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75-03 <br /> <br /> PRINT OR TYPE [-~ Snowmobile <br /> <br /> OFFICIAL ACCIDENT REPORT <br /> <br />iLR cident resulting in injury requiring medical attention or hospitalization to or d. eath of any person, or total damages of <br />.00 or more shall be reported by the investigating officer/operator on this form and forwarded to the MINNESOTA <br /> TMENT OF NATURAL RESOURCES, Division of Enforcement, 500 Lafayette Road, St. Paul, MN '551554047 <br />dain ten business days. <br />~STIONS: 1-800-766-6000 METRO 296-6157 TDD Statewide 1-800-657-3929 TDD METRO 296-5484 <br />$~ne of Person or Investigating 'Officer i Telephone Number ~ De~partment Name <br /> <br /> iress of ~nvestigating'Department '(No. & Street, RFD, Box No., City, State, Zip Code) <br /> <br />Iwner's Full Name (First, 19liddle, 'LAst) I Address (No. a Street, RFD, Box No., City, State, Zip Code) I Age [ <br /> <br /> JUVENILE OPERATOR NON MUSA <br /> NON RESIDENT <br /> <br />Operator [---1 Passenger ~'~ Pedestrian [---] Other (explain) <br /> <br />(Over) <br /> <br /> <br />