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a ac~t resulting <br /> <br /> PRINT OR TYPE ~ Snowmobile <br /> <br /> ATV <br /> OFFICIAL ACCIDENT REPORT <br />in injury requiring medical attention or hospitalization to or death of any person, or total damages of <br /> <br />i00.00 or more shall be reported by the investigating officer/operator on this form and forwarded to the MkNNESOTA <br />EP.,LRTMENT OF NATURAL RESOURCES, Division of Enforcement, 500 Lafayette Road, St. Paul, MN '55155-4047 <br />ithin ten business days. <br />UESTION$: 1-800-766-4000 METRO 29d-6157 TDD Statewide 1-800-657-3929 TDD METRO 29d-$484 <br />Name of Person or invesugatmg Officer [ Telephone Number ]..~artment Name <br /> <br />Adare.s.s oi investigating Department (No. & Street, Ri:D, Box No., City, State, Zip Code) <br /> <br /> Property County <br />[--]Damage <br /> <br />Date of Accident <br /> <br />D~script~on of Per <br /> <br />~-Owuer's Full Name (First, Mihdle, Last) [ Address (No. & Street, RFD, Box No., City, State, Zip Code) <br /> <br />Age I <br /> <br />JUVENILE OPERATOR NON MUSA <br /> NON RESIDENT <br /> <br />c,o. <br /> <br /> [--] Operator ~ Passenger [---[ Pedestrian <br /> <br />[--7] Other (explain) <br /> <br />(O~er) <br /> <br /> <br />