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How to fill out a Fatal

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Crash

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A Fatal Supplement Form is required whenever there is a traffic crash resulting in a fatality. The death must occur within 30 days of the crash to be considered a traffic fatality. A fetus must be 28 weeks developed to be counted as a traffic fatality. This form replaces the paper and electronic MV3480 Fatal Supplement Form when submitted as part of a TraCS electronic crash report and is necessary to comply with the requirements of the federal Fatality Analysis Reporting System (FARS). This form is transmitted when validated.

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If the Fatal Supplement Form is submitted after the electronic crash is sent (e.g., a critically injured person dies two weeks after the crash), the original crash needs to be amended to reflect this information.

Creating the Fatal Supplement Form

To create a fatal supplement.

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  • A new Fatal Supplement form will be opened and placed in Edit mode. Quite a few fields have been disabled, these fields match the Crash form. Note: if you need to change them, see updating date of death.

  • Fill out the empty fields

  • Validate

  • Verify

  • Transmit to the DOT

Updating date of death

If one of the following instances happen

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