20160709 Griese CappsAgency Accident Number
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Reportable Accident On Emergency Amended GZH0DMG
DOT Document Number Document Override Number
16070907
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16070907
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07/09/2016
4 - Accident Date
2020
5 - Time of Accident (Military Time)
02
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County HAYWARD - 06, TOWN3 - Municipality PARKING LOT11 - Accident Location
14 - On Hwy No.
PARKING LOT
14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir
B16 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp
FIRE #
17 - Structure Type
13767W
17 - Structure Number 12 - Latitude 13 - Longitude
PARKED MOTOR VEHICLE80 - First Harmful Event SIDESWIPE. OPPOSITE DIRECTION93 - Manner of Collision
NO CONTROL
112 - Access Control
STRAIGHT
113 - Road Curvature
LEVEL/FLAT
113 - Road Terrain
BLACKTOP, BITUMINOUS, OR ASPHALT - 2
Surface Type
PARKING-LOT-OR-PRIVATE-PROPERTY115 - Traffic Way
PARKING-LOT-OR-PRIVATE-PROPERTY
117 - Relation To Roadway
DAYLIGHT114 - Light Condition DRY116 - Road Surface Condition CLEAR118 - Weather
Hit and Run
9
Government Property
9
Fire
9
Photos Taken
9
Trailer or Towed
9
Truck, Bus, or Hazardous Materials
9
Load Spillage
9
Construction Zone
9
Names Exchanged
9
Supplemental Reports
101
Witness Statements
102
Measurements Taken
103 79 - E M S Number
Operator/Pedestrian
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H - HIT AND RUN
Unit Status
PARKED MOTOR VEHICLE
81 - Most Harmful Event: Collision With
WEST
23 - Dir Of Travel
N/A24 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2022
31 - Expiration Year 34 - On Duty Accident
GRIESE
25 - Operator/Pedestrian Last Name
EILEEN
25 - First Name
L
25 - Middle Initial 25 - Suffix
04/13/
32 - Date Of Birth
FEMALE
33 - Sex
26 - Address Street & Number 26 - PO Box
EAU CLAIRE
27 - City
WI
27 - State
54703
27 - Zip Code 28 - Telephone Number
FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR)
39 - Seat Position
RESTRAINT-USE-UNKNOWN
40 - Safety Equipment
N - NO APPARENT INJURY
38 - Injury Severity
UNKNOWN
41 - Airbag
UNKNOWN
42 - Ejected 44
Medical Transport
UNKNOWN
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
BACKING-MANEUVER
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 162 - No. of Citations Issued
346.68
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
INATTENTIVE-DRIVING, UNSAFE-BACKING
122 - Driver Factors
NOT OBSERVED88 - Driver or Pedestrian Cond UNKNOWN
89 - Substance Presence
TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
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91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
789WEB
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2017
59 - Exp Year
100
55 - Vehicle Identification Number
2003
50 - Year
BUIC
51 - Make
LESABRE
52 - Model
4D - 4DR
53 - Body Style
BRZ
54 - Color 100 - Skidmarks to Impact (Ft)
UNKNOWN
94 - Vehicle Damage
UNKNOWN
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
OWNER
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
GRIESE
46 - Vehicle Owner Last Name
EILEEN
46 - First Name
L
46 - Middle Initial 46 - Suffix
04/13/
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
EAU CLAIRE48 - City WI48 - State 5470348 - Zip Code
COUNTY INSURANCE63 - Liability Insurance Company Policy Holder Same As Owner60
GRIESE
61 - Policy Holder Last Name
EILEEN
61 - Policy Holder First Name
61 - Policy Holder Company
01
01
01
01
BU
S
FromTo
Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Operator/Pedestrian
L - LEGALLY PARKED
Unit Status
MOTOR VEHICLE IN TRANSPORT
81 - Most Harmful Event: Collision With 23 - Dir Of Travel
N/A24 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number 30 - State 31 - Expiration Year 34 - On Duty Accident
25 - Operator/Pedestrian Last Name 25 - First Name 25 - Middle Initial 25 - Suffix
32 - Date Of Birth 33 - Sex
