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Arkansas State Police
Preliminary Fatal Crash Summary
 
 
 
 
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Fatal#:      Date Rec'd:      Time Rec'd:      Operator #:   
Accident #:      Station Sending      Date:      #() Killed   #() Injured
Date of Accident:    Time of Accident:    Location:   
City:    County:     
 
KILLED
Name (Vehicle #) DOB Residence M/F Driver Passenger Pedestrian
             
Additional Killed
 
INJURED
Name (Vehicle #) DOB Residence M/F Driver Passenger Pedestrian
             
Additional Injured
 
Vehicle Year Direction Hwy. Vehicle Year Direction Hwy.
1.                 2.                
3.                 4.                
Additional Vehicles
 
What Happened?       
 
Weather Condition:     Road Condition:    
 
Injured Taken To:       Body Held At:      
 
NOK Notified   Investigating Officer:   Agency:  
 
Arkansas State Police | One State Police Plaza Dr | Little Rock, AR 72209