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Extent of Injuries Operator Distance Danger Noticed Direction of Travel Policy Number Was Vehicle Equipped With Seat If Yes Were They in Use at Time of Belts Accident RHD LHD No. Occupants Nature and Extent of Damage Estimated Time Out of Service ACCIDENT DESCRIPTION USPS Investigator Print or Type Time of Call Description of How Accident Occured If Applicable Give Traffic Law s Violated. Include Sketch on Page 4. THIS FORM IS FOR POSTAL USE ONLY. U*S* Postal Service ACCIDENT INVESTIGATION WORK ...

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