24-129-AC Commonwealth of Massachusetts

Date of Crash Time of Crash City/Town Number Number Speed Limit 35 State Police
Motor Vehicle Crash Vehicles Injured Local Police
Lat.
24H MBTA Police
05/23/2024 15:51 R Rehoboth Police Report 2 0 Lon. Other
10
AT INTERSECTION < LOCATION > NOT AT INTERSECTION 2

1 308 TREMONT ST
1 Route# Direction Name of Roadway/Street Route# Direction Address# Name of Roadway/Street
At
Feet N S E W of or
Mile Marker Exit Number
Route# Direction Name of Intersecting Roadway/Street 11
4
Also at intersection with Feet N S E W of
Route# Intersecting Roadway/Street
2 Feet N S E W of
1
Route# Direction Name of Intersecting Roadway/Street Landmark
3 Please Select One
of the Following: Vehicle 1 1 #Occupants Hit/Run Moped 24-129-AC
License# SA0310181 St MA DOB/Age 6/26/2002 Reg# 2PDT31 Reg Type PAN Reg State MA
12
19 19 20 21 1
Sex M Lic. Class D Lic. Restrictions CDL Veh Year 2006 Veh Make FORD Veh Config. 1
Endorsement
Operator POPE, BENJAMIN ROBERT Owner POPE, ROBERT SCOTT
Last First Middle Last First Middle
4 Address 92 WOODLAND AVE Address 92 WOODLAND AVE
1
City SEEKONK State MA Zip 02771-1204 City SEEKONK State MA Zip 02771-1204
Insurance Company SAFETY INSURANCE COMPANY 22 27 27 27
Vehicle Action Prior to Crash 9 Damaged Area Code:
Test Status: 28
Vehicle Travel Direction 23 23 23 23 1
5 N S E W Responding to Emergency? 2 Event Sequence 1
24
Type of Test: 0 29
Citation # (if Issued) T3386963 Most Harmful Event 1
BAC Test Result: 1 30
25 25
Viol. 1 (Ch/Sec/Sub) 89/4A Viol. 2 (Ch/Sec/Sub) Driver Contributing Code 5 Susp. Alcohol: 2 31 Susp. Drug: 2 32 13
1
26 33
Viol. 3: Ch/Sec/Sub Viol. 4 (Ch/Sec/Sub) Driver Distracted by Towed from scene? 2
6
1 Please fill out for operator and all occupants 34 35 36 37 38 39 40
Seat Safety Airbag Eject Trap Injury Transp. Medical
Name (Last First Middle) Address DOB/Age Sex Pos. System Status Code Code Status Code Facility
Operator See Above - - 1 1 4 0 0 10 1

Please Select One 15 16 17 18

7 of the Following:
Vehicle 2 1 #Occupants Non-Motorist Type Action Location Condition Hit/Run Moped
1
License# S32203103 St MA DOB/Age 5/19/1955 Reg# NE29MD Reg Type PAN Reg State MA
19 19 20 21
Sex F Lic. Class D Lic. Restrictions CDL Veh Year 2022 Veh Make FORD Veh Config. 1
Endorsement
Operator BRIGHAM, BARBARA W Owner BRIGHAM, BARBARA W
Last First Middle Last First Middle
Address 1304 SHARPS LOT RD Address 1304 SHARPS LOT RD
City SWANSEA State MA Zip 02777-5044 City SWANSEA State MA Zip 02777-5044 14
27 27 27 1
8 Insurance Company THE COMMERCE INSURANCE CO Vehicle Action Prior to Crash 4 22 Damaged Area Code:
1 Test Status: 1 28
Vehicle Travel Direction N S E W Responding to Emergency? 2 Event Sequence 1 23 23 23 23
Type of Test: 0 29
Most Harmful Event 24
Citation # (if Issued) 1 BAC Test Result: 1 30
25 25
Viol. 1 (Ch/Sec/Sub) Viol. 2 (Ch/Sec/Sub) Driver Contributing Code 1 Susp. Alcohol: 2 31 Susp. Drug: 2 32
Viol. 3: Ch/Sec/Sub Viol. 4 (Ch/Sec/Sub) Driver Distracted by 26 Towed from scene? 33
9 2
2
Please fill out for operator and all occupants 34 35 36 37 38 39 40
Seat Safety Airbag Eject Trap Injury Transp. Medical
Name (Last First Middle) Address DOB/Age Sex Pos. System Status Code Code Status Code Facility
Operator See Above - - 1 1 4 0 0 10 1

00000001 Last Mod: 6/4/2024 8:48 AM Page 1 https://www.crashlogic.com

 = Direction 1 = Vehicle 1 2 = Vehicle 2 = Pedestrian = Bicycle
24-129-AC
Crash Diagram: ie: 1 2

If Crash Did Not Occur

on a Public Way:

Off-Street Parking Lot

Garage

Mall/Shopping Center

Other Private Way

North

Crash Narrative:
On 05/23/2024, I was dispatched to a Motor vehicle crash in the area of 308 Tremont St. When I arrived, I made contact with
both operators of the Vehicles involved. Both operators stated, the operator of the Ford Fusion(vehicle 1) tried to pass the
operator of the Ford Bronco (Vehicle 2) on the left and the operator of vehicle 2 turned into vehicle 1. The operator of vehicle 1
stated, if he did not attempt to pass vehicle 2 he was going to rear end them. Vehicle 1 sustained damage to the right side of the
vehicle and vehicle 2 sustained minor damage to the front left of the vehicle. No injuries were reported and both vehicles were
able to be driven from the scene. Citation was issued to the operator of vehicle 1 for a marked lanes violation.

Witnesses:
Name (Last, First, Middle) Address Phone # Statement

Property Damage:
Owner (Last, First, Middle) Address Phone # 41-Type Description of Damaged Property

Truck and Bus Information: Registration # (From Vehicle Section)

42
Carrier Name Bus Use

Address City State Zip

USDOT # State Number Issuing State MC/MX/IC#

43 44 45
Interstate Cargo Body Type Code GVWR\GCWR
46
Trailer Reg# Reg Type Reg State Reg Year Trailer Length

Hazmat Information:

47 48 49
Placard Material 1 digit# Material Name Material 4 digit# Release code

TYLER HAZEL TH/74 Rehoboth PD 5/23/2024

Police Officer Name (Please Print) Signature ID/Badge# Department Precinct/Barracks Date
00000001 Last Mod: 6/4/2024 8:48 AM Page 2 https://www.crashlogic.com