Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 11/17/2017. Total Units 02. School Bus Related No

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Nelson Holmes
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1 Document Number Override Crash Date 11/17/27 Date tified 11/17/27 On Emergency Government Property Reportable Description Diagram Primary Crash Document # Crash Time 4:35 PM Time tified 4:35 PM Hit and Run Active School Zone Lane Closure Crash Type DT4 (Standard Crash) Agency Crash Number Date Arrived 11/17/27 Total Units School Bus Related Work Zone Investigating Officer/Deputy DEPUTY S. SCHRAM Time Arrived 4:55 PM Total Injured Tags Trailer or Towed Amended Total Killed Reconstruction By Secondary Crash Photos By Additional Information ne Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. 1 WAS EB ON SOUTH BLVD IN THE TOWNSHIP OF BARABOO. THERE WAS AN UNINVOLVED STOPPED IN THE LANE OF TRAFFIC ATTEMPTING TO TURN NORTH INTO THE ENTRANCE TO FARM AND FLEET. 1 USED THE EXTRA LANE TO MANEUVER AROUND THE TURNING. AT THE SAME TIME 2 WAS WB ON SOUTH BLVD AND WAS ATTEMPTING TO TURN SB INTO THE ENTRANCE TO BARABOO SELF STORAGE. NEITHER OPERATOR SAW THE OTHER DUE TO THE ATTEMPTING TO TURN INTO FARM AND FLEET. 1 AND 2 STRUCK, CAUSING VERY MINOR DAMAGE TO BOTH S. 1 SUSTAINED DAMAGE TO THE FRONT PASSENGER SIDE, 2 SUSTAINED DAMAGE TO THE REAR PASSENGER SIDE. DRIVERS EXCHANGED INFO AND TOOK PHOTOGRAPHS ON SCENE. BOTH S REMOVED FROM SCENE BY OPERATORS. Crash Form DT4 1 of 7

2 Location ON CTHW 616 FT W OF MOORE ST IN THE TOWN OF BARABOO IN SAUK COUNTY Latitude X Coordinate Structure Type Longitude Y Coordinate Crash Scene First Harmful Manner of Collision 6--Sideswipe/Opposite Direction Road Surface Condition(s) Wet Environment Factor(s) Weather Conditions First Harmful Location On Roadway Light Condition Dusk Roadway Factor(s) ne Weather Condition(s) Cloudy, Rain Animal Type Crash Classification - Location Public Property Tribal Land Within Interchange Area NO Unit Summary Unit Status In Transit Vehicle Type Passenger Car Total Occs Insurance? YES Most Harmful : Collision With Traffic Way Two-Way, t Divided Surface Type Blacktop (Bituminous) Truck Bus or HazMat Vehicle License Plate Number 623UGZ Vehicle Identification Number 2G4WB55K3Y114 Color SIL - Silver (Aluminum) Initial Contact Point 1--Right Front Corner Extent Of Damage Minor Damage Junction Location Driveway Access Train/Bus # Injured Direction Of Travel Eastbound Total # Citations Issued Traffic Control Control Road Curvature Straight Relation To Trafficway Trafficway - On Road Crash Classification - Jurisdiction Special Jurisdiction Access Control Control Intersection Type t an Intersection Vehicle Operating As Classification D CLASS Pre CrashTire Mark Special Function Special Function Plate Type AUT - Automobile Make BUICK Body Style 4D - 4DR Vehicle Damage 1--Right Front Corner Reporting Threshold Total Trailers Speed Limit 25 St WI Year 2 Unit Type Automobile Operating As Endorsements Emergency Motor Vehicle Use t Applicable Road Grade Level Total Lanes Special Study Total HazMat Types Traffic Control Inoperative/Missing NO Country of Issuance ED STATES Model REGAL LS Bus Use t A Bus Crash Form DT4 2 of 7

3 Towed Due To Damage t Towed What Driver Was Doing Overtake Right Driver Prior Action Other Driver Actions Contributing Action Vehicle Removed By OPERATOR Vehicle Factors t Applicable Driver Distractions Unknown If Distracted OWNER Vehicle Owner MEGAN E RADSKE (414) Sequence Of s S3145 LAKE VIRGINIA RD REEDSBURG, WI 53959, US 3 4 Policy Holder Insurance Company PROGRESSIVE-CLASSIC-INS-CO MEGAN RADSKE Crash Form DT4 3 of 7

