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Home My WebLink About20180526 Hanzlik Eckerstorfer.pdf18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 02:42 PM Date Notified 05/26/2018 Time Arrived 03:16 PM Date Arrived 05/26/2018 Crash Time 02:23 PM Crash Date 05/26/2018 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 Z Q K R T Additional InformationNone Photos By 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 BACKING OUT OF PARKING SPOT ON HAZEL STREET AND DID NOT SEE UNIT 2 TRAVELING EAST. UNIT 1 STRUCK UNIT 2 ON THE DRIVERS SIDE VAN DOOR/ GAS FILLER AREA WITH ITS TAILGATE WHICH WAS DOWN. Structure Type Y Coordinate 5082048.5 X Coordinate 188466.71875 Longitude -91.010517543 Latitude 45.821566827 ON HAZEL AVE 132 FT W OF ELLEN ST IN THE VILLAGE OF WINTER IN SAWYER COUNTY Location Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT Wisconsin Motor Vehicle Crash Report Special StudyAccess Control Full 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 Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 07--Rear To Side First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport 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 No Control Traffic Way Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 25Pre CrashTire Mark Direction Of Travel Southbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 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 Driver Actions Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Backing Vehicle Removed By OPERATOR Towed Due To Damage Not Towed01 Extent Of Damage Minor Damage Vehicle Damage 6--Rear Initial Contact Point 6--Rear Bus UseNot A BusBody Style TK - TRUCK Color BLK - Black Model SIERRA Year 2012 Make GENERAL MOTORS COR Vehicle Identification Number 059 Country of Issuance UNITED STATES St IA Plate Type LTK - Light Truck License Plate Number JT232 VE H I C L E UN I T 01 Vehicle Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted No Contributing Action VE H I C L E UN I T Address WISCONSIN RAPIDS, WI 54494 , US IndividualJENNIFER L HANZLIK01 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 JENNIFER HANZLIK Insurance Company PROGRESSIVE-UNIVERSAL-INSURANCE-COMP Policy Holder UN I T Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 WISCONSIN RAPIDS, WI 54494 , US RaceWHITEDate of Birth 07/25/ Sex Female Citations Issued 0 DriverJENNIFER L HANZLIK IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 2 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 3--Front Seat-Right Side (Train Engineers/Right 00 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 Driver License NumberAddress WISCONSIN RAPIDS, WI 54494 , US RaceWHITEDate of Birth 06/30/ Sex Female Citations Issued 0 PassengerKYLEIGH HANZLIK IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 No Control Traffic Way Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 25Pre CrashTire Mark Direction Of Travel Eastbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type Passenger Van Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit 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 Going Straight 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 8--Left Side Rear Initial Contact Point 8--Left Side Rear Bus UseNot A BusBody Style VN - VAN Color RED - Red Model SEDONA Year 2007 Make KIA MOTORS CORPORA Vehicle Identification Number 439 Country of Issuance UNITED STATES St SD Plate Type AUT - Automobile License Plate Number 1B9197 VE H I C L E UN I T 02 Vehicle Address SOUIX FALLS, SD 57103 5313, US IndividualROBERT F ECKERSTORFER02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual ROBERT ECKERSTORFER Insurance Company FARM-BUREAU-CASUALTY-CO Policy Holder UN I T Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 7 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 3 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 nse Number State: South Dakota Country: UNITED STATES Address SOUIX FALLS, SD 57103 5313, US RaceWHITEDate of Birth 01/09/ Sex Male Citations Issued 0 DriverROBERT F ECKERSTORFER IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 8 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT 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 4 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 4 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 Driver License NumberAddress SOUIX FALLS, SD 57103 5313, US RaceWHITEDate of Birth 07/23/ Sex Female Citations Issued 0 PassengerSARAH ECKERSTORFER IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Address , , Unknown PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 9 of 10 This report does not include any CJIS data. 18052604 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRT Wisconsin Motor Vehicle Crash Report Damage Tag NumberStruck Object Other Object - Not Fixed Striking Unit 0101 Crash Time 02:23 PM Crash Date 05/26/2018Wisconsin Motor Vehicle Crash Form DT4000 10 of 10 This report does not include any CJIS data.