Brea, CA · Orange County
Delayed/Counter Collision Report
This form documents a collision for people involved in a non-injury traffic collision who complete and submit a report to the city.
What this form is
The Delayed/Counter Collision Report documents a collision and provides a case number and copy of the report when completed. It asks for the collision location, date and time, information about both parties and their vehicles, insurance details, and a statement of the collision. The form says it is for documentation purposes and must be completed in addition to any police or insurance report.
Who needs it
People involved in a non-injury collision can use this form to provide the city with details about the incident, parties, vehicles, and insurance.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This report is signed and dated without a notary; it mentions an SR-1 report for certain collisions but does not state that it is sworn or notarized.
How to submit this form
- 1
Download The Report
Download the Delayed/Counter Collision Report.
- 2
Complete The Form
Enter the collision details and information for both parties, including vehicle and insurance details, then write your collision statement.
- 3
Add A Diagram If Needed
Use the reverse side if you need to draw a diagram or provide additional space.
- 4
Sign And Submit
Sign and date the report, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Delayed/Counter Collision Report for?
- It documents a collision and collects details about the parties, vehicles, insurance, and incident. The form says it is for documentation purposes and is completed in addition to other reports.
- Who should complete this collision report?
- People involved in a non-injury traffic collision can complete it with their contact, driver’s license, insurance, vehicle, and collision statement information.
- Do I need a notary for the Delayed/Counter Collision Report?
- No. The report calls for a signature and date, not notarization. It mentions an SR-1 report for certain collisions but does not say that the SR-1 is sworn or notarized.
- How do I submit the Delayed/Counter Collision Report?
- The form does not give submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Delayed/Counter Collision Report doesn’t need a notary — but if you have another Brea form that does, a commissioned online notary can help.