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Fillable Form Oregon Traffic Accident and Insurance Report

The Form 735-32 or the Oregon Traffic Accident and Insurance Report must be completed by someone who was involved in a motor vehicle accident within the 72 hours of the occurrence of the said accident in accordance with Oregon law.

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What is the OR Traffic Accident and Insurance Report Form?

The OR Traffic Accident and Insurance Report Form, also known as Form 735-32, is a DMV form in Oregon which must be completed if one was involved in a motor vehicle accident.

Within 72 hours of the occurrence of the said accident, this form must be filled out in accordance with Oregon law.

How to fill out the OR Traffic Accident and Insurance Report Form?

The form is straightforward and easy to fill out for it contains only five (5) sections and has another side with checkboxes. Listed below are the steps to fill out each section and field.

Section 1
Accident Date

Enter the date the accident happened.

Day of Week
Select which day of the week the accident happened.

Time of Day
Enter the time of the day the accident happened.

County
Enter the county where the accident happened.

Road on which accident occurred
Enter the name of the street, road or route where the accident occured.

Mile Post
Enter the milepost.

Name of Nearest Intersecting Road
Enter the name of the nearest intersecting road and enter the distance on the space provided.

Name of Nearest City/Town
Enter the name of the nearest city or town and enter the distance on the space provided.

Section 2
Driver’s Name

Enter the last, first and middle name of the driver involved in the accident.

Driver’s License Number
Enter the license number of the driver.

State
Enter the state where the driver was born.

Date of Birth
Enter the date of birth of the driver.

Sex
Select the appropriate choice (M, F, or X).

Driver’s Residence Address
Provide the residential address of the driver.

City
Enter the city where the driver’s residential address is located.

State
Enter the state where the driver’s residential address is located.

Zip Code
Enter the zip code of the driver’s residential address.

Mailing Address
Enter the mailing address of the driver.

City
Enter the city where the driver’s mailing address is located.

State
Enter the state where the driver’s mailing address is located.

Zip Code
Enter the zip code of the driver’s mailing address.

Vehicle Owner’s Name and Address
Enter the name and address of the vehicle owner.

City
Enter the city of where the vehicle owner resides.

State
Enter the state of where the vehicle owner resides.

Zip Code
Enter the zip code of the vehicle owner’s address.

Insurance Company Name and Address
Provide the name and address of the insurance company.

City
Enter the city of the company’s address.

State
Enter the state where the company is located.

Zip Code
Provide the zip code of the insurance company’s address.

Policy Number
Enter the policy number which covers the vehicle.

Vehicle Identification Number
Provide the VIN.

Vehicle Plate Number
Provide the number of the vehicle plate.

State
Enter where the vehicle was registered.

Year
Enter the year the vehicle was released.

Make & Model
Enter the make and model of the vehicle.

Section 3
Check all statements that apply:

Select from the listed statements which applies to you.

Section 4
Driver’s Name

Enter the last, first and middle name of the driver involved in the accident.

Driver’s License Number
Enter the license number of the driver.

State
Enter the state where the driver was born.

Date of Birth
Enter the date of birth of the driver.

Sex
Select the appropriate choice (M, F, or X).

Driver’s Residence Address
Provide the residential address of the driver.

City
Enter the city where the driver’s residential address is located.

State
Enter the state where the driver’s residential address is located.

Zip Code
Enter the zip code of the driver’s residential address.

Mailing Address
Enter the mailing address of the driver.

City
Enter the city where the driver’s mailing address is located.

State
Enter the state where the driver’s mailing address is located.

Zip Code
Enter the zip code of the driver’s mailing address.

Vehicle Owner’s Name and Address
Enter the name and address of the vehicle owner.

City
Enter the city of where the vehicle owner resides.

State
Enter the state of where the vehicle owner resides.

Zip Code
Enter the zip code of the vehicle owner’s address.

Insurance Company Name and Address
Provide the name and address of the insurance company.

City
Enter the city of the company’s address.

State
Enter the state where the company is located.

Zip Code
Provide the zip code of the insurance company’s address.

Policy Number
Enter the policy number which covers the vehicle.

Vehicle Identification Number
Provide the VIN.

Vehicle Plate Number
Provide the number of the vehicle plate.

State
Enter where the vehicle was registered.

Year
Enter the year the vehicle was released.

Make & Model
Enter the make and model of the vehicle.

Section 5
Describe what happened

Describe in a concise manner what happened in the accident.

Signature of Person making report
Provide the signature of the person making the report.

Printed Name of Person Making Report
Enter the name of the person making the report.

Daytime Phone #
Provide the daytime phone number of the person making the report.

Date Signed
Enter the date you completed and signed the form.

If Not Driver’s Signature, state relationship
If you are not the driver and you filled out the form, provide your relationship with the driver here.

Reason Driver is unable to sign report
Provide the reason why the driver is unable to sign the form.

Phone Number of Driver
Enter the phone number of the driver.

Other Side of the Form
Select from the boxes under the categories on the back side of the form to guide the DMV and other officials in the investigation.

Submission

Upon completing the form, you may mail it to:
Accident Reporting Unit, DMV
1905 Lana Ave NE, Salem.

If you want to submit through fax, you may do so, fax the form to:
(503)945-5267

Another way to submit this form is by directly delivering it to any DMV office.

Tips

  • Once you have completed the form, tear the PINK copy for your records.
  • If you wish to have a copy of your own records, then you will need to make a copy of your own. The DMV office will not provide you with one.

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