250170112 Bowe17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
TagsSchool Bus Related
NoActive School ZoneGovernment
Property
Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
01
Time Notified
10:33 AM
Date Notified
01/12/2017
Time Arrived
10:42 AM
Date Arrived
01/12/2017
Crash Time
10:33 AM
Crash Date
01/12/2017
Investigating Officer/Deputy
DEP/DEPU JEFF CAIN
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
M
V
8
V
P
Structure TypeTribal Land
Override
On Roadway Link Offset
1569
On Roadway Link ID#
5327415
Y Coordinate
5103258.5
X Coordinate
150408.3281
Access ControlLat/LongSource
TLT/ILT
Longitude
-91.5144463
Latitude
45.99365339
ON USH63 SB
1230 FT W
OF OGREN RD
IN THE TOWN 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
Trafficway - On Road
Animal Type
Weather Condition(s)
Clear
Roadway Factor(s)
Road Surface Condition (Wet, Icy, Snow, Slush, Etc)
Environment Factor(s)
Weather Conditions
Road Surface Condition(s)
Ice
Light Condition
Daylight
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
On Roadway
First Harmful Event
Overturn/Rollover
Crash Scene
Intersection Type
Not an Intersection
Junction Location
Non-Junction
Within Interchange Area
NO
Time All Lanes Open
11:34 AM
DateAll Lanes Open
Thursday, 01/12/2017
Time Scene Cleared
11:34 AM
Date Scene Cleared
Thursday, 01/12/2017
Time Initial Lane/Road Closed
10:42 AM
Date Initial Lane/Road Closed
Thursday, 01/12/2012
Reasons for Closure
Tow truck
Closure Type
Closure-one direction
Traffic Control Inoperative/Missing
NO
Traffic Control
No Control
Traffic Way
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Overturn/Rollover
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Southbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
1
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
3
Operating As EndorsementsVehicle Type
Utility Truck/Pickup Truck
Unit Type
Truck
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Crash Time 10:33 AM
Crash Date 01/12/20176Of1Wisconsin Motor Vehicle Crash
Form DT4000
17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Uphill
Road Curvature
Straight
Surface Type
Blacktop (Bituminous)
01
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
IN
D
I
V
I
D
U
A
L
UN
I
T
Individual Condition
Appeared Normal
Action Other
ActionPrior Action
To/FromSchoolLocationStriking Unit #
01
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedicalTransport
Not Transported
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
No Apparent Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicy
Safety Equipment
Shoulder & Lap Belt
On Duty Accident
01
DL Expire Year2024License Status
Valid License
License Type
Commercial Driver License (CDL)
Country of Issuance
UNITED STATES
License Jursidiction
State
State
WI
Driver's License Number
Phone Number
.
Weight300Height
605
EyesBLUEHairBROWNRaceWSex
M
DOB
04/07/1
Country of Residence
UNITED STATES
Zip Code
54843
State
WI
City
HAYWARD
PO BoxStreet Address 2Street Address
SuffixMiddle Initial
CHARLES
First Name
JAMIE
Last Name
BOWE
Individual Type
IndividualUse Driver
Address
Citations IssuedRoleDriver
IN
D
I
V
I
D
U
A
L
01
UN
I
T
01
Injury
Drug & Alcoh
Non Motorist
Equipment
SuffixMiddle InitialFirst NameLast Name
Individual Type
IndividualUse Driver
Address
Citations IssuedRolePassenger
02
01
Crash Time 10:33 AM
Crash Date 01/12/20176Of2Wisconsin Motor Vehicle Crash
Form DT4000
17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
IN
D
I
V
I
D
U
A
L
UN
I
T
Individual Condition
Appeared Normal
Action Other
ActionPrior Action
To/FromSchoolLocationStriking Unit #
02
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedicalTransport
Not Transported
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
No Apparent Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
7--Third Seat-Left Side (Sidecar: Motorcycle Pa
Safety Equipment
Shoulder & Lap Belt
On Duty Accident
02
DL Expire Year2020License Status
Valid License
License Type
Non-CDL Driver's License
Country of Issuance
UNITED STATES
License Jursidiction
State
State
WI
Driver's License Number
P
Phone Number
.
