Free Tennessee Driver Form in PDF

Free Tennessee Driver Form in PDF

The Tennessee Driver Form, officially known as the Owner/Driver Report, is a document required by the Tennessee Department of Safety and Homeland Security. It must be filled out and mailed by individuals involved in a vehicle crash resulting in injuries, death, or property damage exceeding $400, to ensure compliance with state laws and avoid potential penalties. To streamline the process of fulfilling this legal obligation, click the button below to fill out the form.

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Navigating through the aftermath of an automobile crash in Tennessee involves more than just dealing with the immediate physical and emotional impacts. State regulations require that individuals involved in vehicle accidents, whether as owners or drivers, take a critical step in documenting the incident by completing and submitting the Tennessee Driver form to the Tennessee Department of Safety and Homeland Security. This comprehensive form gathers essential details about the crash, including the date, location, vehicle specifics, and information about the individuals involved. Whether there were injuries, the extent of damage to any vehicle, and insurance coverage details are also integral parts of this report. What's significant about this process is its role in fulfilling the legal responsibilities set forth under the provisions of 55-12-104, T.C.A., especially in circumstances where the crash involved injury, death, or significant property damage exceeding $400. The form acts as a personal report that supplements any official reports filed by investigating officers and must be submitted within twenty days of the crash to avoid potential penalties, including the suspension of driving privileges. With the aim to ensure all pertinent information reaches the relevant authorities promptly and accurately, this document plays a crucial part in the administrative aftermath of vehicle incidents in Tennessee, emphasizing the importance of timely and thorough compliance.

Preview - 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

Document Specs

Fact Name Detail
Form ID and Revision SF-0395 (Rev. 2/14)
Issuing Agency Tennessee Department of Safety and Homeland Security
Mailing Address for Submission P.O. Box 945, Nashville, TN 37202
Reporting Requirement Under Law Per T.C.A. § 55-12-104, a personal report must be filed in the event of a crash involving death, injury, or property damage over $400.
Report Submission Deadline Must be submitted within 20 days from the date of the crash.
Potential Consequence for Non-Submission Failure to submit the report may result in suspension of driver's license and vehicle registrations or nonresident operating privileges.

Instructions on Writing Tennessee Driver

Filling out the Tennessee Driver Form is a crucial step following a vehicle crash in Tennessee, especially if the incident involved injury, death, or property damage exceeding $400. This form ensures that you meet state requirements to avoid potential license or registration suspension. It's essential to submit this report within 20 days of the crash to the Tennessee Department of Safety and Homeland Security. By following the steps below, you can accurately complete and submit your form.

  1. Gather all necessary information regarding the crash, including the date, location, vehicle details, and any other involved parties.
  2. Start by filling in the DATE OF CRASH with the month, day, and year when the incident occurred.
  3. Under PLACE OF CRASH, enter the city and county.
  4. For VEHICLE MAKE, YEAR, and TYPE, provide the details of the vehicle you were driving at the time of the crash.
  5. Enter your full name (NAME OF OPERATOR), date of birth (DOB), and complete address including zip code. Also, include your driver license number, issuing state, and expiration date.
  6. If you were not the vehicle's owner at the time of the crash, fill in the NAME OF OWNER, their DOB, address, driver license number, issuing state, and expiration date.
  7. Indicate whether there were any injuries or deaths involved in the crash by marking either "YES" or "NO" under the corresponding section.
  8. Specify the amount of damages to your vehicle, indicating whether it was LESS THAN $400 or OVER $400. If over $400, enter the exact amount.
  9. If another driver was involved, provide their details as much as available, including last name, first name, middle initial, and driver license number.
  10. State whether you had liability insurance coverage for the crash. If "YES", complete the section with the insurance company name (not the agency), address, policy number, policy period, name of the policyholder, the insurance representative (agency) who issued the policy, and their address.
  11. After reviewing the information for accuracy, sign and date the form at the bottom.
  12. Mail the completed form to the TN Department of Safety and Homeland Security, P.O. Box 945, Nashville, TN 37202.

Remember, completing and submitting this form is not only about compliance but also about ensuring your rights and details are accurately documented following a vehicle crash. For any questions or clarification, the Department has provided a toll-free number and a contact for the Deaf and Hard of Hearing.

Understanding Tennessee Driver

Who is required to complete the Tennessee Driver Form?

