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STD-430 INCIDENTACCIDENT REPORT - PennDOT Home

STD-430 INCIDENTACCIDENT REPORT - PennDOT Home 2025

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The document is a standardized incident/accident report form (STD-430) used by the Commonwealth of Pennsylvania. It outlines the necessary information to be collected and submitted regarding incidents or accidents, including details about the time and location, persons injured, property damage, descriptions of the incident, and claim information. The report must be sent to the Bureau of Risk & Insurance Management (BRIM) and emphasizes not sending multiple copies unless verification of receipt is confirmed.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (51 Votes)
2013	4.7 Satisfied (60 Votes)

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