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~-03 ~ PRINT OR TYPE ~ Snowmobile <br /> I--1ATV <br />i . OFFICIAL ACCIDENT REPORT <br /> accident resulting in injury requiring medical attention or hospitalization to or death of any person, or total damages of <br />;500.00 or more shalI be reported by the investigating officer/operator on this form and forwarded to the MINNESOTA ' <br />ARTMENT OF NATURAL RESOURCES, Division of Enforcement, 500 Lafayette Road, St. Paul, MN 55155-4047 <br />in ten business days. <br />9~UESTIONS: 1-800-766-6000 METRO 296-6157 TDD Statewide 1-800-657-3929 TDD METRO 296-5484 <br />lame of Person or Investigating Officer Telephone Number I D~partment Name <br /> <br /> AAdress of Investigating Department (No. & Street, RFD, Box No., City, State, Zip Code) <br /> <br />Date of Accident Time AM <br />-Descriixion of Pet sonal Injuries <br /> <br />PasPe9f Non- P.P. roperty <br /> uatty ~ Fatal [--I Fatal [P~ mamage <br /> <br />. County <br /> <br /> JUVENILE OPERATOR <br />I NON MUSA AREA <br /> NON RESIDENT <br /> <br />I <br /> <br />Engine Size Year <br /> <br /> No. 2 killed femah <br /> <br />[--] Operator ~ Passenger ['-] Pedestrian [-"] Other (explain) <br />to. 2 ] ] killed female <br />i[ Operator ~ Passenger [--] Pedestrian I--I Other (explain). <br />I (Over~ <br /> <br /> <br />