In Tennessee, if you are an owner or a driver involved in an automobile crash that resulted in death or injury, or if there was property damage exceeding $400, then you must file a personal report. This requirement applies regardless of who was at fault for the accident.

What is the deadline for submitting the Tennessee Driver Form?

You have 20 days from the date of the crash to submit your Tennessee Driver Form to the Department of Safety and Homeland Security. Failing to meet this deadline may result in harsh penalties, including the suspension of your driver's license and vehicle registrations.

Where should the completed Tennessee Driver Form be sent?

The completed form should be mailed to the Tennessee Department of Safety and Homeland Security at P.O. Box 945, Nashville, TN 37202. This is the official channel through which personal crash reports are processed.

How does one report about the other driver involved in the crash on the form?

If there was another driver involved in the crash, you must include their information on the form. This includes the driver's name, driver's license number, and any other details you have available. Providing this information is necessary for a comprehensive report.

Is it mandatory to report insurance information on the Tennessee Driver Form?

Yes, if you had liability insurance coverage at the time of the crash, you are required to provide complete insurance information on the form. This includes the name of the insurance company (not the agency), policy number, and the policy period. This information will be forwarded to your insurance company for verification.

Common mistakes

Completing forms accurately is crucial, especially when it comes to reporting an automobile crash to the Tennessee Department of Safety and Homeland Security. People often make a few common errors that can have significant ramifications, ranging from delays in processing to potential legal consequences. Understanding these mistakes can help individuals avoid them, ensuring their report is accepted without issue.

One common mistake is not providing complete information about the crash. The section that asks for the "DATE OF CRASH" and "PLACE OF CRASH" is frequently filled out inaccurately or left incomplete. It's essential to include the specific month, day, and year of the crash, as well as a detailed location, including the city and county. This detailed information is necessary to comprehensively document the incident for both record-keeping and investigation purposes.

Another error occurs when individuals fail to accurately report the details of their vehicle. The form requires specifics about the "VEHICLE MAKE," "VEHICLE YEAR," and "TYPE VEHICLE." Often, people might overlook the importance of these details or enter them incorrectly. For instance, mistyping the vehicle year or providing a model name instead of the make can cause confusion and delay the processing of the report. Accurately identifying the vehicle involved is critical for insurance claims and legal accountability.

A third mistake is related to the section on damages. The form asks if there were "INJURIES OR DEATH INVOLVED IN THIS CRASH" and the extent of "DAMAGES TO YOUR VEHICLE." Sometimes, individuals underestimate or inaccurately report the damage to avoid perceived repercussions. However, being honest and precise about the injuries and damages—whether they are "LESS THAN $400" or "OVER $400"—is crucial. Under or overestimating damage not only affects claims processing but might also lead to legal complications or insurance fraud accusations.

Lastly, a significant error involves incorrectly reporting insurance information. The segment requiring details about "LIABILITY INSURANCE COVERAGE FOR THIS CRASH" is often prone to oversights and inaccuracies. Providing incomplete insurance details, such as omitting the "POLICY NUMBER" or the correct "POLICY PERIOD," can impede verification processes. It is critical to ensure that all information about the insurance company, policy number, and insured period is correctly entered. This data helps in the swift validation of coverage, thereby facilitating any claims that may arise from the crash.

By paying close attention to these details and ensuring the provided information is complete and accurate, individuals can significantly enhance the efficiency of the reporting process. This not only aids in personal insurance claims but also contributes to the overall safety and accountability mechanisms in place within the state of Tennessee.

Documents used along the form

When dealing with the aftermath of a vehicular incident in Tennessee, the Tennessee Driver Form is a crucial document to submit. However, to fully address the legal and administrative needs that may arise from such incidents, several other forms and documents are often required. Understanding these documents can help ensure that individuals fulfill all legal obligations and secure their rights and interests efficiently.

  • Proof of Insurance: Documentation that verifies the vehicle's insurance coverage at the time of the accident. This is crucial for establishing financial responsibility for damages or injuries resulting from the crash.
  • Vehicle Registration: A document that provides official registration details of the vehicle involved in the crash. It is essential for identifying the vehicle and proving ownership or legal use of the vehicle at the time of the incident.
  • Accident Reports from Law Enforcement: Official reports filed by police or other law enforcement agencies who responded to the scene. These reports provide an authoritative account of the incident, which can be critical for insurance claims and legal proceedings.
  • Medical Records: If injuries were sustained in the crash, detailed medical records can document the extent and nature of the injuries, treatments received, and the prognosis. This information is vital for insurance claims and could be important in legal actions related to the accident.
  • Witness Statements: Written accounts from witnesses can provide additional perspectives on the crash, potentially supporting your account of the incident. These can be significant in determining fault and liability.
  • Photos or Videos of the Accident Scene: Visual evidence from the scene can help illustrate the circumstances of the crash, including road conditions, positioning of vehicles, and extent of damage. This can be crucial for insurance evaluations and legal analyses.

