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Distracted Drivers
Linda Hodges
Rosary High School
Fullerton, CA
Robin She meshes
Harry S Truman High School
Levittown, Pain Collaboration with
Ruth Shuts, PhD, MPH
Centers for Disease Control and
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How to fill out distracted drivers
How to fill out distracted drivers
01
Start by gathering all the necessary information about the distracted driver, such as their name, contact information, and driver's license number.
02
Document the location and time of the incident, as well as any witnesses or additional parties involved.
03
Take detailed notes about the driver's distracting behavior, whether it was talking on the phone, texting, eating, or any other activities that diverted their attention from the road.
04
Use any available evidence, such as photos or videos, to support your claim of distracted driving.
05
If possible, gather any medical records or police reports related to the incident.
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Fill out the distracted drivers form accurately and provide all the requested information.
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Submit the filled-out distracted drivers form to the appropriate authority or organization, following their submission guidelines.
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Keep copies of the filled-out form and any supporting documents for your records.
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Follow up with the authority or organization to ensure that your report is received and being processed.
Who needs distracted drivers?
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Anyone who has encountered or witnessed a distracted driver can benefit from reporting it.
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This includes other drivers, passengers, pedestrians, cyclists, or anyone who may have been affected by the actions of a distracted driver.
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Reporting distracted drivers helps create awareness, promotes safer driving habits, and provides data for further analysis and improvement of road safety measures.
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Authorities, law enforcement agencies, and organizations working towards reducing distracted driving incidents also need information about distracted drivers to take appropriate actions.
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