New Boston Ohio Police Online Citizen Traffic Accident Report

New Boston Ohio Police Department

3978 Rhodes Ave. New Boston, Ohio 45662

Office: (740) 456-4109 Fax: (740) 456-6269

Email: nbpd@roadrunner.com

Online Citizen Traffic Accident Report

If your accident did not occur within the Village Of Boston boundaries you can not use this report system, you must contact the Police Agency where the accident occur at. Also, you can only use this report system if you were not able to immediately call the Police after the crash. Once you submit this report, an Officer will be contacting you to determine if a Ohio Traffic Crash Report will need to be completed.
Date of Report:

MonthDayYear
Date
Time of Report:

:HourMinutesAM/PM Option
Date of Accident:

MonthDayYear
Date
Time of Accident:

:HourMinutesAM/PM Option
Accident Occurred On:

Private Property Parking Lot or Private LandPublic Street or Public Alleyway
What Did You Hit or Damage:

Another VehicleProperty Item Other Than A Vehicle
Did You Exchange Information with other Driver or Owner:

NoYes
Is This A Hit Skip Accident (Other Driver Left Scene):

NoYes
VEHICLE #1
Driver #1 Name

First NameLast Name
Date of Birth:
Last Four # SSN:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Registered Owner of Vehicle#1 if Different From Driver:

First NameLast Name
Date of Birth:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
List Year, Make, Model, Color of Vehicle#1:
List Tag Number and State of Vehicle#1:
Describe Damage & Where On Vehicle#1:
List Any Passengers In Vehicle#1, Name & Address & Phone & DOB:
List Any Witnesses For Vehicle #1, Name, Address, Phone:
List Insurance Name & Policy Number For Vehicle #1:
Exact Location of Accident ( Street Number, Name, Nearest House#, Business Parking Lot):
Describe What Happened:
If This Accident Involves Property Item & Not Another Vehicle, List Owner Name & Address:
List Anyone Who Was Injured, Also List Their Injuries:
Vehicle #2 Information( If Applicable)
Driver #2 Name

First NameLast Name
Date of Birth:
Last Four # SSN:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Registered Owner of Vehicle#2 if Different From Driver:

First NameLast Name
Date of Birth:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
List Tag Number and State of Vehicle#2:
List Year, Make, Model, Color of Vehicle#2:
List Damage and Where on Vehicle#2:
List Any Passenger in Vehicle#2, Name, Address, Phone, DOB:
List Any Witnesses for Vehicle #2, Name, Address, Phone:
List Insurance Name & Policy # for Vehicle #2:
List Anyone Who Was Injured Also List Their Injuries:
Your Email if You Have One:
example@example.com
Your Signature, Use Computer Mouse or Finger If Touch Screen:*

Clear
Filing a false report is a crime and criminal charges can be filed against you for submitting a report that is false.*

Click here for acknowledgment
Should be Empty:

VEHICLE #1

Vehicle #2 Information( If Applicable)