Crash Information

L O C A T I O N	Date of Accident 6/18/2011	Time of Accident 11:25 AM	County Cedar - 16	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011035403
	Literal Description I-80 WB WILTON REST AREA PARKING LOT				Legal Intervention? No	Private Property? No
					X-Coordinate: 662023.7
					Y-Coordinate 4611823.

U N I T 1	Driver's Name - Last VERMA			First AGNIVESH			Middle		Suffix
	City DOWNERS GROVE			State IL - Illinois, US				Zip 605151967
	Driver's Age 29					Citation Charge Code 1		Citation Charge 1
	Gender Male	State GA - Georgia, US	Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat	Endorsements None	Restrictions	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 5 - Uninjured	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 5 - Not deployed	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2000		Make Honda - HOND		Model ACCORD		Style 4DR		Approximate Cost to Repair or Replace 2000
	Initial Travel Direction 9 - Unknown	Vehicle Action 09 - Backing	Speed Limit 00	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 13 - Other non-collision	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 13 - Other non-collision
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name			City		State			Zip
	Number of Axles			Gross Vehicle Weight Rating		Placard #			Hazardous Materials Released?

U N I T 2	Driver's Name - Last GEATER			First CASSIE			Middle ANN		Suffix
	City MARENGO			State IA - Iowa, US				Zip 523010000
	Driver's Age 27					Citation Charge Code 1		Citation Charge 1
	Gender Female	State IA - Iowa, US	Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat	Endorsements None	Restrictions None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 5 - Uninjured	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 5 - Not deployed	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2006		Make Ford - FORD		Model EC2		Style VN		Approximate Cost to Repair or Replace 00
	Initial Travel Direction 9 - Unknown	Vehicle Action 09 - Backing	Speed Limit 00	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 1 - None	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 03 - Van or mini-van	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 13 - Other non-collision	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 13 - Other non-collision
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name			City		State			Zip
	Number of Axles			Gross Vehicle Weight Rating		Placard #			Hazardous Materials Released?

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 6 - Outside Trafficway	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 13 - Other non-collision
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT 1 BEGAN TO BACK OUT OF PARKING SPACE. UNIT 2 BEGAN TO BACK OUT OF PARKING SPACE TO THE LEFT OF UNIT 1. UNIT 1 STOPPED AND UNIT 2 STRUCK UNIT 1. BOTH UNIT 1 AND 2 FAILED TO FULLY BACK OUT OF PARKING SPACES BEFORE TURNING AND MADE CONTACT WHILE STILL IN THEIR PARKING SPACES.

Officer DAWSON	Badge No. 136	Time Officer Notified of Accident 11:26	Time Officer Arrived At Scene 11:31
Name of Agency P12	Date of Report 6/18/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504