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Online Report of Off Highway/Private Property Motor Vehicle Crash

  1. IF THIS OCCURRED ON A PUBLIC ROADWAY, WITHIN THE CITY OF ESPAÑOLA, PLEASE CALL DISPATCH OR 911. IF THE CRASH OCCURRED ON PRIVATE PROPERTY, PLEASE CONTINUE TO FILL OUT THE FORM.

  2. Before moving forward, you must agree to the following. Please check the following boxes if they apply. *

  3. If you cannot agree, please stop and contact Española Dispatch at (505)753-5555 and request a Police Officer.

  4. If you have agreed to the above, please continue filling out the form.

  5. Vehicle Information

  6. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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