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The Tennessee Driver Form, specifically identified as the Owner/Driver Report SF-0395, serves as a crucial document for those involved in automobile crashes within the state. Instituted by the Tennessee Department of Safety and Homeland Security, it is designed to record detailed information about a crash, ensuring that all pertinent aspects such as the date, location, vehicle specifics, and personal information of both the operator and owner are meticulously logged. Crucially, the form also inquires about the existence of injuries or fatalities, the extent of vehicle damage, and the presence of liability insurance at the time of the crash. Additionally, it facilitates the documentation of details concerning any other parties involved. According to the provisions of 55-12-104, T.C.A., submission of this report is mandated for any accident involving injury, death, or property damage exceeding four hundred dollars ($400), independent of who is at fault. It highlights the necessity of compliance within twenty (20 days following the incident, underlining the repercussions of non-compliance which may include the suspension of driving privileges. By providing a platform for accident documentation, the form plays a pivotal role in the administrative follow-up of vehicle crashes, ensuring accountability and facilitating the verification process by insurance companies. This streamlined approach underscores the Tennessee Department of Safety and Homeland Security's commitment to road safety and the efficient management of post-crash procedures.

Example - Tennessee Driver Form

TENNESSEE DEPARTMENT OF SAFETY

AND HOMELAND SECURITY

OWNER / DRIVER REPORT

IMPORTANT: COMPLETE FORM BELOW AND MAIL TO: TN DEPARTMENT OF SAFETY AND HOMELAND SECURITY P.O. BOX 945

NASHVILLE, TN 37202-0945

DATE OF CRASH:

PLACE OF CRASH:

 

 

 

Month/Day/Year

 

 

 

 

VEHICLE MAKE:

 

 

VEHICLE YEAR:

NAME OF OPERATOR:

 

 

 

First

 

 

 

 

 

Last

 

 

 

ADDRESS:

 

 

 

 

Number

Street

DRIVER LICENSE NUMBER:

 

 

 

 

STATE:

NAME OF OWNER:

 

 

 

First

 

 

 

 

 

Last

 

 

 

ADDRESS:

 

 

 

 

Number

Street

DRIVER LICENSE NUMBER:

 

 

 

 

STATE:

WERE THERE INJURIES OR DEATH INVOLVED IN THIS CRASH? WERE THERE DAMAGES TO YOUR VEHICLE?

IF YES, WERE THEY LESS THAN $1,500?

OR GREATER THAN $1,500

WERE THERE DAMAGES TO STATE OR LOCAL PROPERTY?

IF YES, WERE THEY LESS THAN $400?

OR GREATER THAN $400

City

County

VEHICLE TYPE:

DOB:

MiddleMonth/Day/Year

City

State

Zip

EXPIRATION DATE:

DOB:

MiddleMonth/Day/Year

City

 

State

Zip

 

EXPIRATION DATE:

 

YES

NO

 

YES

NO

 

IF OVER $1,500, ENTER AMOUNT

 

YES

NO

 

IF OVER $400, ENTER AMOUNT

 

IF AVAILABLE, LIST THE FOLLOWING INFORMATION ON THE OTHER DRIVER INVOLVED IN THIS CRASH:

Last NameFirst NameMiddle Initial Driver License Number

DID YOU HAVE LIABILITY INSURANCE COVERAGE FOR THIS CRASH?

