Accident Response · Free Form
DOT Accident Register Entry
Record the required information for one DOT-recordable accident and keep the supporting report references together.
Who It’s For
Motor carriers maintaining the federal accident register.
How to Use It
Use one numbered entry for each accident meeting the applicable definition and keep the entries together as the register. Retain each entry and required supporting reports for three years after the accident. Recordability is separate from fault, preventability, citations, or testing decisions.
What’s Included
- All six required register data items
- Recordability review
- Supporting report and retention references
For the hazardous-materials field, exclude fuel spilled from the fuel tanks of vehicles involved. Record other released hazardous materials and the supporting report reference below.
Put It into Practice
Need help applying this to your operation? Check DOT post-accident testing requirements.
Related Downloads
Official References
Check the applicable requirements alongside your company procedures.
Using This Download
Is this a fillable PDF?
This is a printable 1-page PDF. Complete it by hand after printing, or add text with a PDF editor. It does not contain interactive form fields.
Can MSM customize it for our company?
Yes. MSM clients can ask their MSM team to adapt the resource to company procedures, reporting contacts, equipment, and branding. The standard public download is available to everyone.
Reviewed October 26, 2026. These resources support U.S. trucking safety work. Apply the rules, exceptions, equipment instructions, and state requirements relevant to your operation. A completed form does not by itself establish compliance.