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Vol. 77Friday,No. 37February 24, 2012Part Department of Transportationmstockstill on DSK4VPTVN1PROD with NOTICES2National Highway Traffic Safety Administration VisualManual NHTSA Driver Distraction

How to fill out visual-manual nhtsa driver distraction

How to fill out visual-manual nhtsa driver distraction

1. To fill out the visual-manual NHTSA driver distraction form, follow these steps:
2. Begin by gathering all necessary information and documents, such as the vehicle identification number (VIN), driver's license details, and any relevant incident reports.
3. Access the NHTSA driver distraction form either online through their website or by requesting a physical copy from your local DMV office.
4. Read the instructions provided with the form carefully to ensure you understand the requirements and guidelines for filling it out.
5. Start by providing your personal information, including your name, address, phone number, and email address.
6. Proceed to enter the details of the distracted driving incident, including the date, time, and location of the event.
7. Describe the nature of the distraction, whether it was visual, manual, or cognitive, and provide a detailed account of what occurred.
8. If there were any witnesses, provide their contact information and a brief statement regarding their observations.
9. Attach any supporting documents or evidence, such as photos, videos, or witness statements, to strengthen your case.
10. Review all the information provided to ensure accuracy and completeness.
11. Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
12. Submit the completed form to the appropriate authorities as instructed on the form itself or by the NHTSA website.
13. Keep a copy of the completed form for your records.
14. Note: It is recommended to consult with a legal professional or contact the NHTSA directly for any specific questions or concerns during the filling process.

Who needs visual-manual nhtsa driver distraction?

1. Anyone who has witnessed or experienced a visual-manual driver distraction incident can fill out the NHTSA driver distraction form.
2. This includes individuals who were affected directly by a distracted driver or those who witnessed such behavior and want to report it for official documentation.
3. The NHTSA driver distraction form is designed to gather information about incidents related to any visual-manual distractions that may have contributed to accidents, near misses, or dangerous driving situations.
4. Filling out this form helps the NHTSA collect data and statistics on driver distractions, which can then be used to develop safer driving policies, interventions, and technologies.
5. Whether you are a driver, passenger, pedestrian, or cyclist, if you have information that can contribute to documenting and preventing visual-manual driver distractions, you can utilize the NHTSA driver distraction form and play a part in improving road safety.

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