Iowa Accident Report Form

An accident occurring anywhere within the State of Iowa causing death, personal injury, or total property damage of $1,000 or more must be reported on an Iowa Accident Report Form, DOT Form #433002.  Failure to return an accident report form within 72 hours may result in suspension of your driving privileges.  CAUTION:  You must attempt to completely fill out this report.

Also, the insurance information on page two of the report must be completed.  Failure to complete insurance coverage information may result in the suspension of your driving and registration privileges.

The accident report form consists of the following four pages:

Page 1 - Instructions for completing the form.
Page 2 - Accident codes used in the form
Page 3 - Accident report form (steps 1 thru 7)
Page 4 - Accident report form (steps 8 thru 10)

After signing and completion of the accident report form, mail pages 3 and 4 (you do not need to mail the instruction sheet nor accident code sheet) to the following address:

Iowa Department of Transportation
Office of Driver Services
P.O Box 9235
Des Moines, IA  50306-9204