The SR-1 Nevada form is a report required by the state of Nevada to document traffic accidents that were not investigated by law enforcement at the scene. This form must be completed within 10 days of the accident and includes essential information about all drivers and vehicles involved. Proper completion and submission of the SR-1 form are crucial to avoid potential penalties, including the suspension of driving privileges.
To fill out the SR-1 form, please click the button below.
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Website: www.dmvnv.com
REPORT OF TRAFFIC ACCIDENT
(NRS 484.229, 484.236)
INSTRUCTIONS:
Pursuant to NRS 484.229, this SR-1 report needs to be completed within 10 days after an accident that occurred in the State of Nevada and was NOT investigated at the scene by law enforcement. Please complete ALL sections. This report cannot be accepted or processed unless ALL information has been completed for ALL DRIVERS AND VEHICLES that were involved in the accident.
THE FOLLOWING ATTACHMENTS MUST BE INCLUDED (this SR-1 report will be considered VOID if not attached):
(1)a copy of your insurance that was in effect on the date of the accident for the vehicle involved;
(2)an estimate of repairs or a statement of total loss if there was $750 or more in vehicle or property damage (of any one person); and
(3)a doctor’s statement of injury for each person injured in your vehicle (if the accident resulted in bodily injury or death).
Once completed, please sign your name on the second page, attach all required documents, and mail the complete report to the DMV at the above address. Only reports that have been properly completed for all drivers and vehicles, and include the required attachments, will be accepted and processed. Any SR-1 report that is incomplete or does not meet the requirements of NRS 484.229, as specified above, will not be retained by the Department. Failure to submit this report after it has been requested by the Department of Motor Vehicles may result in the suspension of your driving privilege for up to one year (per NRS 484.236).
ACCIDENT INFORMATION:
Date and time of accident:
DateDay of WeekTime
LOCATION WHERE THE ACCIDENT OCCURRED:
Highway No. or Street Name
City
County
DRIVER AND VEHICLE INFORMATION:
If more than two vehicles were involved, please provide the additional driver and vehicle information on a separate page. NOTE: Plate number only will NOT be accepted.
No. 1
Driver
Pedestrian
Parked Vehicle
Pedal Cyclist
Other
No. 2
1-
2-
3-
4-
5-
Name (LAST, FIRST, MIDDLE)
Street Address
State
Zip
Driver License No. and State
Date of Birth (MM/DD/YYYY)
License Plate No. and State
Year and Make
Body Type
Vehicle ID No.
OWNER’S INFORMATION: If the driver and owner of the vehicle are the same, please print “Same as Above.”
Owner’s Name (LAST, FIRST, MIDDLE)
Owner’s Street Address
Owner’s Driver License No. and State
Owner’s Date of Birth
SR-1 (Revised 04/2008)
INSURANCE INFORMATION:
A COPY OF YOUR INSURANCE CARD MUST BE ATTACHED TO THIS REPORT.
Please ensure to attach a copy of your insurance card that was in effect on the date of the accident for the vehicle involved. This information is necessary to verify that the vehicle was insured at the time of the accident. If insurance was not in effect on the date of the accident, your driving privilege and registration may be suspended under Chapter 485 of Nevada Revised Statutes.
ACCIDENT DESCRIPTION
Please write a brief description of the accident:
PROPERTY DAMAGE (other than the vehicle):
If you answer “Yes” below, please explain in the space provided:
Yes
No Was there damage to property other than the vehicle? If Yes, describe:
Property Owner’s Name:
Property Owner’s Address:
ESTIMATE OF REPAIRS:
AN ESTIMATE OF REPAIRS OR A STATEMENT OF TOTAL LOSS MUST BE ATTACHED if there was $750 or more in vehicle or property damage (of any one person). Pursuant to NRS 484.229, the estimate of repairs or statement of total loss must be from an established repair garage, an insurance adjuster employed by an insurer licensed to do business in the State of Nevada, an adjuster licensed pursuant to chapter 684A of NRS, or an appraiser licensed pursuant to Chapter 684B of NRS.
This SR-1 report will be considered VOID if not attached.
PERSONAL INJURY:
If an injury occurred, A DOCTOR’S STATEMENT OF INJURY FOR EACH INDIVIDUAL INJURED IN YOUR VEHICLE MUST BE ATTACHED. VOID if not attached!
