20170527 PalmNarrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON MAY 27, 2017, I, DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPT. AT APPROXIMATELY 8:07AM, I WAS DISPATCHED TO US HIGHWAY 63 ACROSS FROM PHIPPS ROAD FOR A WHITE TRUCK THAT WAS IN THE TREE LINE AND NO ONE
AROUND THE VEHICLE. UPON ARRIVAL I RAN THE PLATE ON THE TRUCK, WHICH CAME BACK TO STEPHEN PALM FROM SUPERIOR. I ADVISED
DISPATCH I ATTEMPTED TO LOCATE A PHONE NUMBER FOR HIM AND WAS UNABLE TO FIND ONE. I APPROACHED THE VEHICLE AND NOTICED THE
DRIVER WINDOW WAS CRACKED OPEN, BUT THE DOORS WERE LOCKED. I ALSO NOTICED THAT THERE WAS AT LEAST ONE EMPTY BEER CAN IN
THE FRONT SEAT OF THE TRUCK AND NO ONE WAS AROUND. I TOOK PICTURES OF THE MINOR DAMAGE TO THE DRIVER SIDE OF THE REAR
BUMPER. I ADVISED DISPATCH SINCE THE VEHICLE WAS NOT BLOCKING TRAFFIC THAT I WAS NOT GOING TO HAVE IT TOWED AT THIS TIME TO GIVE THE OWNER A CHANCE TO COME GET THE VEHICLE OUT. I ADVISED THEM THAT I WOULD COME CHECK ON THE VEHICLE LATER. I CLEARED
THE CALL AT 8:27. AT APPROXIMATELY 12:10 DISPATCH ADVISED ME THAT THE TRUCK WAS STILL IN THE WOODLINE. I ADVISED THEM THAT I
WOULD BE OUT WITH IT AND ASKED FOR THE NEXT AVAILABLE TOW TRUCK. WHEN A-1 TOWING ARRIVED ON SCENE, WE NOTICED THAT THERE
WERE FRESH TIRE TRACKS COMING DOWN THE HILL OFF HWY 63, INTO THE FIELD, AND THEN IT APPEARED THE SUBJECT TRIED TO REVERSE THE
VEHICLE AND ENDED UP HITTING A TREE. A-1 WAS ABLE TO UNLOCK THE VEHICLE SO HE COULD PUT THE TRUCK IN NEUTRAL AND I LOOKED FOR
17052706619
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HK0 Wisconsin Motor Vehicle
Crash Report
Secondary
CrashAmendedCrash Type
DT4000 (Standard Crash)Reportable
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
08:07 AM
Date Notified
05/27/2017
Time Arrived
08:16 AM
Date Arrived
05/27/2017
Crash Time
01:30 AM
Crash Date
05/27/2017
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash Number
17052703
Primary Crash Document #Document Number Override
6V
L
1
3
W
8
H
K
0
Additional InformationPhotos
Photos ByDEPUTY AMBER AL-MOGHRABI
Reconstruction ByDiagram
Description
Crash Time 01:30 AM
Crash Date 05/27/2017This report does not include any CJIS data.
4of1
Wisconsin Motor Vehicle Crash
Form DT4000
A PHONE NUMBER FOR THE OWNER, WHICH WAS FOUND. AT APPROXIMATELY 13:20 THE VEHICLE WAS REMOVED. AT THIS TIME THE SECURITY
MANAGER AT KOA CAMPGROUND DROVE OVER AND INFORMED ME THAT ONE OF THE CAMPERS WAS AWAKE WHEN THIS HAD HAPPENED. HE
STATED IT WAS APPROXIMATELY 1:30 AM WHEN THE CAMPER NOTICED THE VEHICLE DRIVE THROUGH THE STOP SIGN, ACROSS HWY 63 AND INTO THE FIELD. HE STATED HE WAS ABLE TO HEAR THE VEHICLE HIT THE TREE AND STATED THAT HE COULD HEAR THE SUBJECT TRYING TO GET
OUT. SEE REPORT FOR MORE.
17052706619
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HK0 Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5109402
X Coordinate
156448.5
Longitude
-91.441106769
Latitude
46.051833787
ON USH63 NB
65 FT N
OF PHIPPS RD
IN THE TOWN OF LENROOT
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 - Not On Road
Animal Type
Weather Condition(s)
Unknown
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Unknown
Light Condition
Dark-Unknown Lighting
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
Off Roadway, Location Unknown
First Harmful Event
Tree
Crash Scene
Intersection Type
Not an Intersection
Junction Location
Non-Junction
Within Interchange Area
NO
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
Road Curvature
Straight
Surface Type
Blacktop (Bituminous)
Traffic Control Inoperative/Missing
NO
Traffic Control
Stop Sign
Traffic Way
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Tree
Total Lanes
2
Speed Limit
45Pre CrashTire
Mark
Direction Of Travel
Westbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
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
Vehicle DamageInitial Contact Point
Bus UseNot A BusBody Style
PK - PICKUP
Color
WHI - White
Model
RAM 1500
Year
2003
Make
DODGE
Vehicle Identification Number
2767
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - Light Truck
License Plate Number
LD673401
Vehicle
Crash Time 01:30 AM
Crash Date 05/27/2017This report does not include any CJIS data.
4of2
Wisconsin Motor Vehicle Crash
Form DT4000
17052706619
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HK0 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsUnknown If Distracted
Driver ActionsUnknown
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Going Straight
Vehicle Removed By
A-1 TOWING
Towed Due To Damage
Towed But Not Due To Disabling Damage
VE
H
I
C
L
E
UN
I
T
01
Extent Of Damage
Minor Damage
6--Rear
6--RearVE
H
I
C
L
E
UN
I
T
Address
SUPERIOR, WI 54880 , US
IndividualSTEPHEN R PALM01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventTree01
Event
02
Event
03
Event
04
Individual
STEPHEN PALM
Insurance Company
PROGRESSIVE-CASUALTY-INS-CO
Policy Holder
UN
I
T
Crash Time 01:30 AM
Crash Date 05/27/2017This report does not include any CJIS data.
4of3
Wisconsin Motor Vehicle Crash
Form DT4000
17052706619
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HK0 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Not Observed
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
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
1
01
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 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/Bicycl
00
1
Safety Equipment
Restraint Use Unknown
On Duty Crash
01
ber
State: Wisconsin Country: UNITED STATES
Address
SUPERIOR, WI 54880 , US
RaceWHITEDate of Birth
02/19
Sex
Male
Citations Issued
0
DriverSTEPHEN R PALM
IN
D
I
V
I
D
U
A
L
UN
I
T
Drug &
Alcohol
Injury
Equipment
Non Motorist
Individual
Crash Time 01:30 AM
Crash Date 05/27/2017This report does not include any CJIS data.
4of4
Wisconsin Motor Vehicle Crash
Form DT4000