[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-253979-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-253979-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","toxicology-report-medical-examiner-justice-of-the-peace","TOXICOLOGY REPORT (Medical Examiner / Justice of the Peace)","","This document is a Toxicology Report form (CR-1001, Rev. 04/08) intended for use by Medical Examiners or Justices of the Peace in the state of Texas. It is designed to collect critical information following a fatal traffic accident, specifically focusing on toxicological test results. The form requires details such as reporting agency, name and role of the deceased, dates of death and crash, and county and city of the crash. It also includes a structured section for recording alcohol results and drugs found for various test types like whole blood, urine, and vitreous samples. A crucial checkbox allows for indication if toxicological test results are not yet available, with a note that a supplemental report will follow. The form provides contact information for the Texas Department of Transportation Crash Records and offers instructions for mailing the completed report. Additionally, it includes a section for the name of the laboratory or facility that conducted the testing and a contact number for questions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/toxicology-report-medical-examiner-justice-of-the-peace/253979/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/toxicology-report-medical-examiner-justice-of-the-peace/253979.png","ImageObject",442,249,{"name":42,"@type":43},"Adam","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of this Toxicology Report form?","Question",{"text":63,"@type":64},"The purpose of this form is to document the toxicological test results for individuals involved in fatal traffic accidents, to be used by Medical Examiners or Justices of the Peace.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What information needs to be provided about the deceased?",{"text":68,"@type":64},"Information required includes the deceased's full name (last, first, middle), their role in the crash (driver, passenger, pedestrian, or pedalcyclist), and the date of death.",{"name":70,"@type":61,"acceptedAnswer":71},"What should be done if toxicological test results are not immediately available?",{"text":72,"@type":64},"If the results are not available at the time of filing, there is a checkbox to indicate this, and a note states that a supplemental report will be filed later.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},253979,1791211356,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":11,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","cbCaib1ogRBxIf7g","https://ap.wps.com/l/cbCaib1ogRBxIf7g","pdf",105097,"English","# TOXICOLOGY REPORT\n## Indicate whether this is...\n## Reporting Agency\n## Name of Deceased\n## Deceased Role\n## Date of Death\n## Date of Crash\n## County Name\n## City Name\n## Test Type\n### Whole Blood\n### Urine\n### Vitreous\n### Other Test Type\n### Not Tested\n## Laboratory Information\n## Mailing Instructions","[{\"question\":\"What is the purpose of this Toxicology Report form?\",\"answer\":\"The purpose of this form is to document the toxicological test results for individuals involved in fatal traffic accidents, to be used by Medical Examiners or Justices of the Peace.\"},{\"question\":\"What information needs to be provided about the deceased?\",\"answer\":\"Information required includes the deceased's full name (last, first, middle), their role in the crash (driver, passenger, pedestrian, or pedalcyclist), and the date of death.\"},{\"question\":\"What should be done if toxicological test results are not immediately available?\",\"answer\":\"If the results are not available at the time of filing, there is a checkbox to indicate this, and a note states that a supplemental report will be filed later.\"}]","TOXICOLOGY REPORT (Medical Examiner / Justice of the Peace) | PDF",1789272612]