20170817 Vrieze LinvilleSAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR 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
02
Time Notified
06:25 PM
Date Notified
08/17/2017
Time Arrived
06:35 PM
Date Arrived
08/17/2017
Crash Time
06:25 PM
Crash Date
08/17/2017
Investigating Officer/Deputy
DEPUTY CASEY CULHANE
Agency Crash Number
17081704
Primary Crash Document #Document Number Override
6V
L
1
2
W
M
L
V
R
Additional InformationPhotos
Photos ByDEPUTY CULHANE
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 1 WAS STOPPED LEGALLY AT A STOP SIGN WAITING FOR TRAFFIC TO CLEAR, THEN NEGOTIATE A LEFT TURN TO TRAVEL NORTH ON HWY 27. UNIT 2 CAME FROM BEHIND UNIT 1 AND STRUCK IT IN THE REAR BUMPER. THE DRIVER OF UNIT 1 AND UNIT 2 EXCHANGED WORDS, THEN UNIT 2
LEFT THE SCENE OF THE ACCIDENT.
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5088675.5
X Coordinate
150505.03125
Longitude
-91.502580162
Latitude
45.862854357
ON STH70 EB
176 FT W
OF STH27 NB
IN THE TOWN OF SAND 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
Trafficway - On Road
Animal Type
Weather Condition(s)
Cloudy
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Wet
Light Condition
Daylight
Manner of Collision
02--Front To Rear
First Harmful Event Location
On Roadway
First Harmful Event
Motor Veh In Transport
Crash Scene
Intersection Type
T-Intersection
Junction Location
Intersection
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
Unknown
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Motor Veh Tran Other Rdwy
Total Lanes
02
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Eastbound
Insurance?
YES
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
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Minor Damage
Vehicle Damage
6--Rear, 7--Left Rear Corner
Initial Contact Point
6--Rear
Bus UseNot A BusBody Style
4D - 4DR
Color
RED - Red
Model
RAV4
Year
2011
Make
TOYOTA
Vehicle Identification Number
621
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
AAD3965
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action, Unknown
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Slow/Stopping
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
HUDSON, WI 54016 , US
IndividualSHERI L VRIEZE01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
Event
02
Event
03
Event
04
Individual
SHERI VRIEZE
Insurance Company
ARTISAN-AND-TRUCKERS-CASUALTY-CO
Policy Holder
UN
I
T
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
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
Shoulder & Lap Belt
On Duty Crash
01
ber
State: Wisconsin Country: UNITED STATES
Address
HUDSON, WI 54016 , US
RaceWHITEDate of Birth
08/02
Sex
Female
Citations Issued
00
DriverSHERI L VRIEZE
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
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
Motor Veh In Transport
Total Lanes
02
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Eastbound
Insurance?
NO
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
03
Train/Bus # InjuredTotal Occs
02
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
02
Unit Summary
Driver DistractionsDistraction/Inattention
Driver ActionsFollowing Too Close, Operated Motor Vehicle In Inattentive, Careless or Erratic Manner
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Accelerating In Road
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
02
Extent Of Damage
Minor Damage
Vehicle Damage
12--Front
Initial Contact Point
12--Front
Bus UseNot A BusBody Style
4D - 4DR
Color
SIL - Silver (Aluminum)
Model
UNKNOWN
Year
2011
Make
MITSUBISHI
Vehicle Identification Number
9991
Country of Issuance
UNITED STATES
St
TX
Plate Type
AUT - Automobile
License Plate Number
HYY4246
VE
H
I
C
L
E
UN
I
T
02
Vehicle
Address
HAYWARD, WI 54843 , US
IndividualJACOB A LINVILLE02
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
Event
02
Event
03
Event
04
Individual Condition
Emotional (Depressed, Angry, Disturbed, Etc)
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
2
02
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
2
Safety Equipment
Restraint Use Unknown
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
HAYWARD, WI 54843 , US
RaceWHITEDate of Birth
10/21/
Sex
Male
Citations Issued
03
DriverJACOB A LINVILLE
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 6 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
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
3
02
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
3--Front Seat-Right Side (Train Engineers/Right
00
3
Safety Equipment
Restraint Use Unknown
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
RICE LAKE, WI 54868 , US
RaceWHITEDate of Birth
06/04
Sex
Female
Citations Issued
00
PassengerISABELLA M NISPEL
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Violations
DescriptionINATTENTIVE DRIVINGSeq Num001Statute Number346.89(1)Issue To?
002
UTC Number
AE53865401
DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To?
002
UTC Number
AE53865502
DescriptionHIT AND RUNSeq Num004Statute Number346.67(1)Issue To?
002
UTC Number
AE53865603
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 7 of 8
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL12WMLVR Wisconsin Motor Vehicle
Crash Report
HAYWARD, WI 54843 , US
IndividualJACOB A LINVILLE
PR
O
P
OW
N
E
R
01
Property Owner
Fixed Objects Struck
Damage Tag NumberStruck Object
Other Object - Not Fixed
Striking Unit
0101
Crash Time 06:25 PM
Crash Date 08/17/2017Wisconsin Motor Vehicle Crash
Form DT4000 8 of 8
This report does not include any CJIS data.