YES

NO

 

IF YES, PROVIDE COMPLETE INFORMATION BELOW:

 

 

 

 

 

 

NAME OF INSURANCE COMPANY (NOT AGENCY):

 

 

 

 

 

 

ADDRESS:

 

 

 

 

City

 

 

 

 

 

 

Number

Street

 

 

State

Zip

POLICY NUMBER:

 

 

 

POLICY PERIOD:

FROM:

 

TO:

 

 

NAME OF POLICYHOLDER:

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

City

 

 

 

 

 

 

Number

Street

 

 

State

Zip

NAME OF INSURANCE REPRESENTATIVE (AGENCY) WHO ISSUED POLICY:

 

 

 

 

 

 

ADDRESS:

 

 

 

 

City

 

 

 

 

 

 

Number

Street

 

 

State

Zip

NOTE: THE INSURANCE INFORMATION YOU PROVIDE WILL BE FORWARDED TO THE INSURANCE COMPANY FOR VERIFICATION.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

Date

 

SF-0395 (Rev. 12/18)

RDA 1348

TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY

OWNER / DRIVER REPORT

As set forth under the provisions of 55-12-104, T.C.A., you must file, or have filed in your behalf, a personal report with the Department of Safety and Homeland Security, if you were involved in an automobile crash as an owner or driver involving death or injury, or in which damage to property was in excess of one thousand five hundred dollars ($1,500) to any person involved OR if an accident results in damage to state or local government property in excess of four hundred dollars ($400). This report is required regardless of who was at fault and in addition to any report filed by an investigating officer.

Failure to file a personal crash report with the Tennessee Department of Safety and Homeland Security may result in the suspension of driver license and registrations or nonresident operating privileges of any person involved in a crash.

Your report must be submitted to the Department within twenty (20) days from the crash. You can satisfy this requirement by completing the reverse side of this from and mailing it to the Tennessee Department of Safety and Homeland Security, P.O. Box 945, Nashville, TN 37202. If you have any questions, please call

toll-free (866) 903-7357 or the Telecommunications Device for the Deaf (615) 532-2281.

Thank you for your cooperation.

TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY

SF-0395 (Rev. 12/18)

RDA 1348

Form Breakdown

Fact Detail
Form Identification Tennessee Department of Safety and Homeland Security Owner / Driver Report, SF-0395 (Rev. 2/14)
Governing Law Outlined under the provisions of 55-12-104, T.C.A. (Tennessee Code Annotated)
Submission Requirement Must be filed if involved in a crash with injury, death, or property damage over $400.
Deadline for Submission Within 20 days from the date of the crash.
Submission Address Mail to Tennessee Department of Safety and Homeland Security, P.O. Box 945, Nashville, TN 37202.
Contact Information For questions, call toll-free (866) 903-7357 or TDD (615) 532-2281.

Detailed Instructions for Filling Out Tennessee Driver

If you've been involved in an automobile crash in Tennessee that resulted in injury, death, or property damage over $400, you're required to submit a personal crash report. This step is necessary even if a law enforcement officer has already filed a report. Submitting this document to the Tennessee Department of Safety and Homeland Security is not just about fulfilling a legal requirement; it helps ensure that your driving privileges remain intact. Failure to complete and send in this report within 20 days of the crash may lead to the suspension of your driving license and registrations. To simplify this process, follow the steps below to accurately fill out the Tennessee Driver form.

  1. Enter the date of the crash in the month/day/year format.
  2. Fill in the place of the crash, specifying the city and county.
  3. Specify the vehicle make, vehicle year, and type of vehicle involved in the crash.
  4. Provide the name of the operator (last, first, middle), date of birth (DOB), and complete address including the ZIP code.
  5. Enter the driver license number, issuing state, and its expiration date.
  6. Repeat the process to provide details of the vehicle's owner if different from the operator, including name, DOB, complete address, driver license number, issuing state, and expiration date.
  7. Indicate whether the crash involved injuries or death by marking 'Yes' or 'No'.
  8. Document the damages to your vehicle, indicating if it was less than or over $400. If over $400, specify the amount.
  9. If another driver was involved in the crash, list their details including last name, first name, middle initial, and driver license number.
  10. Answer whether you had liability insurance coverage for the crash by marking 'Yes' or 'No'. If 'Yes', provide the insurance company name (not the agency), complete address, policy number, policy period (from - to), name of the policyholder, and the insurance representative (agency) who issued the policy.
  11. Ensure to sign and date the form at the bottom to verify the information provided.

