| Age | Unknown Age |
| Sex | Sex Unknown |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Suspected Minor Injury (B) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | Not Reported |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Not Reported |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | Not Reported |
| Alcohol Test Given | Not Reported |
| Alcohol Test Type | Not Reported |
| Alcohol Test Result | Not Reported |
| Police Reported Drug Involvement | Not Reported |
| Drug Tested | Not Reported |
| 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) |
| Person Related Factor | None Noted |
| Collapse Table | Collapse Table |
|---|
| Age | 36 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Fatal Injury (K) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | Not Reported |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Not Reported |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | Not Reported |
| Alcohol Test Given | Test Given |
| Alcohol Test Type | Vitreous |
| Alcohol Test Result | 0.253 |
| Police Reported Drug Involvement | Not Reported |
| Drug Tested | Test Given |
| Transported To Medical Facility By | Transported Unknown Source |
| Died En Route | Not Applicable |
| Month of Death | November |
| Day of Death | 10 |
| Year of Death | 2021 |
| Hour of Death | 22 |
| Minute of Death | 11 |
| Lag Hours | 0 |
| Lag Minutes | 31 |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | No |
| Hispanic | Non-Hispanic |
| Race | Unknown |
| Person Related Factor | None Noted |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 0 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | Not Reported (Since 2010) |
| Body Type | Not Reported |
| NCSA Model | 997 |
| Registration State | Not Reported |
| Registered Vehicle Owner | Unknown |
| VIN | 888888888888 |
| Model Year | 9998 |
| VPIC Make ID | 99998 |
| VPIC Model ID | 99998 |
| VPIC Body Class | Not Reported |
| Body Class | Not Applicable |
| Lower Weight Rating | Class 1: 6,000 lbs or less (2,722 kg or less) |
| Upper Weight Rating | Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg) |
| Vehicle Trailing | No Trailers |
| Jackknife | Not an Articulated Vehicle |
| Motor Carrier ID | 0 |
| Vehicle Configuration | Not Applicable |
| Cargo Body Type | Not Applicable |
| Bus Use | Not a Bus |
| Special Vehicle Use | Reported as Unknown (since 2018) |
| Emergency Vehicle Use | Not Applicable |
| Speed Limit | Unknown |
| Travel Speed | Unknown |
| Underride / Override | Reported as Unknown |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | Not Reported |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Motor Vehicle In-Transport |
| Fire Occurence | False |
| Automated Driving System Present | Not Reported |
| Automated Driving System Level | Not Reported |
| Automated Driving System Engaged | Not Reported |
| Driver Drinking | No Drinking |
| Driver Present | Driver Present |
| Drivers License State | Not Reported |
| Driver Zip Code | 99998 |
| Non CDL License Type | Unknown License Type |
| Non CDL License Status | Unknown License Status |
| CDL License Status | Unknown License Status |
| CDL Endorsements | Unknown, if Required |
| License Compliance With Class of Vehicle | Unknown |
| Compliance with LIcense Restrictions | Unknown |
| Driver Height | 999 |
| Driver Weight | 999 |
| Previous Recorded Crashes | 99 |
| Previous BAC Suspensions (Underage) | 99 |
| Previous BAC Suspensions | 99 |
| Previous Other Suspensions | 99 |
| 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 | Reported as Unknown |
| Total Lanes in Roadway | Not Reported |
| Roadway Alignment | Reported as Unknown |
| Roadway Grade | Reported as Unknown |
| Roadway Surface Type | Reported as Unknown |
| Roadway Surface Condition | Reported as Unknown |
| Traffic Control Device | Reported as Unknown |
| Traffic Control Device Functioning | Reported as Unknown |
| Pre Event Movement | Unknown |
| Critical Precrash Event | OTHER MOTOR VEHICLE IN LANE Traveling in Opposite Direction |
| Attempted Avoidance Maneuver | Unknown/Not Reported |
| Precrash Stability | Precrash Stability Unknown |
| Pre-impact Location | Unknown |
| Crash Type | CATEGORY VI: MISCELLANEOUS - Other Crash Type |
