CRASH QUICK NOTIFY
Call 9-1-1 if necessary. This form is used for sending info, photos and video about crashes in Arlington Heights to Cardinal News. Note: You can Search In Page to find checkbox terms.
Type of Crash (check all that apply)
Injury Crash (ambulance on scene)
Multi-Injury (more than 1 ambulance)
Rollover Crash
Single Vehicle Crash
Multi-Vehicle Crash (more than 2)
Vehicle vs Fixed Object
Vehicle vs Building
Car vs Car
Car vs SUV
Car vs Pickup Truck
SUV vs SUV
Car vs Truck
Car vs Pickup Truck
SUV vs Pickup Truck
Truck vs Truck
Car vs Pedestrian
SUV vs Pedestrian
Pickup Truck vs Pedestrian
Truck vs Pedestrian
Train vs Pedestrian
Motorcycle vs Pedestrian
Bicycle vs Pedestrian
Car vs Bicyclist
SUV vs Bicyclist
Pickup Truck vs Bicyclist
Truck vs Bicyclist
Train vs Bicyclist
Motorcycle vs Bicyclist
Car vs Motorcyclist
SUV vs Motorcyclist
Pickup Truck vs Motorcyclist
Truck vs Motoryclist
Rear-End Type Crash
Person Trapped/Extrication
Vehicle Fire
Vehicle vs Train
Truck vs Passenger Train
Truck vs Freight Train
Car vs Passenger Train
Car vs Freight Train
SUV vs Passenger Train
SUV vs Freight Train
Pickup Truck vs Passenger Train
Pickup Truck vs Freight Train
Vehicle vs Aircraft
Extended Investigation with MCAT Van or Other Investigators on Scene
Prefer not to answer
WHAT DID YOU SEE? Police activity? Firefighters and paramedics activity? Injuries? ... TIP: USE KEYBOARD MICROPHONE FOR DICTATION ENTRY
(Helpful, but not required: Include Fire Engine # on vehicle, Rescue Squad # on vehicle, Ambulance # on vehicle, etc).
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OPTIONS NORTH-SOUTH
Arlington Heights Road
Douglas Avenue
Dryden
Dunton Avenue
Evergreen Avenue
Kennicott
New Wilke Road
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Route 53
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Windsor Drive
North South Streets
Please Select
OPTIONS EAST-WEST
Algonquin Road (IL-62)
Campbell Street
Central Road
Dundee Road (IL-68)
Euclid Avenue
Golf Road (IL-58)
Hintz Road
Interstate 90
Kensington Road
Kirchhoff Road
Lake Cook Road
Miner Street
Northwest Highway (US-14)
Palatine Road
Rand Road (US-12)
Thomas Street
East West Streets
ADDRESS OR INTERSECTION:
Street Address or Intersection (both streets)
Street Address Line 2
Village
State
Zip Code
Address or Intersection
Type or Dictate (Mic) Address or Intersection
City or Village, Illinois
Incident Date Automatic
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If you use the auto date and time, we'll receive the date and time you completed the form, and use that for the incident date and time. To change date, select field for calendar popup.
Incident Time Automatic
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AM/PM Option
UPLOAD IMAGES(S) HERE, if you have photo(s) or video(s) captured by yourself.
Browse Files
Limited to 8 images or 1 video (1 GB max). By submitting YOUR photo(s) or video, you agree to allow Cardinal News to publish the photo(s) or video on websites and social media connected to Cardinal News in perpetuity, and that YOU are the source of the photo, image or video.
Cancel
of
Do you want video/image/photo credit?
Yes? Enter name, otherwise type NO.
If any TV news station is interested in your photo or video for possible broadcast, cable TV, website, or social media use in perpetuity, do you give permission to the TV station to use your photo or video? You agree not to be paid for your media.
YES, with name above
YES, but no credit if name blank above
NO
Cell Phone # (xxx-xxx-xxxx)
(OPTIONAL/WILL NOT BE PUBLISHED)
OK to Contact you by cell phone text msg?
YES, by cell text (above)
YES, by email (below)
YES, by email or cell text
NO
Email
example@example.com (Enter email address to receive a summary of your entries for your records. Submitting your email may help CARDINAL NEWS verify additional information or provide you with a response or explanation. Your email is not used for any other purpose).
CAPTCHA
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PERMISSION
Thank you for your submission.
Permission granted to CARDINAL NEWS and TV stations (unless you selected NO for TV above), if applicable ... By hitting SUBMIT, you agree that you have the copyright or ownership rights regarding photo(s) or video(s) submitted, and you grant full TV station use or CARDINAL NEWS permission to publish or broadcast photo(s) or video(s) on CARDINAL NEWS websites and official CARDINAL NEWS social media on Facebook and Twitter (with or without credit as you specified above) ...
Yes, I grant permission
No, I do not grant permission
Submit
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