Remeber to mail the completed form to the Tennessee Department of Safety and Homeland Security, P.O. Box 945, Nashville, TN 37202. For any queries, you have the option to call their toll-free number or use the Telecommunications Device for the Deaf. Timely submission of your report is crucial to keeping your driving records up-to-date and avoiding potential penalties.

More About Tennessee Driver

Who is required to fill out the Tennessee Owner/Driver Report?

Any individual involved in an automobile crash in Tennessee as an owner or driver, which results in death, injury, or property damage over four hundred dollars ($400), must fill out the Owner/Driver Report. This is mandatory regardless of fault and is in addition to any reports an investigating officer might file.

What is the deadline to submit the Tennessee Owner/Driver Report?

The report must be submitted within twenty (20) days from the date of the crash. It should be completed and mailed to the Tennessee Department of Safety and Homeland Security to the provided address. Timely submission is crucial to avoid the suspension of driving privileges.

What information do I need to provide if there were damages to my vehicle?

You're required to indicate whether the damages to your vehicle were:

  • Less than $400
  • Over $400 - in this case, you must also provide the exact amount of the damages.

This information is critical for assessing the extent of the damages from the crash.

How do I report insurance information on the form?

When reporting insurance information, you're expected to detail the following:

  1. The name of the insurance company (not the agency).
  2. The address of the insurance company.
  3. Your policy number and the policy period (from – to dates).
  4. The name of the policyholder and their address.
  5. The name and address of the insurance representative or agency who issued the policy.

This information is crucial for the department to forward to your insurance company for verification.

Common mistakes

Filling out official forms can sometimes feel overwhelming, especially when dealing with the aftermath of a car crash. The Tennessee Department of Safety and Homeland Security requires a comprehensive Owner/Driver Report to be submitted by individuals involved in car crashes. While meticulously filling out this form is crucial, there are common pitfalls that one should avoid to make sure their submission is both accurate and accepted.

One of the first mistakes people make is not providing complete information about the crash, such as the exact date, place, and details of the crash. The Date of Crash and Place of Crash sections are essential for the Department to understand when and where the incident occurred. Being vague or inaccurate can delay processing and lead to unnecessary complications. It's important to double-check these details for accuracy before submission.

Another frequent error is inaccurately reporting the damage to the vehicle. The form asks if the damages were "LESS THAN $400" or "OVER $400". Accurate estimation is critical since this affects how the report is processed. Over or underestimating the damage, intentionally or unintentionally, can have legal ramifications and might also affect insurance claims.

A third mistake involves the details about insurance coverage. Many individuals either leave out their insurance information or provide incomplete details. Given that the form explicitly states this information will be "FORWARDED TO THE INSURANCE COMPANY FOR VERIFICATION", supplying comprehensive and accurate insurance details is not only necessary for the report but also crucial for the subsequent claims process. Ensuring that the insurance company name, policy number, and policyholder’s name are correctly filled out can expedite the resolution of any financial liabilities stemming from the crash.

Lastly, people often forget to list information about the other driver involved in the crash, if applicable. This information is crucial for the Tennessee Department of Safety and Homeland Security to have a full understanding of the incident and to assist in any necessary follow-up. Neglecting to include this could delay the process or result in a partial portrayal of the event, affecting outcomes for both parties involved.

In conclusion, when completing the Tennessee Driver Form, it's vital to:

  1. Provide complete and accurate details of the crash,
  2. Estimate vehicle damage accurately,
  3. Include comprehensive insurance information, and
  4. List information about the other driver involved, if any.
Avoiding these common mistakes can significantly streamline the process, reduce stress, and ensure a more favorable outcome for all parties involved.

Documents used along the form

When dealing with vehicle incidents, particularly in Tennessee, the Owner/Driver Report is just the beginning. Various other forms and documents are often used in conjunction to ensure all legal and procedural requirements are met. From insurance documentation to proof of identity, these documents play a crucial role in the process.