| Vehicle Related Factor | None Noted |
| Driver Related Factor | Driving on Wrong Side of Two-way Trafficway (Intentionally or Unintentionally) |
| Visibility Obstructions | No Obstruction Noted |
| Moving Violations | None |
| Driver Maneuvered to Avoid | Reported as Unknown |
| Vehicle Factors | Reported as Unknown |
| Damaged Areas | Damage Areas Unknown |
| Driver Distracted | Reported as Unknown if Distracted |
| Driver Impaired | Reported as Unknown if Impaired |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 1 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | Not Reported (Since 2010) |
| Body Type | Not Reported |
| NCSA Model | 997 |
| Registration State | Not Reported |
| Registered Vehicle Owner | Unknown |
| VIN | 888888888888 |
| Model Year | 9998 |
| VPIC Make ID | 99998 |
| VPIC Model ID | 99998 |
| VPIC Body Class | Not Reported |
| Body Class | Not Applicable |
| Lower Weight Rating | Not Reported |
| Upper Weight Rating | Not Reported |
| Vehicle Trailing | Unknown |
| Trailer VIN 1 | 777777777777 |
| Trailer VIN 2 | 777777777777 |
| Trailer VIN 3 | 777777777777 |
| Trailer Weight Rating 1 | No Trailing Units |
| Trailer Weight Rating 2 | No Trailing Units |
| Trailer Weight Rating 3 | No Trailing Units |
| Jackknife | Not an Articulated Vehicle |
| Motor Carrier ID | 99999999999 |
| Vehicle Configuration | Unknown (Reported as Unknown, 2018-2019) |
| Cargo Body Type | Unknown (Reported as Unknown, 2018-2019) |
| Bus Use | Not a Bus |
| Special Vehicle Use | Reported as Unknown (since 2018) |
| Emergency Vehicle Use | Not Applicable |
| Speed Limit | Unknown |
| Travel Speed | Unknown |
| Underride / Override | Reported as Unknown |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | Not Reported |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Motor Vehicle In-Transport |
| Fire Occurence | False |
| Automated Driving System Present | Not Reported |
| Automated Driving System Level | Not Reported |
| Automated Driving System Engaged | Not Reported |
| Driver Drinking | Drinking |
| Driver Present | Driver Present |
| Drivers License State | Arizona |
| Driver Zip Code | 85264 |
| Non CDL License Type | Full Driver License |
| Non CDL License Status | Valid |
| CDL License Status | No Commercial Driver's License (CDL) |
| CDL Endorsements | No Endorsements Required for This Vehicle |
| License Compliance With Class of Vehicle | Valid License for This Class Vehicle |
| Compliance with LIcense Restrictions | Restrictions, Compliance Unknown |
| Driver Height | 69 |
| Driver Weight | 272 |
| Previous Recorded Crashes | 0 |
| Previous BAC Suspensions (Underage) | 0 |
| Previous BAC Suspensions | 0 |
| Previous Other Suspensions | 2 |
| Previous DWI | 0 |
| Previous Speeding Convictions | 0 |
| Previous Other Moving Violations | 0 |
| Month of Oldest Violation | July |
| Year of Oldest Violation | 2021 |
| Month of Newest Violation | September |
| Year of Newest Violation | 2021 |
| Speeding Related | Reported as Unknown |
| Trafficway Description | Reported as Unknown |
| Total Lanes in Roadway | Not Reported |
| Roadway Alignment | Reported as Unknown |
| Roadway Grade | Reported as Unknown |
| Roadway Surface Type | Reported as Unknown |
| Roadway Surface Condition | Reported as Unknown |
| Traffic Control Device | Reported as Unknown |
| Traffic Control Device Functioning | Reported as Unknown |
| Pre Event Movement | Unknown |
| Critical Precrash Event | OTHER MOTOR VEHICLE IN LANE Traveling in Opposite Direction |
| Attempted Avoidance Maneuver | Unknown/Not Reported |
| Precrash Stability | Precrash Stability Unknown |
| Pre-impact Location | Stayed on Roadway, Not Known if Left Original Travel Lane |
| Crash Type | CATEGORY VI: MISCELLANEOUS - Other Crash Type |
| Vehicle Related Factor | None Noted |
| Driver Related Factor | None Noted |
| Visibility Obstructions | No Obstruction Noted |
| Moving Violations | None |
| Driver Maneuvered to Avoid | Not Reported |
| Vehicle Factors | Reported as Unknown |
| Damaged Areas | Damage Areas Unknown |
| Driver Distracted | Reported as Unknown if Distracted |
| Driver Impaired | Reported as Unknown if Impaired |
| Collapse Table | Collapse Table |
|---|