In navigating the legal processes following a vehicle incident in Tennessee, it is important to collect and organize these relevant documents promptly. Together with the Tennessee Driver Form, they provide a comprehensive account of the incident, which is essential for legal, insurance, and administrative purposes. Be proactive in understanding and fulfilling these requirements to protect your interests and ensure a smoother recovery process.

Similar forms

The Tennessee Driver Form shares similarities with the California Traffic Accident Report, in that both require detailed information about the accident, including the date, location, and details of the vehicles involved. They also necessitate information about the driver, vehicle owner, if different, and insurance details. Each form is used by a state department to compile data about traffic incidents within their jurisdiction.

Likewise, the Texas Peace Officer's Crash Report serves a parallel purpose by gathering specifics of a vehicular accident for state records. It demands comprehensive data on the accident scene, vehicles, individuals involved, and any casualties or damages resulting. This similarity showcases the universal need for meticulous record-keeping in managing and understanding traffic accidents across states.

The Florida Driver’s Crash Report form also mirrors the Tennessee Driver Form by requiring the driver's personal and insurance information post-accident. The emphasis on documenting insurance coverage and the extent of damage or injury underscores the legal importance of insurance verification and liability in accidents, underpinning the regulatory similarities across states.

New York's Motorist Accident Report shares resemblances with the Tennessee form in its requirement for detailed accident descriptions, including sketches of the accident scene, when applicable. Such specificity aids in thorough accident reconstruction analysis and legal scrutiny, highlighting the priority of detailed record-keeping in traffic incident management.

The Georgia Personal Report of Accident is akin to the Tennessee form in its functional purpose of documenting accidents for state departments, albeit with a focus on Georgia-specific legal requirements. Both forms serve as essential tools for individuals to report accidents involving substantial property damage, injuries, or fatalities, stressing the citizen's role in legal compliance and road safety.

The Illinois Motorist Report, similar to Tennessee’s form, is required following accidents with significant damage, injury, or death. These reports collectively assist in legal proceedings, insurance claims, and statistical analyses, emphasizing the mutual goal of promoting road safety and accountability through detailed documentation.

The Virginia Driver’s Crash Report, akin to Tennessee’s, gathers detailed information about the crash for law enforcement and insurance purposes. It highlights the importance of the driver's narrative in understanding the circumstances leading to accidents, illustrating the shared focus on individuals' accounts for legal and safety evaluations.

Michigan’s State Crash Report is reminiscent of Tennessee’s form in its comprehensive collection of data on vehicular accidents and their repercussions. Both underscore the necessity of thorough documentation for insurance validation, legal liability determination, and traffic safety enhancement strategies.

The Colorado Accident Report mirrors Tennessee’s protocol by documenting accident specifics, underscoring the nationwide emphasis on accurate and detailed accident data collection. This forms the basis for identifying hazardous road conditions, problematic traffic patterns, and promoting preventive measures.

Similarly, the Pennsylvania Crash Reporting System aligns with the Tennessee Driver Form in its approach to accident documentation for state record-keeping. This underscores a shared governmental commitment to leveraging data in enhancing road safety, legal accountability, and informed policy-making related to vehicular travel and traffic management.

Dos and Don'ts

Filling out the Tennessee Driver form is a critical step in reporting a vehicle crash accurately and ensuring that all details are documented properly. To help guide you through this process, here are things you should and shouldn't do.

Things you should do:

  1. Double-check for accuracy. Make sure all information entered on the form is accurate, including the date of the crash, place of crash, vehicle details, and your personal information.
  2. Provide complete details. Fill in every section of the form thoroughly. If a section doesn’t apply to you, write “N/A” instead of leaving it blank to indicate that you didn’t overlook it.
  3. Report injuries or death. Be truthful about whether there were any injuries or fatalities as a result of the crash. This information is crucial for proper documentation and for the authorities to understand the severity of the incident.
  4. Include insurance information. If you had liability insurance coverage for the crash, provide the full details of your insurance company, the policy number, and the period the policy covers.