  • Proof of Insurance: This document verifies that the vehicle involved in the crash is covered by insurance. It includes information such as the insurance company's name, the policy number, and the policy period. Proof of insurance is crucial for establishing financial responsibility in the event of an accident.
  • Vehicle Registration: A vehicle's registration document provides official evidence of the vehicle's legal status. It includes important details such as the vehicle’s make, model, year, and the name and address of its registered owner. This document is often required to tie the vehicle to the individuals involved in the incident.
  • Driver’s License: The driver’s license confirms the identity and legal driving status of the person operating the vehicle at the time of the incident. It includes the driver's name, photograph, address, and license number, along with classification and restrictions if any.
  • Accident Report Form: If law enforcement was at the scene, an official accident report form might be filled out. This report provides an unbiased account of the incident, detailing the events that occurred and any findings regarding fault or contributing factors.
  • Medical Records: In the event of injuries, medical records can be crucial. They provide documentation of any injuries sustained in the crash, treatment received, and the prognosis. These records can be vital for insurance claims and legal proceedings related to the incident.
  • Witness Statements: Statements from individuals who witnessed the crash can be invaluable. These accounts provide additional perspectives on how the incident occurred, contributing to a clearer understanding of the events and helping to establish fault.

The collection of these documents following a vehicle incident ensures a comprehensive approach to dealing with the aftermath. Whether for insurance claims, legal matters, or personal records, each document serves a unique purpose, contributing valuable information to the overall context of the incident. Understanding and gathering these documents promptly can significantly ease the process of resolution for all parties involved.

Similar forms

The Tennessee Driver Form closely resembles the California Traffic Accident Report in its structure and purpose. Similar to the Tennessee document, the California form requires details of the accident, including the date, location, and vehicles involved. Both forms require personal information of the driver and vehicle owner, including names, addresses, and driver license numbers. Additionally, they ask whether there were any injuries or fatalities and require information about insurance coverage. These elements are crucial for documenting the incident accurately for both state departments and insurance companies, reflecting their shared goal of maintaining road safety and accountability.

Another document bearing resemblance to the Tennessee Driver Form is the New York Motor Vehicle Accident Report. This form also mandates the collection of comprehensive details related to road incidents, specifying the requirement for information about the crash circumstances, vehicle damage, and insurance verification. Similar to the Tennessee form, the New York version emphasizes the documentation of injuries or deaths and the extent of vehicle damage, aiming to facilitate insurance claims and fulfill state reporting requirements. Though serving the same main objectives, each form is tailored to the specific regulatory environment and legal requirements of its respective state.

The Texas Driver's Crash Report mirrors the Tennessee form in its intended use, which is for drivers to report certain accidents when law enforcement is not involved. Both forms collect similar types of information, such as the crash details, driver and vehicle owner's personal and license information, damage assessment, and insurance details. These documents ensure that the state has a record of the accident for statistical and insurance verification purposes. The focus on self-reporting by drivers reflects an overarching system aimed at promoting transparency and responsibility post-accident.

The Florida Traffic Crash Report Form shares similarities with the Tennessee Driver Form in that it is used to report vehicle crashes. Like its Tennessee counterpart, Florida's form requires information about the crash location, date, and time, details of the vehicles and individuals involved, and a narrative description of the incident. It also places a strong emphasis on insurance information, underscoring the role of these documents in the insurance claims process. Both states aim to streamline accident reporting for drivers while ensuring that essential data is captured for legal and administrative purposes.

The Accident Report Form used in Illinois parallels the Tennessee Driver Form, particularly in the areas of soliciting detailed incidents, vehicle, driver, and insurance information following traffic accidents. Both recognize the importance of collecting accurate and comprehensive data at the scene, which is critical for various stakeholders, including law enforcement, insurance companies, and the state's department of transportation. The forms play a key role in managing the aftermath of accidents, facilitating the insurance claims process, and contributing to road safety analysis and improvements.

