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Fill a Valid Georgia Uniform Vehicle Accident Overlay Template

The Georgia Uniform Vehicle Accident Overlay form is a standardized document used to report details of vehicle accidents in Georgia. This form captures critical information such as the types of vehicles involved, contributing factors, and the conditions surrounding the accident. Understanding how to properly fill out this form can streamline the reporting process and ensure that all necessary data is collected for insurance and legal purposes.

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Fill a Valid Georgia Uniform Vehicle Accident Overlay Template

Contents

The Georgia Uniform Vehicle Accident Overlay form is a crucial tool for documenting vehicle accidents across the state. This form captures essential details about the incident, including the types of vehicles involved, driver conditions, and contributing factors. It outlines various vehicle types, such as passenger cars, trucks, and motorcycles, while also addressing the presence of pedestrians and their actions at the time of the accident. The form requires information on alcohol and drug testing, ensuring that any impairment is noted. Additionally, it categorizes the direction of travel and the nature of the collision, whether it involved fixed objects or occurred in a non-collision scenario. With sections dedicated to weather conditions, road composition, and safety equipment usage, the form provides a comprehensive overview of the accident scene. It even includes codes for injuries sustained and the extent of damage to vehicles. By compiling this information, the form aids law enforcement, insurance companies, and legal representatives in understanding the circumstances surrounding vehicle accidents, ultimately facilitating a clearer path to resolution.

Georgia Uniform Vehicle Accident Overlay Example

DOT-523 Overlay

Georgia Uniform Vehicle Accident Report Overlay

ALCOHOL AND / OR DRUG TEST GIVEN

PEDESTRIAN MANEUVER

CONTRIBUTING FACTORS

VEHICLE TYPE

1 - Passenger Car

12 - Vehicle With Trailer

1 - Yes

2 - No

3 - Refused

1 - Crossing, Not At Crosswalk

2 - Pickup Truck

13 - Bus

6 - Other Working in Road

1 - No Contributing Factors

TYPE TEST

2 - Crossing at Crosswalk

7 - Playing Roadway

2 - D.U.I.

3 - Truck Tractor (Bobtail)

14 - Truck Towing House Trailer

3 - Walking with Traffic

8 - Standing in Roadway

4 - Tractor/Trailor

3 - Following Too Close

15 - Ambulance

1 - Blood 2 - Breath

3 - Urine

4 - Other

4 - Walking Against Traffic

9 - Off Roadway

5 - Tractor W /Twin Trailers

4 - Failed to Yield

16 - Motorized Recreational Vehicle

DRIVER CONDITION

5 - Pushing Or Working on

10 -Other

5 - Exceeding Speed Limit

6 - Logging Truck

17 - Motorcycle, Scooter, Minibike

Vehicle

11 -Darting Into Traffic

7 - Logging Tractor/Trailer

1 - Not Drinking

5 - U.I. Drugs

6 - Disregard Stop Sign /Signal

18 - Moped

8 - Single Unit Truck

19 - Pedalcycle, Bicycle

2 - Not Known if U .I.

6 - U.I.Alcohol & Drugs

7 - Wrong Side Of Road

9 - Panel Truck

20 - Farm or Construction . Equip.

3 - Drinking Not Impaired

7 - Physical

Impairment

8 - Weather Conditions

10 - Van

FIRST HARMFUL EVENT /MOST HARMFUL EVENT

21 - All Terrain Vehicle

4 - U.I. Alcohol

8 - Apparently Fell Asleep

9 - Improper Passing

11 - Utility Passenger Vehicle .

NON -COLLISION

22 - Other

10 - Driver Lost Control

DIRECTION OF TRAVEL

1 - Overturn

4 - Jackknife

11 - Changed Lanes Improperly

23 - Go cart

2 - Fire/Explosion

5 - Other Non -Collision

12 - Object Or Animal

1 - North

2 - South

3 - East

4 -

TRAFFIC CONTROL

13 - Improper Turn

3 - Immersion

West

5 - Stop Or Yield Sign

14 - Parked Improperly

0 - Gates

VISION OBSCURED BY

COLLISION WITH OBJECT NOT FIXED

15 - Mechanical Or Vehicle Failure

1 - No Control Present

6 - No Passing Zone

16 - Surface Defects

7 - Lanes

1 - Not Obscured

5 - Trees, Bushes

6 - Pedestrian

11 - Motor Vehicle In Motion

2 - Traffic Signal

2 - Headlights

6 - Rain, Snow, Ice on

17 - Misjudged Clearance

3 - RR Signal/Sign

8 - Other

7 - Pedalcycle

12 - Motor Vehicle In Motion –

18 - Improper Backing

4 - Warning Sign

9 - Flashing Lights

3 - Sunlight

Windshield

8 - Railway Train

Other Roadway

4 - Parked Vehicle

7 - Other

19 - No Signal/Improper Signal

9 - Animal

13 - Other Object (Not Fixed)

20 - Driver Condition

CARGO BODY TYPE

10 - Parked Motor Vehicle

14 - Deer

VEHICLE CONDITION

21 - Driver's Vehicle

1 - No Known Defects

5 - Steering Failure

COLLISION WITH FIXED OBJECT

22 - Too Fast For Conditions

1 - Van (Encl. Box)

4 - Dump

7 - Cargo Tanker

23 - Improper Passing Of School Bus

2 - Tire Failure

6 - Slick Tires

2 - Auto Carrier

5 - Garbage/Refuse

8 - Concrete Mixer

15 - Impact Attenuate

25 - Utility Pole

24 - Disregard Police Officer

3 - Bus

6 - Flatbed

9 - Other

3 - Brake Failure

7 - Other

16 - Bridge Pier/Abutment

26 - Other Post

25 - Distracted

4 - Improper Lights

17 - Bridge Parapet End

27 - Culvert

26 - Other

18 - Bridge Rail

28 - Curb

27 - Cell Phone

VEHICLE CONFIGURATION

VEHICLE MANEUVER

19 - Guardrail Face

29 - Ditch

28 - Inattentive

1 - Bus (Seating for More Than 15 Passengers)

