AA-600 (5-23)
Driver’s Accident Report
The official AA600 form can be found at http://www.dot.state.pa.us/public/PubsForms/Forms/AA-600.pdf.
It is suggested to use only the form located from this location or the form may be returned to you.
FORWARD THIS REPORT WITHIN 5 DAYS TO THE PENNSYLVANIA DEPARTMENT OF TRANSPORTATION,
BUREAU OF OPERATIONS, P.O. Box 2047, HARRISBURG, PA 17105-2047
Pennsylvania Vehicle Code, Section 3747 states: All reports are confidential, not available as trial evidence
Date of Accident (Month - Day - Year) Day of Week Hour (AM - PM) Hit-Run: o YES o NO
Was Towing Required? Number of Vehicles Involved Number Injured Number Killed
UNIT 1: o YES o NO UNIT 2: o YES o NO
County City / Borough / Township Street Name
LOCATION
County
Lat (GPS) Long(GPS) Intersecting Street (If Applicable): House/Block Number:
Closest Street:
Operator’s Name (First, Middle, Last) Date of Birth Driver's License Number and State
UNIT 1 (ME / MY VEHICLE)
Address (Street, City, State, Zip Code) Vehicle Plate Number and State
Owner’s Name (First, Middle, Last) Owner and Operator are the Same o Year Make Model
Address (Street, City, State, Zip Code) VIN
Insurance Information: Company Policy Number
USE THE FOLLOWING SECTION TO RECORD VEHICLE NUMBER 2, PEDESTRIAN INFORMATION.
IF MORE THAN TWO VEHICLES/PEDESTRIANS ARE INVOLVED USE ADDITIONAL REPORT FORMS.
Operator’s Name (First, Middle, Last) Date of Birth Driver's License Number and State
UNIT 2 (OTHER VEHICLE / PEDESTRIAN)
Address (Street, City, State, Zip Code) Vehicle Plate Number and State
Owner’s Name (First, Middle, Last) Year Make Model
Address (Street, City, State, Zip Code) VIN
Insurance Information: Company Policy Number
USE THE FOLLOWING SECTION TO RECORD ALL PERSONS INVOLVED IN THE CRASH,
AS WELL AS THEIR AGE AND SEX, AND ANY INJURIES THAT WERE SUSTAINED.
VEH. INJURY SEATING ACTIVE PASSIVE
NAME DOB AGE SEX NO. TYPE POSITION RESTRAINT RESTRAINT
DRIVERS/ PASSENGERS / PEDESTRIANS
INJURY TYPE SEATING POSITION ACTIVE RESTRAINT PASSIVE RESTRAINT
0 - NO INJURY 1 - DRIVER 0 - NONE OR PEDESTRIAN 0 - NONE OR PEDESTRIAN
1 - FATAL INJURY 2-6 - PASSENGER 1 - SHOULDER BELT ONLY 1 - AIRBAG (DEPLOYED)
2 - SUSPECTED SERIOUS INJURY 7 - PEDESTRIAN 2 - LAP BELT ONLY 2 - AIRBAG (NOT
3 - SUSPECTED MINOR INJURY 8 - OTHER 3 - COMBINATION (SHOULDER & LAP) DEPLOYED)
4 - POSSIBLE INJURY 9 - UNKNOWN 1 2 3 4 - CHILD RESTRAINT 8 - OTHER
8 - INJURY, UNKNOWN SEVERITY 7 - MOTORCYCLE HELMET 9 - UNKNOWN
9 - UNKNOWN 4 5 6 8 - OTHER
9 - UNKNOWN
IF UNSURE, DESCRIBE INJURY IN NARRATIVE
(SEE PAGE 2)
Page 1
WEATHER (Choose up to two items) ROADWAY (Choose up to two items)
Clear o Rain o Snow o Sleet o Fog o Dry o Wet o Snow o Ice o Other o
IMPACT POINTS:
12 UNIT 1: UNIT 2:
0 = No Collision 10 = 10 o'clock
1 = 1 o'clock 11 = 11 o'clock 12
1
INITIAL IMPACT POINT ______________ INITIAL IMPACT POINT ________________
2 = 2 o'clock 12 = 12 o'clock 11
3 = 3 o'clock 13 = Top of Vehicle 10 2
SPEED LIMIT _______ MPH SPEED LIMIT _______ MPH
4 = 4 o'clock 14 = Vehicle Undercarriage 9 9 3 3
5 = 5 o'clock 15 = Use when the initial 8 4 ESTIMATED SPEED _______ MPH ESTIMATED SPEED _______ MPH
6 = 6 o'clock impact was with a towed unit 7 5
7 = 7 o'clock (such as utility trailer vehicle, 6
8 = 8 o'clock horse van, etc…)
9 = 9 o'clock 99 = Unknown 6
INSTRUCTIONS:
1. Draw Diagram As Please note that a diagram is required in order for us to process your form. You may need to print this form and hand draw the diagram portion in order to complete the form.
