Fillable RECREATIONAL BOAT ACCIDENT REPORT ADDITIONAL PEOPLE INVOLVED IN (State of Idaho)

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RECREATIONAL BOAT ACCIDENT REPORT ADDITIONAL PEOPLE INVOLVED IN (State of Idaho)

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RECREATIONAL BOAT ACCIDENT REPORT
ADDITIONAL PEOPLE INVOLVED IN THE ACCIDENT
AGENCY CASE # BARD #
BOAT #
Other key people
Other key person was (select all that apply): Passenger on boat Person being towed by boat Witness
Name/address of other key person
Last:
First: MI:
S
treet:
City:
State:
Zip: Phone:
Male Female DOB: DL#: State:
Was life jacket worn? Yes No If yes, what type: Before As a result of
Was this person injured beyond first aid? Yes No Fatal? Yes No
Other key people
Other key person was (select all that apply): Passenger on boat Person being towed by boat Witness
Name/address of other key person
Last:
First: MI:
S
treet:
City:
State:
Zip: Phone:
Male Female DOB: DL#: State:
Was life jacket worn? Yes No If yes, what type: Before As a result of
Was this person injured beyond first aid? Yes No Fatal? Yes No
Other key people
Other key person was (select all that apply): Passenger on boat Person being towed by boat Witness
Name/address of other key person
Last:
First: MI:
S
treet:
City:
S
tate:
Zip: Phone:
Male Female DOB: DL#: State:
Was life jacket worn? Yes No If yes, what type: Before As a result of
Was this person injured beyond first aid? Yes No Fatal? Yes No
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RECREATIONAL BOAT ACCIDENT REPORT ADDITIONAL PEOPLE INVOLVED IN (State of Idaho)

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Completed 20 July 2020

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