20112805 whitney20112805
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00H 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
01
Time Notified
02:55 AM
Date Notified
11/28/2020
Time Arrived
03:01 AM
Date Arrived
11/28/2020
Crash Time
02:55 AM
Crash Date
11/28/2020
Investigating Officer/Deputy
DEPUTY RYAN SCHICK
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0GFB00HAdditional InformationPHOTOS
Photos ByDEPUTY RYAN SCHICK
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON NOVEMBER 28, 2020, I WAS DISPATCH TO A STOLEN VEHICLE/BATTERY COMPLAINT ALONG WITH DEPUTY DORN TO BARKER LK RD. WE ARRIVED ON
SCENE AND LOCATED THE STOLEN TRUCK AT ADDRESS BARKER LK RD. THE VEHICLE WAS PARKED BEHIND A RESIDENCE HERE AND APPEARED TO
HAVE STRUCK A PORCH TO THE RESIDENCE WHILE THE OPERATOR WAS TRYING TO HIDE IT BEHIIND THE RESIDENCE. THE DRIVER AND OPERATOR WAS
IDENTIFIED AS THE VEHICLE KEYS WERE LOCATED ON PERSON. THE HOMEOWNER AND TRUCK OWNER WERE BOTH
NOTIFIED. THE VEHICLE HAD FUNCTIONAL DAMAGE TO THE PASSENGER SIDE DOORS. PHOTOGRAPHS WERE TAKEN AND INCLUDED IN THE CASE. A CARE
TAKER CAME TO REMOVE THE VEHICLE FOR THE OWNER AND PER THE OWNERS REQUEST. THE OPERATOR WAS TAKEN INTO CUSTODY FOR VARIOUS
CHARGES, ALONG WITH TAKING AND OPERATING THE STOLEN TRUCK INVOLVED IN THE CRASH ON PRIVATE PROPERTY. PLEASE REFER TO SWSO CASE
#:20112805 FOR MORE DETAILS.
Crash Time 02:55 AM
Crash Date 11/28/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
20112805
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00H WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
HOUSE/BUILDING
Y CoordinateX Coordinate
LongitudeLatitudeINTERSECTION
ON 7547 7547 BARKER LK RD
AT PRIVATE PROPERTY
(HOUSE/BUILDING 7547)
IN THE TOWN OF WINTER
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
PRIVATE PROPERTY
Crash Classification - Location
PRIVATE PROPERTY
Relation To Trafficway
NON TRAFFICWAY - OTHER
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
SNOW
Light Condition
DARK/UNLIT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
OFF ROADWAY, LOCATION UNKNOWN
First Harmful Event
OTHER OBJECT - NOT FIXED
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
DOWNHILL
Road Curvature
CURVE RIGHT
Surface Type
OTHER
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
OTHER OBJECT - NOT FIXED
Total Lanes
0
Speed LimitPre 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
IN TRANSIT
Unit Summary
UNITExtent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
02 - RIGHT SIDE FRONT, 03 - RIGHT SIDE MIDDLE, 04 - RIGHT SIDE REAR
Initial Contact Point
03 - RIGHT SIDE MIDDLE
Bus UseBody Style
PK - PICKUP
Color
BLU - BLUE
Model
F150
Year
2016
Make
FORD
Vehicle Identification Number
01300101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
Crash Time 02:55 AM
Crash Date 11/28/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
20112805
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00H WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
DENTON, TX 76207 4924, US
Owner Name
0101Driver Actions
UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
UNKNOWN
Vehicle Removed By
WAYNE TULL
Towed Due To Damage
NOT TOWED
UNITVEHICLE Sequence Of Events
Event
OTHER OBJECT - NOT FIXED01
Event
02Event
03Event
04Organization/CompanyInsurance Company
AUTO-OWNERS-INS-CO
Policy Holder
UNITDistracted By
Injury
Distracted By Action
UNKNOWN
Distracted By Source
UNKNOWN
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
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
07 - LEFT
Row
01 - FRONT ROW
Safety Equipment
NOT APPLICABLE
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
WINTER, WI 54896 , US
Race
WHITE
Date of Birth
10/29/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 02:55 AM
Crash Date 11/28/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
20112805
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00H WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
PHYSICALLY IMPAIRED
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
YES
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #UNITNon Motorist
INDIVIDUALCrash Time 02:55 AM
Crash Date 11/28/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.