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Wisconsin Motor Vehicle GZH0DMG 2 525
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Vehicle
Vehicle Owner
Insurance
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IN
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26 - Address Street & Number 26 - PO Box
27 - City 27 - State 27 - Zip Code 28 - Telephone Number
39 - Seat Position
NOT-APPLICABLE-NONMOTORIST
40 - Safety Equipment
38 - Injury Severity
NOT APPLICABLE
41 - Airbag
NOT-APPLICABLE
42 - Ejected 44
Medical Transport
NOT-APPLICABLE
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
LEGALLY-PARKED
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 62 - No. of Citations Issued
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
NOT-APPLICABLE
122 - Driver Factors
88 - Driver or Pedestrian Cond 89 - Substance Presence
90 - Alcohol Test 90 - Alcohol Content 91 - Drug Test
91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
0
22 - Total Occupants
318WXM
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2016
59 - Exp Year
19
55 - Vehicle Identification Number
2005
50 - Year
PONT
51 - Make
GTO
52 - Model
2D - 2DR
53 - Body Style
BLK
54 - Color 100 - Skidmarks to Impact (Ft)
MIDDLE PASSENGER SIDE
94 - Vehicle Damage
SEVERE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
OPERATOR
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
CAPPS
46 - Vehicle Owner Last Name
JAMES
46 - First Name
D
46 - Middle Initial 46 - Suffix
09/27 6
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
KENOSHA48 - City WI48 - State 5314448 - Zip Code 49 - Telephone Number
NOT-REQUIRED63 - Liability Insurance Company Policy Holder Same As Owner60
61 - Policy Holder Last Name 61 - Policy Holder First Name
61 - Policy Holder Company
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02
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School Bus
02
BU
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FromTo
Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Trailer
01
TR
L
106 - Power Unit Number License Plate Number Plate Type State Expiration Year
Trailer Make Unit Type Vehicle Identification Number
105 - Photos By
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Diagram and Narrative
SGT NICK ALMOGHRABI
I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO THE LCO CASINO LOCATED AT 13767W CTH B IN THE TOWNSHIP OF HAYWARD ON 07/09/16 AT 20:08 FOR A PROPERTY DAMAGE CRASH. UPON ARRIVAL, I MET WITH SECURITY STAFF WHO ADVISED THAT THEY
WOULD PAGE THE OWNER OF THE VEHICLE THAT STRUCK A PARKED CAR AND THAT THE OTHER OPERATOR WAS STANDING
NEAR HIS VEHICLE. I WAS DIRECTED TO A BUICK LESABRE WHERE I OBSERVED VERY MINOR DAMAGE TO THE REAR DRIVER'S
SIDE BUMPER INCLUDING SCRATCHES IN THE PAINT. UPON A REGISTRATION CHECK, I HAD CASINO STAFF PAGE EILEEN GRIESE
TO HER VEHICLE. I PHOTOGRAPHED THE DAMAGE THEN MET WITH JEFFREY CAPPS WHO WAS RESPONSIBLE FOR THE VEHICLE
THAT WAS STRUCK. THE TWO VEHICLES WERE PARKED IN DIFFERENT ROWS UPON MY ARRIVAL. UPON SPEAKING WITH CAPPS, HE ADVISED THE PONTIAC GTO THAT WAS DAMAGED BELONGED TO HIS BROTHER. JEFFREY CAPPS ADVISED HIS VEHICLE HAD
BEEN PARKED IN THE PARKING SPOT IT WAS CURRENTLY IN. I OBSERVED SEVERE DAMAGE TO THE CENTER PASSENGER SIDE
WITH THE DOOR AND BODY PUSHED INTO THE VEHICLE. I ADVISED HIM TO SAY BY HIS VEHICLE AND THAT I WOULD RETURN. I
PHOTOGRAPHED THE DAMAGE THEN MET WITH GRIESE WHO HAD COME TO HER VEHICLE. GRIESE ADMITTED TO ME THAT SHE
HAD BACKED INTO HIS CAR, MOVED PARKING ROWS, AND INTENTIONALLY DID NOT SAY ANYTHING WHEN SHE WENT INSIDE. I
PROVIDED HER A CASE NUMBER AND EXPLAINED SHE WOULD RECEIVE A CITATION FOR HIT AND RUN TO AN UNOCCUPIED
VEHICLE. I FURTHER EXPLAINED A CRASH REPORT WOULD BE COMPLETED AND RELEASED. I RETURNED TO CAPPS AND ADVISED HIM THAT GRIESE HAD ADMITTED TO HITTING THE VEHICLE AND INTENTIONALLY DIDN'T REPORT IT. I PROVIDED HIM WITH THE
CASE NUMBER AND EXPLAINED SHE WOULD BE RECEIVING A CITATION AND THAT A CRASH REPORT WOULD BE COMPLETED.
