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  • MM slash DD slash YYYY
  • Vehicle 1 - Driver

  • MM slash DD slash YYYY
  • Vehicle 1 - Owner

  • Vehicle 1 - Vehicle Information

  • Vehicle 2 - Driver

  • MM slash DD slash YYYY
  • Vehicle 2 - Owner

  • Vehicle 2 - Vehicle Information

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    • Note:

      This MVA report is taken from the person reporting only as a convenience. It should be understood that no police investigation will normally follow but the information on this report will be on file for whatever purpose it may fulfill.
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    Please note that this form will be submitted to the Euclid Police Department.
    According to Ohio code 2921.13 Falsification:

    (A) No person shall knowingly make a false statement, or knowingly swear or affirm the truth of a false statement previously made, when any of the following applies:

    (1) The Statement is made in any official proceeding.

    (2) The statement is made with purpose to incriminate another.

    (3) The statement is made with purpose to mislead a public official in performing the public official’s official function.