Loading...
20170811 Schuck17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 Wisconsin Motor Vehicle Crash Report Secondary CrashAmendedCrash Type Private Property/Parking LotReportable TagsSchool Bus Related NoActive School ZoneGovernment Property Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 02:20 PM Date Notified 08/11/2017 Time Arrived 02:29 PM Date Arrived 08/11/2017 Crash Time 12:00 PM Crash Date 08/11/2017 Investigating Officer/Deputy DEPUTY AMBER ALMOGHRABI Agency Crash Number 17081103 Primary Crash Document #Document Number Override 6V L 1 3 W 8 H K 5 Additional InformationPhotos Photos ByDEPUTY AMBER AL-MOGHRABI Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON AUGUST 11, 2017, I DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPT. AT APPROXIMATELY 14:20 I WAS DISPATCHED TO WILDERNESS WALK ON STATE HWY 27 FOR A HIT AND RUN ACCIDENT. UPON ARRIVAL I MET WITH JORDAN SCHUCH WHO WAS WORKING THERE. SHE STATED AT APPROXIMATELY 13:30 SHE CAME OUTSIDE TO GET SOMETHING OUT OF HER VEHICLE AND NOTICED A DENT ON THE PASSENGER FRONT SIDE. SHE SAID SHE ATTEMPTED TO OPEN THE DOOR AND IT WAS HARD TO OPEN AND WOULD NOT FULLY SHUT RIGHT AFTER THAT. SHE STATED NO ONE HAD SEEN WHAT HAD HAPPENED AND THE DENT WAS NOT THERE BEFORE SHE CAME TO WORK. JORDAN STATED SHE IS UNSURE WHAT TIME IS HAPPENED IT, BUT SHE NOTICED IT AT 13:30 AND CALLED HER MOM RIGHT AWAY. I INFORMED HER SHE WILL NEED TO CONTACT HER INSURANCE COMPANY AND LET THEM KNOW AND THEY WILL TELL HER WHAT TO DO FROM THERE. I TOOK PICTURES OF THE DAMAGE TO THE VEHICLE WHICH APPEARED TO BE MINOR. I INFORMED JORDAN THAT SHE WILL NEED TO GET AN ESTIMATE ON HER VEHICLE DAMAGE AND ASKED THAT SHE CALLED ME TO LET ME KNOW WHAT IT WAS WHEN SHE GOT IT. JORDAN ALSO INFORMED ME THAT SHE HAD SECURA INSURANCE THAT HER PARENTS WERE THE POLICY HOLDERS OF. I CLEARED THE CALL AT 14:59. I ENTERED THE PHOTOGRAPHS INTO EVIDENCE AS ITEM NUMBER 1700543-0001. THIS IS ALL THE INFORMATION I HAVE AT THIS TIME. Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 Wisconsin Motor Vehicle Crash Report Structure Type House/Building Y Coordinate 5101503.5 X Coordinate 151562.765625 Longitude -91.498306954 Latitude 45.978493488 ON 9503 STH27 NB 67 FT N OF FUN VALLEY RD (HOUSE/BUILDING 9503) 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) Clear Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 08--Front To Side 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 NO Reporting Threshold No Truck Bus or HazMat No Road Grade Unknown Road Curvature Unknown Surface Type Unknown Traffic Control Inoperative/Missing UNKNOWN Traffic Control Unknown Traffic Way Unknown Emergency Motor Vehicle UseUnknownSpecial FunctionUnknownMost Harmful Event: Collision With Parked Motor Vehicle Total LanesSpeed LimitPre CrashTire Mark Direction Of Travel Unknown Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status Hit and Run UN I T 01 Unit Summary Extent Of Damage Unknown Vehicle Damage Unknown Initial Contact Point Unknown Bus UseNot A BusBody StyleColor ModelYearMakeVehicle Identification Number Country of IssuanceStPlate TypeLicense Plate Number VE H I C L E UN I T 01 Vehicle Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver Actions Unknown Driver Prior Action Other Vehicle Factors Unknown What Driver Was Doing Unknown Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address , , Unknown 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Event 02 Event 03 Event 04 Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 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 Applicable Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Not Applicable 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 None Used - Vehicle Occupant On Duty Crash 01 Driver License NumberAddress , , RaceDate of Birth SexCitations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 Wisconsin Motor Vehicle Crash Report Reporting Threshold No Truck Bus or HazMat No Road Grade Level Road Curvature Straight Surface Type Slag, Gravel, or Stone Traffic Control Inoperative/Missing NO Traffic Control No Control Traffic Way Parking Lot or Private Property Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Parked Motor Vehicle Total Lanes 0 Speed Limit 10Pre CrashTire Mark Direction Of Travel Not On Roadway Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 0 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status Legally Parked UN I T 02 Unit Summary Driver DistractionsNot Distracted Driver ActionsNo 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 VE H I C L E UN I T 02 Extent Of Damage Functional Damage Vehicle Damage 1--Right Front Corner, 2--Right Side Front Initial Contact Point 1--Right Front Corner Bus UseNot A BusBody Style 4D - 4DR Color RED - Red Model IMPALA Year 2009 Make CHEVROLET Vehicle Identification Number 670 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 682XCA VE H I C L E UN I T 02 Vehicle Address HAYWARD, WI 54843 , US IndividualALLAN M SCHUCK02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 17081110930 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13W8HK5 Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual ALLAN SCHUCK Insurance Company SECURA-INS-A-MUTUAL-CO Policy Holder UN I T Crash Time 12:00 PM Crash Date 08/11/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.