I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO THE LCO CASINO LOCATED AT 13767W CTH B IN THE TOWNSHIP OF HAYWARD ON 07/09/16 AT 20:08 FOR A PROPERTY DAMAGE CRASH. UPON ARRIVAL, I MET WITH SECURITY STAFF WHO ADVISED THAT THEY
WOULD PAGE THE OWNER OF THE VEHICLE THAT STRUCK A PARKED CAR AND THAT THE OTHER OPERATOR WAS STANDING
NEAR HIS VEHICLE. I WAS DIRECTED TO A BUICK LESABRE WHERE I OBSERVED VERY MINOR DAMAGE TO THE REAR DRIVER'S
SIDE BUMPER INCLUDING SCRATCHES IN THE PAINT. UPON A REGISTRATION CHECK, I HAD CASINO STAFF PAGE EILEEN GRIESE
TO HER VEHICLE. I PHOTOGRAPHED THE DAMAGE THEN MET WITH JEFFREY CAPPS WHO WAS RESPONSIBLE FOR THE VEHICLE
THAT WAS STRUCK. THE TWO VEHICLES WERE PARKED IN DIFFERENT ROWS UPON MY ARRIVAL. UPON SPEAKING WITH CAPPS, HE ADVISED THE PONTIAC GTO THAT WAS DAMAGED BELONGED TO HIS BROTHER. JEFFREY CAPPS ADVISED HIS VEHICLE HAD
BEEN PARKED IN THE PARKING SPOT IT WAS CURRENTLY IN. I OBSERVED SEVERE DAMAGE TO THE CENTER PASSENGER SIDE
WITH THE DOOR AND BODY PUSHED INTO THE VEHICLE. I ADVISED HIM TO SAY BY HIS VEHICLE AND THAT I WOULD RETURN. I
PHOTOGRAPHED THE DAMAGE THEN MET WITH GRIESE WHO HAD COME TO HER VEHICLE. GRIESE ADMITTED TO ME THAT SHE
HAD BACKED INTO HIS CAR, MOVED PARKING ROWS, AND INTENTIONALLY DID NOT SAY ANYTHING WHEN SHE WENT INSIDE. I
PROVIDED HER A CASE NUMBER AND EXPLAINED SHE WOULD RECEIVE A CITATION FOR HIT AND RUN TO AN UNOCCUPIED
VEHICLE. I FURTHER EXPLAINED A CRASH REPORT WOULD BE COMPLETED AND RELEASED. I RETURNED TO CAPPS AND ADVISED HIM THAT GRIESE HAD ADMITTED TO HITTING THE VEHICLE AND INTENTIONALLY DIDN'T REPORT IT. I PROVIDED HIM WITH THE
CASE NUMBER AND EXPLAINED SHE WOULD BE RECEIVING A CITATION AND THAT A CRASH REPORT WOULD BE COMPLETED.
Officer Information
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125 - First Name 125 - Middle Initial
ALMOGHRABI
125 - Officer Last Name
NICK 392
131 - Officer ID
129 - Law Enforcement Agency No.
SAWYER COUNTY SHERIFFS DEPT
130 - Law Enforcement Agency Name
15880 EAST FIFTH STREET
126 - Law Enforcement Agency Address Street & Number
HAYWARD
127 - City
WI
127 - State
54843
127 - Zip Code
(715) 634-4858 EXT.
128 - Telephone Number
07/09/2016
132 - Date Notified 2008133 - Time Notified (Military Time)2019134 - Time Arrived (Military Time)
07/09/2016
135 - Date Of Report
16070907 16070907 19 - Special Study
18 - Agency Space
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MV4000e 01/2005
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