Clear guidelines are provided to help drivers navigate the reporting process effectively.

Texas Blue Preview

Form CR-2 (Rev. 04/15) Instructions

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: 844/274-7457

 

 

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 CR-2 (Rev. 04/15)

 

 

 

 

 

 

 

 

 

* Indicates Required Field

 

 

 

 

 

Page 1 of 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Questions? Call: 844/274-7457

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Document Specs

Fact Name Details
Form Title The Texas Blue Form is officially known as the Driver’s Crash Report, designated as Form CR-2.
Governing Law This form is governed by Texas Transportation Code, Section 550.062, which outlines reporting requirements for motor vehicle crashes.
Filing Deadline Drivers must complete and submit the form within 10 days of the crash if it resulted in injury, death, or property damage exceeding $1,000.
Required Fields Certain fields are mandatory, such as the date of the crash, location, and driver information. Missing these can lead to the report being returned.
Who Completes the Form The driver involved in the crash is responsible for completing the form. If unable, another person may submit it on their behalf with an explanation.
Submission Method The completed form should be mailed to the Texas Department of Transportation at the address provided in the instructions.
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