Clearly As You Can.
2. Show Your Vehicle
As Unit 1. Refer to
pedestrians and
Vehicles as their
Unit Number.
3. Label All Streets,
Highways, and
Landmarks.
4. Draw An Arrow
In Circle Below So
It Points North.
5. Show House Numbers.
Indicate North By Arrow
GIVE A DETAILED DESCRIPTION OF THE ACCIDENT IMMEDIATELY PRIOR TO IMPACT, AT IMPACT,
AND IMMEDIATELY AFTER IMPACT, REFER TO PEDESTRIANS & VEHICLES BY THEIR UNIT NUMBER.
PLEASE SIGN AND DATE BELOW. THIS FORM CANNOT BE PROCESSED WITHOUT A SIGNATURE.
DRIVER SIGNATURE DATE
X
Email Address: Phone # (optional):
POLICE INVESTIGATED: o YES o NO If Yes, Name of Police Department:
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AA-600 (5-23)
Driver’s Accident Report
This Form is to be completed only in the event that the accident
was not investigated by a police agency.
The Driver’s Accident Report Form is required to be completed by ALL drivers involved in motor vehicle traffic
accidents occurring within the Commonwealth of Pennsylvania and involves:
(1) injury to or death of any person; or
(2) damage to any vehicle involved to the extent that it cannot be driven under its own power in its
customary manner without further damage or hazard to the vehicle, other traffic elements, or the
roadway, and therefore requires towing.
Section 3747(a) of Title 75, Pennsylvania Consolidated Statutes of the Vehicle Code requires that if a police
officer does not investigate an accident required to be investigated by section 3746 (relating to immediate
notice of accident to police department), the driver of a vehicle which is in any manner involved in the accident
shall, within five days of the accident, forward a written report of the accident to the department.
A form, supplied by the Department of Transportation, has been designed for this purpose. That form is the
attached AA-600, Commonwealth of Pennsylvania Driver’s Accident Report.
The primary objective of this form is to obtain information which can be used to develop accident prevention
and reduction programs aimed at reducing accidents and accident losses. In order for these programs to
succeed, every attempt must be made to obtain the information for all items listed on the Report Form.
Compliance with the following instructions will help to assure that the Report is filled out completely and
accurately.
A copy of the completed Accident Report should be retained for your records. There is NO fee to file this report.
If copies of THIS submitted form are requested from the Department of Transportation, a fee of $5.00 per copy
will be required to cover our processing costs. If the Department receives a $5.00 check with the submission
of the report from you, it is assumed that you wish to obtain a date-stamped copy, and one will be sent
to you. PLEASE NOTE: Only the driver submitting this form may request a copy. If you prefer to receive
your copy via email, please indicate that and provide an email address.
PLEASE NOTE: PennDOT does not conduct investigations into crashes. Additionally, you will not be sent a
response to your form unless it cannot be accepted, is not fully completed, or a copy has been requested. No
confirmations of receipt will be provided by PennDOT. If you require confirmation of receipt, it is
recommended using certified mail, or requesting a date stamped copy of your submitted report, along with the
required remittance.