Dos and Don'ts

When filling out the Tennessee Driver Form, it's essential to approach the task with accuracy and thoroughness. Below are ten vital do's and don'ts to guide you through the process:

  • Do gather all necessary information before you start, including details of the crash, your vehicle, insurance, and personal identification.
  • Do double-check the date and place of the crash to ensure they are accurately recorded.
  • Do clearly state whether there were any injuries or deaths as a result of the crash.
  • Do accurately assess and record any damages to your vehicle, specifying whether the cost is over or under $400.
  • Do provide complete insurance information, including the name of the insurance company, policy number, and period of policy validity.
  • Don't leave any sections blank. If a section does not apply to your situation, write "N/A" (not applicable) to indicate this.
  • Don't guess or estimate information. If you're unsure about specific details, such as the exact cost of damages, seek clarification before submitting.
  • Don't skip providing the other driver's information if available, especially in cases involving another party.
  • Don't forget to sign and date the form. An unsigned form may be considered incomplete and can delay processing.
  • Don't ignore the deadline for submission. Ensure the form is mailed well within 20 days of the crash to avoid possible penalties.

Completing the Tennessee Driver Form thoroughly and accurately is crucial for ensuring that your report is processed efficiently and without unnecessary delay. Paying close attention to the details and following these guidelines will help streamline the process for everyone involved.

Misconceptions

When it comes to the Tennessee Driver Form, confusion often arises due to incorrect information and assumptions. Clearing up these misconceptions is vital for drivers to comply with state laws and regulations accurately. Here are five common misunderstandings:

  • Misconception 1: The form is only necessary if you were at fault in the accident. This isn't true. Regardless of who's at fault, if the accident results in injury, death, or property damage exceeding $400, completing this form is mandatory for all involved owners or drivers.
  • Misconception 2: Submission of this form is optional if a police report was filed. Even if a police report is on file, the involved individuals must still submit this form to the Tennessee Department of Safety and Homeland Security. This remains an essential step in the process.
  • Misconception 3: You only need to report accidents occurring within Tennessee. The requirement to submit this form applies to all residents of Tennessee, regardless of where the accident took place. Ensuring compliance with state laws means reporting accidents that happen anywhere.
  • Misconception 4: The form must be submitted within a month of the accident. Actually, the law specifies a shorter timeframe. The completed form must be submitted to the Department within twenty (20) days from the date of the crash, making it crucial to act promptly.
  • Misconception 5: It’s unnecessary to report minor damage if it’s under $400. While it's true that reporting is mandatory only for damages exceeding $400, it's always a good idea to document and report any accident. This documentation can be helpful for insurance or legal purposes later on.

Remember, failure to submit this form as required can result in significant consequences, including the suspension of your driving privileges. Ensuring an accurate understanding and compliance with the submission guidelines for the Tennessee Driver Form is in every driver's best interest.

Key takeaways

  • Filling out the Tennessee Driver form accurately is crucial, as it’s a formal document utilized by the Tennessee Department of Safety and Homeland Security. It serves a key purpose in reporting information about vehicle crashes involving death, injury, or significant property damage exceeding $400.
  • Ensure to report the crash within 20 days to avoid potential penalties. Late submissions could lead to the suspension of driving privileges or vehicle registrations for those involved in the incident.
  • Completeness is key when it comes to the Driver License Number, State, Expiration Date for both the driver and the vehicle owner (if different), as well as detailed insurance information. The department uses this information for cross-referencing and validation purposes.
  • In the section regarding damages, you must specify if the damage to your vehicle is less than or exceeds $400, providing an exact estimate if possible. This distinction is critical for the department’s assessment and further action regarding the crash.
  • If there were injuries or a death involved in the crash, it is imperative to indicate so by checking the appropriate box. This information drastically changes the severity and handling of the report by the Tennessee Department of Safety and Homeland Security.
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