TENNESSEE DEPARTMENT OF SAFETY AND
HOMELAND SECURITY OWNER / DRIVER REPORT

OWNER/DRIVER ACCIDENT REPORT FORM

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 clicking DOWNLOAD THE OWNER/DRIVER ACCIDENT REPORT FORM, Fill it out online, then print and sign it, and mail it to:

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