This report is for the documentation of non-injury traffic collisions, where the party or parties are no longer at the scene of the collision. This report is to be filled out by you. Please read the following instructions before filling out the report. This report is not sent to DMV or the State of California, it is only kept on file with this department.
Copies are available for the involved parties and or their insurance companies.
The collision did not occur in Belmont. The collision has already been reported to this or any other law enforcement agency. Report Number - Do not write anything here. We will assign the report a file number when it is completed. Damage Areas - Shade the areas on the car diagram to show damage to that car.