20190823 warner - sheehyCASE NUMBER 19082319
DEPUTY NAME DENNIS NELSON
BADGE NUMBER #382
REPORT DATE AUGUST 26TH, 2019 @ 0336
ON AUGUST 23RD AT 1334 DEPUTY NELSON WAS DISPATCHED TO A HIT AND RUN ACCIDENT.
SAWYER COUNTY DISPATCH ADVISED THEY RECEIVED A 911 CALL FROM A SUBJECT BY THE
NAME OF ADVISING THAT HIS VEHICLE WAS RAN INTO AT THE PARKING LOT
19082319
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FC WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
PRIVATE PROPERTY/PARKING LOTReportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
02
Time Notified
01:34 PM
Date Notified
08/23/2019
Time Arrived
01:47 PM
Date Arrived
08/23/2019
Crash Time
01:00 PM
Crash Date
08/23/2019
Investigating Officer/Deputy
DEPUTY DENNIS NELSON
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0HPL4FCAdditional InformationPHOTOS
Photos ByD NELSON
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 01:00 PM
Crash Date 08/23/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
AT WALMART AND THAT HE WAS FOLLOWING THE VEHICLE ON CTH K HEADING SOUTH TOWARDS
NORTHWOODS BEACH. HE GAVE A PLATE NUMBER OF THE VEHICLE WHICH CAME BACK ON A
1997 FORD F-250 REGISTERED TO A WHO HAD AN ADDRESS ON ERICKSON
AVENUE IN NORTHWOODS BEACH.
DEPUTY NELSON WAS LEAVING THE CITY OF HAYWARD AND TRAVELED SOUTHBOUND ON STH 27
TO CTH K IN AN ATTEMPT TO LOCATE THE VEHICLE. DEPUTY NELSON HAD MADE CONTACT
WITH TROOPER KRAETKE WHO WAS ON CTH K AND WAS ALSO ATTEMPTING TO LOCATE THE
VEHICLE.
TROOPER KRAETKE LOCATED THE COMPLAINANT'S VEHICLE AT THE INTERSECTION OF CTH K
AND ERICKSON AVENUE. DEPUTY NELSON MADE CONTACT WITH THEM AT 1347.
DEPUTY NELSON MADE CONTACT WITH THE VICTIM, . HE ADVISED DEPUTY
NELSON THAT HIM AND HIS WIFE WERE WALKING BACK OUT TO THEIR VEHICLE AND OBSERVED
A BLACK TRUCK BACKING OUT OF THE PARKING SPOT ACROSS FROM THEIR PARKED VEHICLE
WHICH THEN STRUCK THEIR VEHICLE. HE ADVISED THAT IT WAS A BLACK FORD TRUCK AND
THEY SAW A MALE SUBJECT THAT HAD A SHAVED HEAD OR WAS BALD. HE THEN YELLED AT
HIM AND SAID THAT THE SUBJECT LOOKED AT HIM IN THE REAR VIEW MIRROR AND THEN
TOOK OFF.
ADVISED THAT HE THEN GOT INTO HIS VEHICLE AND FOLLOWED THE VEHICLE
FROM WALMART HEADING EASTBOUND ON STH 70. THE VEHICLE TURNED ONTO PENINSULA
ROAD. HE CONTINUED FOLLOWING THE VEHICLE UNTIL IT CAME TO THE INTERSECTION OF
CTH K AND PENINSULA ROAD. HE ADVISED THAT AT THE INTERSECTION HE HAD FLASHED
HIS LIGHTS MULTIPLE TIMES AND HONKED HIS HORN AND THE SUBJECT DID NOT EVEN
ACKNOWLEDGE HIM. HE CONTINUED FOLLOWING THE VEHICLE DOWN CTH
19082319
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FC WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y CoordinateX Coordinate
LongitudeLatitudeON STH77 EB
0.50 MI E
OF USH63 EB
IN THE CITY OF HAYWARD
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
NON TRAFFICWAY - PARKING LOT
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
04--REAR TO REAR
First Harmful Event Location
IN PARKING LANE OR ZONE
First Harmful Event
PARKED MOTOR VEHICLE
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Total Lanes
0
Speed Limit
05
Pre CrashTire
Mark
Direction Of Travel
NOT ON ROADWAY
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01 Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
HIT AND RUN
Unit Summary
ITCrash Time 01:00 PM
Crash Date 08/23/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
19082319
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FC WISCONSIN MOTOR VEHICLE
CRASH REPORT
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
UNKNOWN
Traffic Control
UNKNOWN
Traffic Way
PARKING LOT OR PRIVATE PROPERTY
Emergency Motor Vehicle Use
UNKNOWN
Special Function
UNKNOWN
Most Harmful Event: Collision With
PARKED MOTOR VEHICLEUN
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
LOOKED BUT DID NOT SEE
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEAVING A PARKED POSITION
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
NO DAMAGE
Vehicle Damage
NO DAMAGE
Initial Contact Point
6--REAR
Bus Use
NOT A BUS
Body Style
PK - PICKUP
Color
BLK - BLACK
Model
F250
Year
1997
Make
FORD
Vehicle Identification Number
479290101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
UNITVEHICLE Sequence Of Events
Event
PARKED MOTOR VEHICLE01
Event
02Event
03Event
04IndividualInsurance Company
PROGRESSIVE-CLASSIC-INS-CO
Policy Holder
UNITDriver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITE
Date of Birth
05/19/
Sex
MALE
Citations Issued
0
Driver
UN Individual
ITIDUALINDIVCrash Time 01:00 PM
Crash Date 08/23/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
19082319
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FC WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Injury
Distracted By
Individual Condition
NOT OBSERVED
Drug Type
00101Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
Distracted By Source
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT APPLICABLE
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
NO APPARENT INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Non Motorist
Safety Equipment
UNITINDIVIDUALEmergency Motor Vehicle Use
NOT APPLICABLE
Special FunctionMost Harmful Event: Collision With
PARKED MOTOR VEHICLE
Total LanesSpeed Limit
05
Pre CrashTire
Mark
Direction Of Travel
NOT ON ROADWAY
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
0
Operating As EndorsementsVehicle Type
(SPORT) UTILITY VEHICLE02 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
LEGALLY PARKED
Unit Summary
UNITCrash Time 01:00 PM
Crash Date 08/23/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
19082319
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FC WISCONSIN MOTOR VEHICLE
CRASH REPORT
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
PARKING LOT OR PRIVATE PROPERTY
Owner Address
CHICAGO, IL 60626 , US
Owner Name
0202Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEGALLY PARKED
Vehicle Removed ByTowed Due To Damage
NOT TOWED
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
6--REAR
Initial Contact Point
6--REAR
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
BLK - BLACK
Model
MKT
Year
2017
Make
LINCOLN
Vehicle Identification Number
16300202 Country of Issuance
UNITED STATES
St
IL
Plate Type
AUT - AUTOMOBILE
License Plate Number
VEHICLEUNIT Vehicle
UNITVEHICLE Sequence Of Events
Event
OTHER NON-COLLISION01
Event
02Event
03Event
04IndividualInsurance Company
FARMERS-AUTOMOBILE-INS-ASSOC,-THE
Policy Holder
UNITCrash Time 01:00 PM
Crash Date 08/23/2019Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.