1 - Turning Left

8 - Parked

20 - Guardrail End

30 - Embankment

2 - Turning Right

9 - Passing

21 - Median Barrier

31 - Fence

2 - Single Unit Truck: 2 Axles

VEHICLE CLASS

3 - Single Unit Truck: 3 or More Axles

3 - Making U-turn

10 - Negotiating A Curve

22 - Highway Traffic Sign

32 - Mailbox

1 - Privately Owned

6 - Military

4 - Truck Trailer

4 - Stopped

11 - Entering/Leaving

Post

33 - Tree

2 - Police

7 - Commercial Vehicle (For

5 - Truck Tractor (Bobtail)

5 - Straight

Parking

23 - Overhead Sign Support 34 - Other - Fixed Object

3 - Fire

Acc. Reporting Purposes

6 - Tractor Tralier

6 - Changing Lanes

12 - Entering/Leaving

24 - Luminaire light Support

4 - School

Only)

7 - Tractor With Twin Trailers

7 - Backing

Driveway

5 - Other Govt. Owned

8 - Other

8 - Unknown Heavy Truck (Cannot Classify)

TRAFFIC -WAY FLOW

LOCATION AT AREA OF IMPACT

AGE

SEX

1 - Two-way Traffic-way

00 - Up To One Year

1 - On Roadway

4 - Median

M - Male F - Female

With No Physical Separation

01 - 97 Actual Age

2 - On Shoulder

5 - Ramp

2 - Two-way Traffic-way

3 - Off Roadway

6 - Gore

98 - Ninety-eight Or Older

TAKEN FOR TREATMENT

With a Physical Separation

99 - Unknown

1 - Yes

2 - No

3 - Two-way Traffic-way

ROAD COMPOSITION

INJURY CODE

With a Physical Barrier

1 - Concrete

4 - Dirt

4 - One-way Traffic-way

0 - Not injured

3 - Visible

2 - Black Top

5 - Gravel

5 - Continuous Turning Lane

1 - Killed

4 - Complaint

3 - Tar And Gravel

6 - Other

2 - Serious

1 - Clear

WEATHER

CONSTRUCTION / MAINTENANCE ZONE CODES

SEATING POSITION

5 - Sleet

CONTRIBUTING ROAD DEFECTS

0 - None

1 - Construction

2 - Maintenance

3 - Utility

2 - Cloudy

6 - Fog

1- No Defects

4 - Unknown type

3 - Rain

7 - Other

POINTS OF INITIAL CONTACT

2 - Defective Shoulders

4 - Snow

3 - Holes, Deep Ruts , Bumps

EJECTION

00 - Overturned

SURFACE CONDITION

4 - Loose Material On Surface

1 - Not Ejected

3 - Totally Ejected

13 - Top

1 - Dry

6 - Mud

5 - Water Standing

2 - Trapped

4 - Partially Ejected

14 - Undercarriage

6 - Road Under Construction

2 - Wet

7 - Sand

15 - Non-Contact Vehicle

7 - Running Water

3 - Snowy

8 - Slush

SAFETY EQUIPMENT

8 - Other

4 - Icy

9 - Oil

0 - None Used

6 - Motorcycle Helmet

5 - Other

ROAD CHARACTER

1 - Shoulder Belt

7 - Bicycle Helmet

2 - Lap Belt

8 - Unknown

LIGHT CONDITION

1 - Straight And Level

3 - Lap and Shoulder Belt

1 - Daylight

4 - Dark - Lighted

2 - Straight On Grade

4 - Child Safety Seat (Property Used)

2 - Dusk

5 - Dark - Not Lighted

3 - Straight On Hillcrest

5 - Child Safety Seat (Improperly Used)

3 - Dawn

4 - Curve And Level

5 - Curve On Grade

EXTRICATION (Equipment Used )

MANNER OF COLLISION

6 - Curve On Hillcrest

1 - Yes

2 - No

1 - Angle

DAMAGE TO VEHICLE

AIR BAG FUNCTION

2 - Head On

3 - Rear End

1 - None

4 - Extensive

0 - No Air Bag In This Seat

5 - Deployed Multiple Directions

4 - Sideswipe - Same Direction

2 - Slight

5 - Fire Present

1 - Deployed Air Bag

6 - Non-Deployed Front

5 - Sideswipe - Opposite Direction

3 - Moderate

2 - Non -Deployed Air Bag

7 - Non-Deployed Side

6 - Not A Collision With a Motor Vehicle

3 - Deployed Side

8 - Non-Deployed Other Direction

4 - Deployed other Directions

9 - Non-Deployed Multiple Direction

Download Georgia Uniform Vehicle Accident Overlay

Document Breakdown

Fact Name	Description
Form Identifier	The form is known as DOT-523 Overlay, specifically the Georgia Uniform Vehicle Accident Report Overlay.
Purpose	This form is used to document vehicle accidents in Georgia for law enforcement and insurance purposes.
Governing Law	The form is governed by Georgia Code § 40-6-273, which outlines the requirements for accident reporting.
Test for Impairment	The form includes sections to indicate whether an alcohol and/or drug test was administered to involved drivers.
Driver Condition	It records the condition of the driver at the time of the accident, including factors like impairment and distractions.
Collision Types	The form categorizes the types of collisions, such as head-on, rear-end, and sideswipe incidents.
Weather Conditions	It captures the weather conditions at the time of the accident, which can be crucial for determining contributing factors.

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