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Fatal Crash Report

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Crash #2021560036 Crash #2021560036
Fatalities 1
State WYOMING
County LARAMIE
City
Date June 13, 2021
Time 8:55 p.m.
Google Maps(41.1519694, -104.9603083)
Street Name 1 SR-210 HAPPY JACK
Street Name 2 nan
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 3
Number of Persons in Motor Vehicles in Transport 3
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing State Highway
Rural / Urban Rural
Functional System Major Collector
Road Owner State Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 73
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Sideswipe - Same Direction
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 21
EMS Notified Minute 1
EMS Arrived Hour 21
EMS Arrived Minute 11
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 59 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionTotally Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.2
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Month of DeathJune
Day of Death13
Year of Death2021
Hour of Death21
Minute of Death11
Lag Hours0
Lag Minutes16
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
Person Related Factor None Noted
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 20 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Person Related Factor None Noted
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Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 19 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Person Related Factor None Noted
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Light Pickup
NCSA Model 481
Registration State Wyoming
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3FTNW21F0YMA
Model Year 2000
VPIC Make ID 460
VPIC Model ID 1805
VPIC Body Class Pickup
Body Class Not Applicable
Lower Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
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 No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 65
Travel Speed 65
Underride / Override No Underride or Override
Rollover Rollover
Rollover Location On Roadside
Initial Contact Point 5 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Rollover/Overturn
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 Wyoming
Driver Zip Code 82009
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 77
Driver Weight 250
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 1
Previous Other Suspensions 1
Previous DWI 1
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation March
Year of Oldest Violation 2018
Month of Newest Violation October
Year of Newest Violation 2018
Speeding Related Yes, Exceeded Speed Limit
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
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 Passing or Overtaking Another Vehicle
Critical Precrash Event THIS VEHICLE TRAVELING Over the Lane Line on Left Side of Travel Lane
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Straight Ahead on Left
Vehicle Related Factor None Noted
Driver Related Factor Passing With Insufficient Distance or Inadequate Visibility or Failing to Yield to Overtaking Vehicle
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 5 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired Under the Influence of Alcohol, Drugs, or
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Light Pickup
NCSA Model 481
Registration State Florida
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GCRCSE0XDZ1
Model Year 2013
VPIC Make ID 467
VPIC Model ID 1850
VPIC Body Class Pickup
Body Class Not Applicable
Lower Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
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 No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 65
Travel Speed 65
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 11 O'Clock
Extent of Damage Functional Damage
Vehicle Towed Not 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 Florida
Driver Zip Code 82003
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 76
Driver Weight 999
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
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 Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Adjacent Lane (Same Direction) Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Straight Ahead on Left/Right
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 None Noted
Damaged Areas 11 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact5 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact11 O'Clock
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsCross Centerline
Event #3 Event #3
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #4 Event #4
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsRollover/Overturn
Event #5 Event #5
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsFence

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