20191015 schultzON OCTOBER 15, 2019, I, DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT
APPROXIMATELY 10:36, I WAS ADVISED BY DISPATCH TO RESPOND TO STATE HWY 27, SOUTH OF OJIBWA NEAR THE RUSK COUNTY LINE, FOR A
VEHICLE IN THE DITCH. DISPATCH ADVISED THAT THE CALLER STATED THERE WAS NO ONE IN OR AROUND THE VEHICLE. I WENT EN ROUTE TO
THE CALL NON EMERGENT. WHILE ENROUTE I WAS INFORMED BY DISPATCH THAT A COUNTY TRUCK STOPPED BY THE VEHICLE TO MAKE SURE
THEY WERE OK. DISPATCH WAS INFORMED BY THE COUNTY TRUCK DRIVER THAT THERE WERE 2 MALE SUBJECTS IN THE VEHICLE, BUT THAT
THERE WERE NO INJURIES. WE WERE ALSO INFORMED THAT IT WAS A SECURITY TRUCK AND THAT AT LEAST ONE OF THE MALE SUBJECTS WAS
CARRYING A GUN. UPON ARRIVAL AT 11:29, I NOTICED IT WAS A THILLENS INC. MONEY TRUCK. THE TWO MALE SUBJECTS WERE STANDING
OUTSIDE. I ASKED THEM WHAT HAD HAPPENED. THEY STATED THIS MORNING THE ROADS WERE PRETTY SLICK DUE TO THE COLD AND RAIN AND
THAT THEY SLID INTO THE DITCH. I ASKED THEM WHAT TIME THIS HAPPENED AT AND THEY SAID ABOUT 8:30 THIS MORNING. THEY SAID THAT
THEY HAD CALLED THEIR BOSS ALREADY WHO WAS ON HIS WAY, AND THEY ALSO HAVE A TOW TRUCK ENROUTE. I RAN THE LICENSE PLATE
THROUGH DISPATCH, WHICH CAME BACK CURRENT AND CLEAR TO . I ASKED BOTH MALES FOR THEIR
19101506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRM WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
01
Time Notified
10:36 AM
Date Notified
10/15/2019
Time Arrived
11:29 AM
Date Arrived
10/15/2019
Crash Time
08:30 AM
Crash Date
10/15/2019
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash Number
19101506
Primary Crash Document #Document Number Override
6VL0FZQKRMAdditional InformationPHOTOS
Photos ByDEPUTY AMBER AL-MOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 08:30 AM
Crash Date 10/15/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
DRIVER'S LICENSES, WHICH THEY PROVIDED ME WITH. I ASKED WHO WAS DRIVING, AND WHO WAS IDENTIFIED BY HIS
DRIVER'S LICENSE, STATED HE WAS. HE SAID HE WAS HEADED NORTH ON STATE HWY 27, TRAVELING BETWEEN APPROXIMATELY 55 AND 60
MILES PER HOUR AROUND 8:30AM. HE SAID THE ROADS WERE SLICK FROM THE RAIN AND HE LOST CONTROL OF THE VEHICLE.
SAID ONCE HE HIT THE DITCH LINE AND LOST CONTROL OF THE VEHICLE HE JUST LET GO OF THE STEERING WHEEL TO LET THE VEHICLE DO
WHAT IT NEEDED TO DO. I ASKED AND IF THEY WERE WEARING THEIR SEATBELTS AND THEY SAID THEY WERE. SEE
REPORT FOR MORE.
19101506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRM WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5062703
X Coordinate
179568.765625
Longitude
-91.111983301
Latitude
45.643820778
ON STH27 NB
1.68 MI S
OF HAJDASZ RD
IN THE TOWN OF MEADOW BROOK
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - NOT ON ROAD
Animal Type
Weather Condition(s)
CLOUDY, RAIN
Environment Factor(s)
WEATHER CONDITIONS
Roadway Factor(s)
NONE
Road Surface Condition(s)
WET
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER RIGHT
First Harmful Event
DITCH
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
DITCH
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
2
Operating As EndorsementsVehicle Type
PASSENGER VAN01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITBus Use
NOT A BUS
Body Style
VN - VAN
Color
SIL - SILVER (ALUMINUM)
Model
VAN
Year
2016
Make
NISSAN
Vehicle Identification Number
66050101 Country of Issuance
UNITED STATES
St
IL
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 08:30 AM
Crash Date 10/15/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
19101506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRM WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
CHICAGO, IL 60618 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
TOW COMPANY
Towed Due To Damage
TOWED BUT NOT DUE TO DISABLING DAMAG
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
1--RIGHT FRONT CORNER, 11--LEFT FRONT CORNER, 12--FRONT
Initial Contact Point
12--FRONT
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
DITCH01
Event
02Event
03Event
04Organization/CompanyInsurance Company
CINCINNATI-INS-CO,-THE
Policy Holder
UNITInjury
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-SIDE
Injury Severity
NO APPARENT INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
PRESCOTT, WI 54021 , US
Race
WHITE
Date of Birth
01/13/
Sex
MALE
Citations Issued
0
Driver
ULTZ
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 08:30 AM
Crash Date 10/15/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
19101506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRM WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Distracted By
Individual Condition
APPEARED NORMAL
Drug Type
00101Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
NO
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
UNKNOWN
Distracted By Source
UNKNOWN
Non Motorist
UNITINDIVIDUALInjury
Distracted By Distracted By Source
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-SIDE
Injury Severity
NO APPARENT INJURY00201 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
NEW RICHMOND, WI 54017 , US
Race
WHITE
Date of Birth
08/10/
Sex
MALE
Citations Issued
0
Passenger
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 08:30 AM
Crash Date 10/15/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
19101506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRM WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00201Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
NO
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
Non Motorist
UNITINDIVIDUALCrash Time 08:30 AM
Crash Date 10/15/2019Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.