Things you shouldn't do:

  1. Guess on details. If you’re not sure about specific information, such as the exact place of crash or details regarding the other driver involved, do not make guesses. Obtain accurate information before filling out the form.
  2. Leave sections blank. If a question or section doesn’t apply to your situation, write “N/A” instead of leaving it blank. This shows you didn’t accidentally skip parts of the form.
  3. Sign without reviewing. Don’t rush through filling out the form and sign it without reviewing all the information you’ve provided for accuracy and completeness.
  4. Miss the deadline. Submit the completed form within the 20-day period following the crash. Late submissions could result in penalties, including the suspension of your driver’s license.

By carefully following these dos and don'ts, you'll be able to ensure that your Tennessee Driver form is accurately filled out and submitted on time, which can significantly help in managing the aftermath of a vehicle crash.

Misconceptions

There are several misconceptions about the Tennessee Driver Form that can cause confusion. Understanding these misconceptions is essential to correctly filling out the form and complying with the state's requirements.

  • Misconception 1: You only need to report an accident if it was your fault. This is incorrect. Regardless of who is at fault, you must file a report if the crash involved death, injury, or property damage exceeding $400.
  • Misconception 2: Reporting an accident to the police means you don't need to send in the Tennessee Driver Form. This is not true. Even if an investigating officer files a report, you must still submit your personal report to the Department of Safety within the specified timeframe.
  • Misconception 3: You don't need to mention minor injuries on the form. In reality, any injury, no matter how minor, should be reported on the form to ensure a comprehensive account of the incident.
  • Misconception 4: Information about the other driver involved in the crash is optional. This information is crucial, especially if damages are being claimed. Providing complete and accurate details can significantly expedite the verification and claims process.
  • Misconception 5: The report form is only for the driver. Both the operator and the owner of the vehicle, if they are not the same person, need to provide their information, clearly indicating their respective parts of the vehicle’s authority and responsibility.
  • Misconception 6: Your driver’s license information is irrelevant to the accident report. Contrary to this belief, including your driver's license number and its expiration date is essential for identification and verification purposes.
  • Misconception 7: If the damage to the vehicle is under $400, reporting it is unnecessary. This is false. All damages, regardless of the cost, should be reported to provide a full record of the incident's impact, even if it does not meet the threshold for mandatory reporting.
  • Misconception 8: The insurance information section is only for those who were at fault. Actually, insurance details are necessary for all parties involved, regardless of fault, as this information will be forwarded for verification to the respective insurance companies.

Correcting these misconceptions ensures that the Tennessee Driver Form is accurately completed, which is crucial for legal and insurance purposes. Taking the time to understand and provide all required information keeps the process moving smoothly for everyone involved.

Key takeaways

Filling out the Tennessee Driver Form, officially known as the Owner/Driver Report (SF-0395), is crucial for drivers in Tennessee, especially following an accident. This form plays a pivotal role in recording accident details and fulfilling legal obligations. Here are four key takeaways about completing and utilizing this form:

  • Timeliness is essential. Drivers involved in a vehicle crash resulting in death, injury, or property damage exceeding $400 are required to file this report within 20 days of the accident. Delaying beyond this period can lead to severe consequences, including the suspension of driving privileges.
  • Accuracy matters. When filling out the form, providing comprehensive and accurate information about the crash is fundamental. This includes details of the crash, vehicle information, personal details of the operator and owner, and insurance details if applicable. Incomplete or inaccurate information could invalidate the report or delay its processing.
  • Insurance verification. The information regarding liability insurance coverage is not just a formality. It is forwarded to the insurance company for verification. This step is crucial for the processing of claims and determining liability. Therefore, ensuring that the insurance details are correct is imperative for a smooth claims process.
  • Legal compliance. By completing and mailing the Owner/Driver Report to the Tennessee Department of Safety and Homeland Security, drivers comply with Tennessee Code Annotated (T.C.A.) 55-12-104. This compliance is not only about adhering to the law but also about ensuring that all parties involved in the accident are accounted for, and any financial responsibilities are transparently managed.

Understanding and adhering to these takeaways when dealing with the Tennessee Driver Form can significantly impact the aftermath of a vehicle crash. It ensures legal compliance, aids in the smooth handling of insurance claims, and supports the fair resolution of any disputes arising from the accident.

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