ATLANTA POLICE DEPARTMENT

Accident Review Board

Employee:	Work Assignment:
Unique ID#:	Vehicle Number:
Date of Accident:	Incident Number:
Previous 12-Month Chargeable Accidents
Date:	Disposition:
Date:	Disposition:
Type of Accident
Angle	Code 3	Head-on	Reverse	Side Swipe	Single Vehicle
Board Recommendation
Chargeable	Non-Chargeable
Disciplinary Recommendation(s)
(choose one or more of the following)
Oral Reprimand	Written Reprimand	Driver’s Training
Walking Beat for	days	Suspension for	days
Other:
Accident Review Board
Board Member Signature:
Date:
Additional Comments:
(Type a quote from the document or the summary of an interesting point.)]

Form APD 679 6/18/09

vlivsey

2009-06-18

CITY OF ATLANTA