20072520 rodgers-jensen20072520
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3Q 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
02
Time Notified
05:13 PM
Date Notified
07/25/2020
Time Arrived
05:30 PM
Date Arrived
07/25/2020
Crash Time
05:13 PM
Crash Date
07/25/2020
Investigating Officer/Deputy
DEPUTY LUCAS SHEPARD
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0F03P3QAdditional InformationPHOTOS
Photos ByDEPUTY L. SHEPARD
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON JULY 25TH, 2020, AT APPROXIMATELY 5:30PM, DEPUTY SHEPARD TOOK A REPORT OF A HIT AND RUN CRASH AT THE LCO LAKE BOAT LANDING.
VEHICLE (2014 DODGE 1500 PICKUP) WAS LEGALLY PARKED AND UNOCCUPIED. ' VEHICLE (2019 FORD F-150 PICKUP) WAS
BEING DRIVEN BY . WAS ATTEMPTING TO DRIVE AROUND VEHICLE AND THE BOAT TRAILER SCRAPED ALONG THE
FRONT BUMPER AND PASSENGER SIDE TIRE OF VEHICLE. THE FRONT BUMPER OF VEHICLE WAS RIPPED OFF AND THERE WERE SOME
GOUGES OUT OF THE RIM OF THE TIRE. THE SIDE OF THE TRAILER BEING PULLED BY WAS ALSO DENTED AND SCRATCHED. ROGERS LEFT THE
SCENE IN A DIFFERENT VEHICLE BEFORE LAW ENFORCEMENT ARRIVED. MULTIPLE WITNESSES SAW HIT VEHICLE AND LATER
ADMITTED TO DOING SO AND LEAVING THE SCENE.
Crash Time 05:13 PM
Crash Date 07/25/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
20072520
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3Q WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5093904.5
X Coordinate
155799.96875
Longitude
-91.438316189
Latitude
45.912443365
ON LAC COURT OREILLES LANDING
518 FT S
OF WURSTER RD
IN THE TOWN OF BASS LAKE
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)
RAIN
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
WET
Light Condition
DAYLIGHT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
OFF ROADWAY, LOCATION UNKNOWN
First Harmful Event
PARKED MOTOR VEHICLE
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
UNKNOWN
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
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
PARKED MOTOR VEHICLE
Total Lanes
1
Speed Limit
N/A
Pre CrashTire
Mark
Direction Of Travel
NOT ON ROADWAY
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
1
Total # Citations Issued
3
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
UNITExtent Of Damage
MINOR DAMAGE
Vehicle Damage
07 - LEFT REAR CORNER
Initial Contact Point
07 - LEFT REAR CORNER
Bus Use
NOT A BUS
Body Style
PK - PICKUP
Color
BLU - BLUE
Model
F-150
Year
2019
Make
FORD
Vehicle Identification Number
74670101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
VEHICLEUNIT Vehicle
Crash Time 05:13 PM
Crash Date 07/25/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
20072520
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3Q WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
OWNER
Towed Due To Damage
NOT TOWED
UNITVEHICLE Sequence Of Events
Event
PARKED MOTOR VEHICLE01
Event
02Event
03Event
04 Trailer/Towed
Vehicle Identification Number
UNKNOWN
Address
15535 METCALF RD
HAYWARD, WI 54843 , US
IndividualUnit Type
RECREATIONAL
TRAILER/Country of IssuanceStateMake
NEWN
Plate TypeTrailer Plate #01UNITInjury
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
07 - LEFT
Row
01 - FRONT ROW
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITE
Date of Birth
05/14/
Sex
MALE
Citations Issued
3
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 05:13 PM
Crash Date 07/25/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
20072520
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3Q WISCONSIN MOTOR VEHICLE
CRASH REPORT
Distracted By
Drug & Alcohol
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
UNITNon Motorist
INDIVIDUAL Violations
DescriptionOPERATE W/O VALID LICENSE B/C EXPIRATIONStatute Number343.05(3)(a)Issue To?
001
UTC Number
BE60841101
DescriptionFAILURE OF OPERATOR TO NOTIFY POLICE OF ACCIDENTStatute Number346.70(1)Issue To?
001
UTC Number
BE60841202
DescriptionHIT AND RUN-UNATTENDED VEHICLEStatute Number346.68Issue To?
001
UTC Number
BE60841303
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
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
1
Speed Limit
N/A
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
UTILITY TRUCK/PICKUP TRUCK02 Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
LEGALLY PARKED
Unit Summary
UNIT Vehicle
Crash Time 05:13 PM
Crash Date 07/25/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
20072520
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3Q WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0202Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEGALLY PARKED
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 11 - LEFT FRONT
CORNER, 12 - FRONT
Initial Contact Point
12 - FRONT
Bus UseBody Style
PK - PICKUP
Color
BLU - BLUE
Model
1500
Year
2014
Make
DODGE
Vehicle Identification Number
22810202 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04IndividualInsurance Company
SECURA-INS-A-MUTUAL-CO
Policy Holder
UNITCrash Time 05:13 PM
Crash Date 07/25/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.