To submit this form, please email the completed report to the appropriate department at UT. Alternatively, you can fax it to 1-855-253-0629. For physical submissions, please deliver the form to the Department of Transportation Services located at 123 Main St, Knoxville, TN 37996.

This form should be submitted immediately after an incident occurs. Important deadlines may coincide with departmental reporting schedules, particularly for insurance claims. Always verify specific dates with your department to ensure compliance.

The purpose of this form is to document vehicle incidents involving any vehicle utilized for University business. This includes reporting accidents, damage, or theft associated with University-owned or leased vehicles. Accurate and timely reporting is crucial for compliance with University policies and insurance requirements.

• 1. UT Driver Name: The full name of the driver involved in the incident.
• 2. Date of Birth: The birth date of the driver.
• 3. Driver's License #: The driver's license number for identification.
• 4. Issued State: The state where the driver's license was issued.
• 5. Home Address: The residential address of the driver.
• 6. Department: The department associated with the driver.
• 7. Date of Accident: The date when the accident occurred.
• 8. Place of Accident: The location where the accident took place.

Failing to submit this form can result in non-compliance with University policies regarding vehicle operation. This could potentially lead to disciplinary action or issues with insurance claims.

• Non-Compliance: Failure to adhere to reporting protocols may result in academic or administrative penalties.
• Insurance Issues: Without proper documentation, claims may be denied, leading to financial repercussions.

• 1. Accidental Damage: Use this form to report damage incurred during the operation of a University vehicle.
• 2. Theft of Vehicle: Report any thefts involving University-owned vehicles promptly with this form.