Report Motor Vehicle Accident

If you see this don't fill out this input box.

Accident Type* Please Select University Vehicle Enterprise Vehicle Personally Owned Vehicle Non-street Vehicle (off road, mower, tractor, gator, etc.)

Accident Location*

Was a police report obtained?*

Yes

No

Police Agency Please Select Oklahoma Highway Patrol Oklahoma State University Police Department Stillwater Police Department Other

If you selected "other" above, please specify.

Was the third party given an information card for how to file a claim?*

Yes

No

Date / Time of Accident*

Describe Accident*

Employee Name*

Email*

Direct Supervisor Name*

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