4 Driver MEGAN RADSKE (414) S3145 LAKE VIRGINIA RD REEDSBURG, WI 53959, US Citations Issued Date of Birth Driver License Number Sex Female Race WHITE State: Wisconsin Country: ED STATES 1 Equipment Helmet Use On Duty Crash Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl Safety Equipment Shoulder & Lap Belt Helmet Compliance Eye Protection Tint Compliance Ejected t Ejected Medical Transport t Transported Hospital Injury Severity Apparent Injury Airbag n Deployed Ejection Path t Ejected/t Applicable EMS Agency Identifier Date of Death Trapped/Extricated t Trapped EMS Run # Time of Death Striking Unit # Prior Action Location To/From School Action 1 Injury n Motorist Action Other Drug & Alcohol Alcohol Test Given Test t Given Drug Test Given Test t Given Suspected Alcohol Use Suspected Drug Use Alcohol Test Type Drug Test Type Alcohol Test Results Drug Test Results Drug Type Condition Appeared rmal Crash Form DT4 4 of 7

5 Unit Summary Unit Status In Transit Vehicle Type (Sport) Utility Vehicle Total Occs Insurance? YES Most Harmful : Collision With Traffic Way Two-Way, t Divided Surface Type Blacktop (Bituminous) Truck Bus or HazMat Vehicle License Plate Number 857TZN Vehicle Identification Number 3C4PDCDG2ET15287 Color RED - Red Initial Contact Point 5--Right Rear Corner Extent Of Damage Minor Damage Towed Due To Damage t Towed What Driver Was Doing Left Turn Driver Prior Action Other Driver Actions Contributing Action Train/Bus # Injured Direction Of Travel Westbound Vehicle Operating As Classification D CLASS Total # Citations Issued Special Function Special Function Traffic Control Control Pre CrashTire Mark Road Curvature Straight Plate Type AUT - Automobile Make DODGE Vehicle Damage 5--Right Rear Corner Vehicle Removed By OPERATOR Vehicle Factors t Applicable Reporting Threshold Body Style UT - SPORT UTILITY Total Trailers Speed Limit 25 St WI Year 24 Unit Type Automobile Operating As Endorsements Emergency Motor Vehicle Use t Applicable Traffic Control Inoperative/Missing NO Road Grade Level Model JOURNEY CR Bus Use t A Bus Total HazMat Types Total Lanes Country of Issuance ED STATES Driver Distractions Unknown If Distracted OWNER Vehicle Owner HEATHER SHOWERS (68) W MULBERRY ST, US Sequence Of s Crash Form DT4 5 of 7

6 3 4 Policy Holder Insurance Company WISCONSIN-MUTUAL-INS-CO HEATHER SHOWERS Crash Form DT4 6 of 7

7 Driver HEATHER SHOWERS (68) W MULBERRY ST, US Citations Issued Date of Birth Driver License Number Sex Female Race WHITE State: Wisconsin Country: ED STATES Equipment Helmet Use On Duty Crash Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl Safety Equipment Shoulder & Lap Belt Helmet Compliance Eye Protection Tint Compliance Ejected t Ejected Medical Transport t Transported Hospital Injury Severity Apparent Injury Airbag n Deployed Ejection Path t Ejected/t Applicable EMS Agency Identifier Date of Death Trapped/Extricated t Trapped EMS Run # Time of Death Striking Unit # Prior Action Location To/From School Action Injury n Motorist Action Other Drug & Alcohol Alcohol Test Given Test t Given Drug Test Given Test t Given Suspected Alcohol Use Suspected Drug Use Alcohol Test Type Drug Test Type Alcohol Test Results Drug Test Results Drug Type Condition Appeared rmal Crash Form DT4 7 of 7

Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 01/03/2018. Total Units 01. School Bus Related No

Wisconsin Motor Vehicle Crash Report. Agency Crash Number Date Arrived 01/03/2018. Total Units 01. School Bus Related No 6VL13ZQKRQ Document Number Override Crash Date /3/28 Date tified /3/28 On Emergency Government Property Reportable Description Diagram Primary Crash Document # Crash Time 4:2 PM Time tified 4:23 PM Hit