Who uses the Counter Traffic Collision Report?

People involved in a non-injury collision with property damage can use it to give collision details to the Scotts Valley Police Department for record purposes.

What information does the report ask for?

It requests collision, driver, vehicle, insurance, witness, and property-damage details, along with a sketch and a chronological account of how the collision occurred.

How do I submit the Counter Traffic Collision Report?

Complete the form, sign and date it, then return it to the Dispatcher for review and processing.

Scotts Valley, CA · Santa Cruz County

No notary required

Counter Traffic Collision Report

This report lets people involved in a non-injury, property-damage collision provide collision details to the Scotts Valley Police Department for record purposes.

What this form is

The Scotts Valley Police Department Counter Traffic Collision Report is for non-injury collisions involving property damage and is for record purposes only; the report states that the department does not substantiate or investigate these reports. It asks for collision, driver, vehicle, insurance, witness, and property-damage details, plus a sketch and a chronological account of how the collision occurred. The report says collisions involving injury, death, or more than $750 in damage must be reported to the DMV within 10 days.

Who needs it

People involved in a non-injury, property-damage collision can complete this report to provide information to the Scotts Valley Police Department for record purposes.

How to submit it

When completed, sign and date the form and return it to the Dispatcher for review and processing.

About notarization

This report is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

1
Download the Report
Download the Counter Traffic Collision Report.
2
Complete the Report
Fill in the collision, driver, vehicle, insurance, witness, and property-damage details, and add the requested sketch and chronological account.
3
Sign and Date
Sign and date the completed report.
4
Return the Report
Return the report to the Dispatcher for review and processing.

Frequently asked questions

Who uses the Counter Traffic Collision Report?: People involved in a non-injury collision with property damage can use it to give collision details to the Scotts Valley Police Department for record purposes.
What information does the report ask for?: It requests collision, driver, vehicle, insurance, witness, and property-damage details, along with a sketch and a chronological account of how the collision occurred.
How do I submit the Counter Traffic Collision Report?: Complete the form, sign and date it, then return it to the Dispatcher for review and processing.
Do I need a notary for the Counter Traffic Collision Report?: No. This report is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.

Need something notarized?

This Counter Traffic Collision Report doesn’t need a notary — but if you have another Scotts Valley form that does, a commissioned online notary can help.