Weight130Height
503
EyesBLUEHairBLONDRaceWSex
F
DOB
04/03/
Country of Residence
UNITED STATES
Zip Code
54843
State
WI
City
HAYWARD
PO BoxStreet Address 2Street Address
JKELLEENPATTERMANN
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug & Alcoh
Non Motorist
Equipment
Country of ResidenceZip CodeStateCity
PO BoxStreet Address 2Street Address
SuffixMiddle Initial
J
First Name
KAYLIN
Last Name
BUNCAK
Individual Type
IndividualUse Driver
Address
Citations IssuedRolePassenger
03
01
Crash Time 10:33 AM
Crash Date 01/12/20176Of3Wisconsin Motor Vehicle Crash
Form DT4000
17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
IN
D
I
V
I
D
U
A
L
UN
I
T
Individual Condition
Appeared Normal
Action Other
ActionPrior Action
To/FromSchoolLocationStriking Unit #
03
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedicalTransport
Not Transported
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
No Apparent Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
6--Second Seat-Right Side
Safety Equipment
Shoulder & Lap Belt
On Duty Accident
03
DL Expire YearLicense StatusLicense Type
Country of IssuanceLicense JursidictionStateDriver's License Number
Phone Number
.
WeightHeightEyesHairBLONDRaceWSex
F
DOB
04/07
UNITED STATES54843WIHAYWARD
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug & Alcoh
Non Motorist
Equipment
Vehicle DamageInitial Contact Point
Color
BLU - Blue
Body Style
PK - PICKUP
Model
F150
Make
FORD
Year
2011
Vehicle Identification Number
C13698
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - Light Truck
License Plate Number
KC203601
01
Crash Time 10:33 AM
Crash Date 01/12/20176Of4Wisconsin Motor Vehicle Crash
Form DT4000
17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot DistractedDriver ActionsNo Contributing Action
Bus UseNot A BusDriver Prior Action OtherWhat Driver Was Doing
Going Straight
Vehicle Removed By
OPERATOR
Vehicle Factors
Tires
Towed Due To Damage
Not Towed
Extent Of Damage
Functional Damage
5--Right Rear Corner, 6--Rear, 7--Left Rear Corner
7--Left Rear CornerVE
H
I
C
L
E
UN
I
T
EventOverturn/Rollover01
Event
02
Event
03
Event
04
Telephone Number
Country of Residence
UNITED STATES
Zip Code
54843
St
WI
City
HAYWARD
PO BoxStreet Address2Street Address
Date of Birth
04/07
SuffixMiddle Initial
CHARLES
First Name
JAMIE
Last Name
BOWE
Company NameOrganization Type
Individual
Use Operator AddressVehicle Owner Same As Operator
VE
H
I
C
L
E
O
W
N
E
R
01
UN
I
T
01
Policy Holder CompanyFirst Name
JAMIE
Last Name
BOWE
Organization Type
Individual
Policy Holder Same As DriverPolicy Holder
Same As Owner
Insurance Company
PROGRESSIVE-CASUALTY-INS-CO
HO
L
DE
R
01
UN
I
T
PO BoxStreet Address2Street Address
SuffixMiddle Initial
CHARLES
First Name
JAMIE
Last Name
BOWE
Company NameOrganization Type
Individual
Trailer Owner Same As Vehicle
Vehicle Identification Number
9773
Unit Type
Utility Tr
Make
WELLS CARG
Country of IssuanceStatePlate TypeTrailer Plate #
0101
Crash Time 10:33 AM
Crash Date 01/12/20176Of5Wisconsin Motor Vehicle Crash
Form DT4000
17011202
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8VP Wisconsin Motor Vehicle
Crash Report
Telephone Number
.
Country of Residence
UNITED STATES
Zip Code
54843
St
WI
City
HAYWARD
TR
A
I
L
E
R
/
T
O
W
E
D
UN
I
T
Additional InformationPhotos
Photos ByDEPUTY JEFF CAIN
Reconstruction ByDiagram
Description
NarrativeON 01/12/17 AT 10:42 DEPUTY CAIN ARRIVED AT THE SCENE OF A ONE VEHICLE ACCIDENT. A PICKUP PULLING A SINGLE AXEL UTILITY TRAILER. THE TRUCK WAS OFF THE ROAD TO THE LEFT AND TURNED FACING THE OPPOSITE DIRECTION THAN IT WAS TRAVELING. THE TRAILER WAS BROKEN
FREE AT THE HITCH AND ONE SAFETY CABLE AND WAS OVERTURNED ON IT'S RIGHT SIDE DIRECTLY BEHIND THE TRUCK. THE RIGHT REAR TRUCK
TIRE WAS BLOWN AND BELIEVED TO HAVE BEEN THE INITIAL CAUSE OF LOSS OF CONTROL. THE ROADWAY CONDITION WAS BLACK ICE.
Crash Time 10:33 AM
Crash Date 01/12/20176Of6Wisconsin Motor Vehicle Crash
Form DT4000