[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-253982-105":53,"doc-detail-253982-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","death-toxicology-report-medical-examiner-justice-of-the-peace","Death / Toxicology Report - Medical Examiner / Justice of the Peace","","This document, Form CR-1001 (Rev. 11/16), is a Death/Toxicology Report for Fatalities Analysis Reporting System (FARS) data, to be completed by a Medical Examiner or Justice of the Peace. It requires reporting agency details, death data including the underlying cause (Motor Vehicle Crash or Bridge Collapse), the deceased's role (Driver, Passenger, Pedestrian, Pedalcyclist), names, dates of death and crash, and location. Toxicology data includes test types (Whole Blood, Urine, Vitreous, Other) and results for Alcohol (in %) and Drugs Found. A section is provided to indicate if toxicological test results are not yet available, requiring a supplemental report. Information on the conducting laboratory or facility is also required. The report is to be mailed to the Texas Department of Transportation or emailed to [TRF_FatalityData@txdot.gov](TRF_FatalityData@txdot.gov). Contact information for questions is provided via phone at 844/274-7457 or by email.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/death-toxicology-report-medical-examiner-justice-of-the-peace/253982/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/death-toxicology-report-medical-examiner-justice-of-the-peace/253982.png","ImageObject",442,249,{"name":88,"@type":89},"Lute","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-30","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of Form CR-1001?","Question",{"text":109,"@type":110},"Form CR-1001 is a Death/Toxicology Report used for the Fatality Analysis Reporting System (FARS) to collect data on fatalities resulting from motor vehicle crashes or bridge collapses, to be completed by a Medical Examiner or Justice of the Peace.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information is required in the Death Data section?",{"text":114,"@type":110},"The Death Data section requires details such as the reporting agency, underlying cause of death, the deceased's role in the incident, their name, date of death and crash, and the location of the crash.",{"name":116,"@type":107,"acceptedAnswer":117},"What if toxicology test results are not available immediately?",{"text":118,"@type":110},"If toxicology test results are not available at the time of the initial report, a section on the form should be checked to indicate this, and a supplemental report will be filed later.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},253982,1791449462,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Form CR-1001 (Rev. 11/16) Page 1 of 1  \nCrash Data and Analysis Section, Fatality Analysis Reporting System  \nDEATH / TOXICOLOGY REPORT  \n(Medical Examiner / Justice of the Peace)  \nIndicate whether this is…  an Initial Report or…  a Supplemental Report  \nReporting Agency:   Name of Person Submitting Report:    \nDEATH DATA  \nUnderlying Cause: An underlying cause of death was due to (or was a likely consequence of):  \n Motor Vehicle Crash  Bridge Collapse  \nDeceased Role:  Driver  Passenger  Pedestrian  Pedalcyclist  \nName of Deceased: Last:    \nFirst:    \nMiddle:    \nDate of Death:    \nDate of Crash:    \nCounty Name: City Name (if known) :  \n(where crash occurred) ~~ ~~ (where crash occurred) ~~ ~~  \nCrash/Bridge Location:  \n(street/hwy or lat-long)   \nTOXICOLOGY DATA  \n\n| Test Type | Alcohol Results (%) | Drugs Found (List name of drug) |\n| --- | --- | --- |\n| Whole Blood: |  |  |\n| Urine: |  |  |\n| Vitreous: |  |  |\n| Other Test Type: |  |  |\n| Not Tested: | | |\n\n Check if toxicological test results are not available at this time and supplemental report will be filed later.  \nName of laboratory, medical examiner’s office, or other facility that conducted toxicology testing:  \nMail to: Texas Department of Transportation —or— Email to: [TRF_FatalityData@txdot.gov](TRF_FatalityData@txdot.gov)[ ](TRF_FatalityData@txdot.gov)Traffic Operations Division-Crash Data and Analysis Section  \nPO Box 149349  \nAustin, TX 78714  \nQuestions? Call: 844/274-7457 —or— Submit by e-mail by clicking on the button below.","cbCaiiraPn1ikAXY","https://ap.wps.com/l/cbCaiiraPn1ikAXY","pdf",73683,"English","# DEATH DATA\n## TOXICOLOGY DATA","[{\"question\":\"What is the purpose of Form CR-1001?\",\"answer\":\"Form CR-1001 is a Death/Toxicology Report used for the Fatality Analysis Reporting System (FARS) to collect data on fatalities resulting from motor vehicle crashes or bridge collapses, to be completed by a Medical Examiner or Justice of the Peace.\"},{\"question\":\"What information is required in the Death Data section?\",\"answer\":\"The Death Data section requires details such as the reporting agency, underlying cause of death, the deceased's role in the incident, their name, date of death and crash, and the location of the crash.\"},{\"question\":\"What if toxicology test results are not available immediately?\",\"answer\":\"If toxicology test results are not available at the time of the initial report, a section on the form should be checked to indicate this, and a supplemental report will be filed later.\"}]","Death / Toxicology Report - Medical Examiner / Justice of the Peace | PDF",1789272614]