In order to completely fill out these forms you will need to provide the following:
You can fill out these forms electronically using a PDF application, or print them out and complete them by hand. They should be completed by the driver involved in the collision.
Fill in all applicable spaces in the form with information you know about the crash as best you as you can. Pay particular attention to the crash narrative by writing short clear sentences that accurately describe what happened in your own words. Provide all information on your vehicle, the other vehicle(s) (if there were any), any vehicle occupants, etc.
When you are done, you must sign the form.
Use your PDF application to sign the form document electronically or sign your printed paper copy.
Be sure to make a copy of the form for your records. Your completed forms are not retrievable from the Department of Transportation after submitting them.
Then send your completed and electronically signed PDF document to:
OR mail your printed paper original to:State Of Alaska
In motor vehicle crashes where the damage is less than a certain dollar amount, no apparent significant injuries occurred, and police or local law enforcement jurisdiction did not investigate, Alaska developed the driver report (Form 12-209) to provide the user a way to self-report a crash and provide documentation to his or her insurance company.
As well, Alaska Statute Title 28, Chapter 22, Article 1, Section 28.22.021 requires the owner or operator of a motor vehicle to provide proof of motor vehicle liability insurance when that person is involved in an accident that results in bodily injury to or death of a person, or damage to the property of a person exceeding $501.
These forms are available for download from the links above. They can be completed electronically and emailed to the Division of Motor Vehicles or printed and mailed to the address in the instructions above.
The 12-209 crash report information is used by the Department of Transportation (DOT) to identify sections of the road system that experience higher numbers of motor vehicle crashes. These higher crash areas are then proposed for capital improvement projects that improve road safety. The 12-209 crash form also includes the same information that the COI requests. When a motor vehicle crash results in no personal injury or results in property damage between $501 and $2,000, completing the 12-209 instead of the COI provides valuable crash and location information that helps DOT and still meets the requirement for proof of liability insurance to DMV shown above. Please consider completing the 12-209 in lieu of the stand-alone COI.