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Accident Reporting Form

  1. INTERNAL CITY USE ONLY

    This form is intended to serve as a means of communication for City of Rio Rancho employees to report vehicle accidents in accordance with internal policies and procedures. 

    If you are not a City employee and are seeking additional information about reporting an accident that may have resulted in injury or damages, please visit rrnm.gov/4098/Tort-Claim.

  2. Instructions:

    All vehicle accidents that result in an injury to any person(s) OR damage to any property shall be reported using the below form immediately following the accident or as soon as practicable.

  3. Did the accident result in injury to any person(s)?*
  4. If yes, is the injured person(s) employed by the City?*
  5. Did the accident result in any damage to any property?*
  6. If yes, is the damaged property owned by the City? *
  7. Was a traffic citation issued to any party involved in the accident? *
  8. Submission of this form will prompt an immediate message to HR, Legal, and Public Works-Fleet. Upon receipt, all necessary parties will contact you directly with further direction.

  9. Leave This Blank:

  10. This field is not part of the form submission.