| Age | 13 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | No Apparent Injury (O) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | None Used/Not Applicable |
| Restraint System Misuse | No Indication of Misuse |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Nonmotorist |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | No (Alcohol Not Involved) |
| Alcohol Test Given | Test Not Given |
| Alcohol Test Type | Not Tested for Alcohol |
| Alcohol Test Result | None Given |
| Police Reported Drug Involvement | No (Drugs Not Involved) |
| Drug Tested | Test Not Given |
| Transported To Medical Facility By | Not Transported for Treatment |
| Died En Route | Not Applicable |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | Not Aplicable |
| Hispanic | Not a Fatality (Not Applicable) |
| Race | Not a Fatality (Not Applicable) |
| Collapse Table | Collapse Table |
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| Fatalities | 1 |
| Number of Occupants |
2 |
| Hit and Run | No Hit and Run |
| NCSA Make | Other Make |
| Body Type | Golf Cart (Since 2012) |
| NCSA Model | 998 |
| Registration State | No Registration |
| Registered Vehicle Owner | Not Applicable, Vehicle Not Registered |
| VIN | 000000000000 |
| Model Year | 1986 |
| VPIC Make ID | None |
| VPIC Model ID | None |
| VPIC Body Class | Unknown |
| Body Class | Unknown |
| Lower Weight Rating | Not Reported |
| Upper Weight Rating | Not Reported |
| Vehicle Trailing | No Trailers |
| Jackknife | Not an Articulated Vehicle |
| Motor Carrier ID | 00000000000 |
| Vehicle Configuration | Not Applicable |
| Cargo Body Type | Not Applicable |
| Bus Use | Not a Bus |
| Special Vehicle Use | No Special Use Noted |
| Emergency Vehicle Use | Not Applicable |
| Speed Limit | 25 |
| Travel Speed | 10 |
| Underride / Override | No Underride or Override |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | Non-Collision |
| Extent of Damage | No Damage |
| Vehicle Towed | Not Towed |
| Most Harmful Event | Fell/Jumped From Vehicle |
| Fire Occurence | False |
| Driver Drinking | No Drinking |
| Driver Present | Driver Present |
| Drivers License State | Wisconsin |
| Driver Zip Code | 53190 |
| Non CDL License Type | Not Licensed |
| Non CDL License Status | Not Licensed |
| CDL License Status | No Commercial Driver's License (CDL) |
| CDL Endorsements | No Endorsements Required for This Vehicle |
| License Compliance With Class of Vehicle | No License Required for This Class Vehicle |
| Compliance with LIcense Restrictions | No Restrictions or Not Applicable |
| Driver Height | 999 |
| Driver Weight | 999 |
| Previous Recorded Crashes | 99 |
| Previous BAC Suspensions (Underage) | None |
| Previous BAC Suspensions | None |
| Previous Other Suspensions | None |
| Previous DWI | 99 |
| Previous Speeding Convictions | 99 |
| Previous Other Moving Violations | 99 |
| Month of Oldest Violation | Unknown |
| Year of Oldest Violation | 9999 |
| Month of Newest Violation | Unknown |
| Year of Newest Violation | 9999 |
| Speeding Related | No |
| Trafficway Description | Two-Way, Not Divided |
| Total Lanes in Roadway | Two Lanes |
| Roadway Alignment | Curve Left |
| Roadway Grade | Grade, Unknown Slope |
| Roadway Surface Type | Blacktop, Bituminous, or Asphalt |
| Roadway Surface Condition | Dry |
| Traffic Control Device | No Controls |
| Traffic Control Device Functioning | No Controls |
| Pre Event Movement | Negotiating a Curve |
| Critical Precrash Event | OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Opposite Direction Over Left Lane Line |
| Attempted Avoidance Maneuver | Steering Left |
| Precrash Stability | Precrash Stability Unknown |
| Pre-impact Location | Stayed on Roadway, but Left Original Travel Lane |
| Crash Type | No Impact |
| Driver Related Factor | Operator Inexperience |
| Visibility Obstructions | No Obstruction Noted |
| Moving Violations | None |
| Driver Maneuvered to Avoid | Phantom/Non-Contact Motor Vehicle |
| Vehicle Factors | None Noted |
| Damaged Areas | No Damage |
| Driver Distracted | Not Distracted |
| Driver Impaired | None/Apparently Normal |
| Collapse Table | Collapse Table |
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