| Age | 38 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Suspected Serious Injury (A) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | None Used/Not Applicable |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Deployed - Combination |
| 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 Given |
| Alcohol Test Type | Blood Test |
| Alcohol Test Result | 0.0 |
| Police Reported Drug Involvement | Yes (Drugs Involved) |
| Drug Tested | Test Given |
| Transported To Medical Facility By | EMS Ground |
| Died En Route | Not Applicable |
| Non Motorist Device Type | Not Applicable |
| Non Motorist Device Motorization | 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 |
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| Fatalities | 1 |
| Number of Occupants |
2 |
| Hit and Run | No Hit and Run |
| NCSA Make | Chevrolet |
| Body Type | 4-Door Sedan/Hardtop |
| NCSA Model | 37 |
| Registration State | Indiana |
| Registered Vehicle Owner | Driver (in This Crash) Not Registered Owner (Other Private Owner) |
| VIN | 1G1ZB5EB0A41 |
| Model Year | 2010 |
| VPIC Make ID | 467 |
| VPIC Model ID | 1834 |
| VPIC Body Class | Sedan/Saloon |
| Body Class | Not Applicable |
| Lower Weight Rating | Class 1: 6,000 lbs or less (2,722 kg or less) |
| Upper Weight Rating | Class 1: 6,000 lbs or less (2,722 kg or less) |
| 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 | 55 |
| Travel Speed | Unknown |
| Underride / Override | Not Applicable |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | 12 O'Clock |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Tree (Standing Only) |
| 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 | Indiana |
| Driver Zip Code | 46514 |
| 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 | Two-Way, Not Divided |
| Total Lanes in Roadway | Two Lanes |
| Roadway Alignment | Straight |
| Roadway Grade | Not Reported |
| Roadway Surface Type | Not Reported |
| Roadway Surface Condition | Dry |
| Traffic Control Device | Not Reported |
| Traffic Control Device Functioning | Not Reported |
| Pre Event Movement | Going Straight |
| Critical Precrash Event | THIS VEHICLE TRAVELING Off the Edge of the Road on the Left Side |
| Attempted Avoidance Maneuver | Unknown/Not Reported |
| Precrash Stability | Tracking |
| Pre-impact Location | Departed Roadway |
| Crash Type | CATEGORY I: SINGLE DRIVER - Left Roadside Departure |
| Vehicle Related Factor | None Noted |
| Driver Related Factor | Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner |
| Visibility Obstructions | No Obstruction Noted |
| Moving Violations | None |
| Driver Maneuvered to Avoid | Not Reported |
| Vehicle Factors | None Noted |
| Damaged Areas | 1 O'Clock |
| Damaged Areas | 12 O'Clock |
| Driver Distracted | Reported as Unknown if Distracted |
| Driver Impaired | Under the Influence of Alcohol, Drugs, or |
| Collapse Table | Collapse Table |
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