Passenger
Name
Age
Sex
Zip Code
Relationship to Driver of Your Vehicle*
*Husband, wife, son, daughter, etc.
Nature and Extent of Injuries
SIGNATURE:
By completing this report, you are authorizing the Department of Motor Vehicles to release your name, mailing address, and insurance information to the other parties involved in the traffic accident and/or to their insurer (NRS 484.229).
I hereby certify all statements made in this report are true. I agree and understand any person who completes this report knowing or having reason to believe the information is false is guilty of a gross misdemeanor. (NRS 484.236)
Signature
Date Signed
*** VOID IF NOT SIGNED ***
NOTE: Only reports that have been properly completed for all drivers and vehicles, and include the required attachments, will be accepted and processed. Any SR-1 report that is incomplete or does not meet the requirements of NRS 484.229, as specified above, will not be retained by the Department.
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What is the SR-1 Nevada form?
The SR-1 Nevada form is a report that must be completed following a traffic accident that occurs in Nevada and is not investigated by law enforcement. This form serves to document the details of the accident, including information about the drivers, vehicles involved, and any injuries or property damage that may have occurred. It is essential for legal and insurance purposes.
When should I submit the SR-1 form?
You must submit the SR-1 form within 10 days of the accident. Timely submission is crucial, especially if law enforcement did not investigate the scene. Failing to file the report within this timeframe may lead to penalties, including the suspension of your driving privileges.
What information is required on the SR-1 form?
The SR-1 form requires detailed information about all drivers and vehicles involved in the accident. This includes names, addresses, driver license numbers, vehicle identification numbers, and insurance details. Additionally, a brief description of the accident and any property damage must be included. Incomplete submissions will not be processed.
What attachments are necessary when submitting the SR-1 form?
When submitting the SR-1 form, you must attach several documents. These include a copy of your insurance card that was valid on the date of the accident, an estimate of repairs or a statement of total loss if damages exceed $750, and a doctor’s statement of injury for each person injured in the accident. Without these attachments, the report will be considered void.
What happens if I do not submit the SR-1 form?
If you fail to submit the SR-1 form when required, you may face serious consequences. The Department of Motor Vehicles can suspend your driving privileges for up to one year. It is essential to comply with the reporting requirement to avoid such penalties.
Can I submit the SR-1 form electronically?
What if there were injuries in the accident?
If injuries occurred during the accident, you must attach a doctor’s statement of injury for each individual injured in your vehicle. This documentation is crucial for the processing of your report and for any potential insurance claims related to the injuries sustained.
What if the accident involved more than two vehicles?
If the accident involved more than two vehicles, you should provide the additional driver and vehicle information on a separate page. Ensure that all relevant details are included to facilitate proper processing of the report.
Where do I send the completed SR-1 form?
Once you have completed the SR-1 form and attached all required documents, mail it to the DMV at the following address: 555 Wright Way, Carson City, NV 89711. Make sure to use the correct postage and allow sufficient time for delivery to meet the 10-day submission requirement.
Incomplete Information: Failing to fill out all sections of the form for every driver and vehicle involved can lead to rejection. Each detail is crucial for processing.
Missing Attachments: Not including required documents, such as insurance proof, repair estimates, or medical statements, renders the report void. Ensure all attachments are present.
Incorrect Insurance Details: Providing outdated or incorrect insurance information can cause delays. Always attach a copy of the insurance card valid on the accident date.
Neglecting to Sign: Forgetting to sign the report on the second page will void the submission. A signature is mandatory for validation.
Improper Accident Description: Writing an unclear or vague description of the accident can lead to misunderstandings. Clarity is essential for accurate processing.
Ignoring Deadlines: Submitting the report after the 10-day window following the accident can result in penalties, including suspension of driving privileges. Timeliness is critical.
The SR-1 form in Nevada is essential for reporting traffic accidents that were not investigated by law enforcement. To ensure proper processing, it is often accompanied by several other documents. Each of these documents serves a specific purpose and is necessary for a complete submission. Below is a list of commonly required forms and documents that should be included with the SR-1 form.
Completing the SR-1 form along with the necessary attachments is crucial for a smooth processing experience. Ensuring all required documents are included helps avoid delays and potential penalties related to driving privileges.
The SR-1 Nevada form serves as a report of traffic accidents and shares similarities with several other documents used in similar contexts. Below is a list of seven documents that are comparable to the SR-1 form, along with a brief explanation of how they are alike.