UNSAFE DRIVING, IMPROPER USE, STATE VEHICLE REPORT FORM 

YOUR INPUT WILL ASSIST THE DEPARTMENT OF GENERAL SERVICES, BUREAU OF VEHICLE MANAGEMENT, IN MANAGING THE COMMONWEALTH'S VEHICLE FLEET.

If you have witnessed and would like to report unsafe driving or improper use of a Commonwealth vehicle, please complete the form below, providing as much detail as possible. This will allow the Bureau of Vehicle Management to properly investigate your claim(s).

PLEASE NOTE: STATE VEHICLES BEGIN OR END WITH "PA." THIS FORM IS TO BE USED ONLY FOR VEHICLES THAT HAVE A LICENSE PLATE NUMBER BEGINNING OR ENDING WITH "PA."

 What would you like to report?
 

 Please provide us with the following Information:

Commonwealth Vehicle License Number (Must Include "PA")
 
Commonwealth Vehicle Make:   

Commonwealth Vehicle Model

Commonwealth Vehicle Color:  

Location of Vehicle or Incident (Include as much information as possible, such as Street, City, County, Highway Number, Route Number, etc): 

 

Date Incident Occurred:   

Time Incident Occurred: 

 Enter your comments in the space provided below:

 

 Please provide your contact information (optional):

Name
E-mail
Tel
FAX
  Check this box if you would like to be contacted regarding this matter.

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DGS, Bureau of Vehicle Management.
Copyright © 2009. All rights reserved.
Revised: 02/11/09