Please send completed Forms to the following address:
Pennsylvania Department of Transportation
BOO - Crash Unit
P.O. Box 2047
Harrisburg, Pennsylvania 17105-2047
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GENERAL INSTRUCTIONS FOR COMPLETING DRIVER’S ACCIDENT REPORT
This form is a PDF fillable form and is the preferred method for completion. If you chose to hand-write the information,
please use a a ballpoint pen and print all required information. Fill in every block applicable. The Form is self-explanatory.
However, the following guidelines should be utilized:
The form must be signed on page 2. We cannot accept a form without a signature. If filling this out electronically,
please print and sign after you have completed all fields.
Tow and injury information must be filled out on page 1. We cannot accept a form that does not have these blocks
filled out.
Here follows a short list of other circumstances in which we cannot accept your form:
• The date next to the signature on page 2 is missing
• The crash description on page 2 is missing
• The diagram on page 2 is missing
• Page 2 is missing
• Location information is missing (i.e. County, City / Borough / Township, Street, Intersecting Street)
• The crash date is missing or incorrect
• Missing tow/injury information on page 1
• Your vehicle was parked
• Crash occurred out-of-state
• Crash report was submitted by a non-driver (property owner, passenger, pedestrian, not involved in crash, crash
submitted by another party of behalf of driver)
• Signature issues
Here follows a short list of reasons why your payment may not be accepted if you are remitting payment for a stamped
received copy of your submitted report:
• Cash remitted (we can only accept a check or money order)
• Payment remitted but not signed
• Payment remitted by over/under paid
• Payment remitted without request and/or AA600
• Request copy of report but no payment remitted
1. For the Accident Location - - - Be sure to indicate the name of the City, Borough, or Township where the accident
occurred as well as the Street name or Highway Route Number. If the accident occurred at an intersection, identify the
name of the Street or Highway Route Number of the intersecting Roadway.
If the accident did not occur at an Intersection, please use the nearest Cross Street, Mile Posts, or Segment Markers.
Segment Markers are signs erected along the roadside. Where possible, the signs are placed at physical features
such as bridges, pipes, or intersections. Mile Posts are generally erected along the roadside of Interstates. Do not use
House Numbers, Utility Poles, etc. as reference points.
2. For the Vehicles, Drivers and Pedestrians - - - Copy information about drivers and vehicles directly from the official
Driver’s License, Vehicle Registration Card, and Proof of Financial Responsibility Card.
3. Persons Involved - - - Record the names and addresses of all occupants (including Drivers) in the vehicles involved
and ALL INVOLVED PEDESTRIANS regardless of injury severity. Begin with the Driver of Unit 1, then list the other
occupants of Unit 1, if any. Repeat the procedure with any other units.
4. Injury, Seating Position, Safety Restraints - - - If applicable, select the appropriate codes for all occupants and
pedestrians for the type of injury incurred, seating positions of all occupants, and the type of safety device used.
5. Damage Area of Vehicle - - - Select the appropriate code for the Initial Impact Point for each vehicle involved. To
indicate the impact area, use clock points as shown at the vehicle representation on the back of the report.
6. Speed Limit and Travel Speed - - - Enter the speed limit of the roadway at the accident site. If the speed limit is not
posted, write NP.
Enter your estimate of the travel speed of each vehicle immediately before the accident.
Page 4
7. For the Accident Diagram - - - The diagram is a visual representation of the accident location and the events that
occurred. Show the movement of the vehicles, identify the roadways and be sure to include the North Arrow displayed
in the box left of the diagram.
8. For the Narrative - - -Describe the actions of all involved persons and vehicles before, during and after the collision.
Be as factual as possible and use the same Unit Numbers as those on the front of the Report to identify the vehicles
and pedestrians. Refer to pedestrians & vehicles by their Unit numbers.
IF MORE THAN TWO (2) VEHICLES ARE INVOLVED, OR ADDITIONAL SPACE IS NEEDED FOR OCCUPANTS,
PLEASE USE ANOTHER FORM TO CAPTURE THE REQUIRED INFORMATION. IN THESE CASES, STAPLE
REPORTS TOGETHER BEFORE SUBMISSION.
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