Application for Participating in the Tribal Crash Data Online Tool Project

Introduction to the Survey

Please fill out this survey to apply to participate in the Tribal Crash Data Online Tool project. We are looking for 3 to 5 tribes that are interested in sharing their crash data with SWITRS (Statewide Integrated Traffic Reporting System) as part of our pilot program.

Question Title

* 1. Contact Information

Name

Title

Tribe/Agency

Email Address

Phone Number

Question Title

* 2. Do you have tribal law enforcement?

Yes

Question Title

* 3. If yes, do they collect crash data?

Yes

I don't know

Question Title

* 4. Do you have other emergency responders?

Yes

I don't know

If yes, please specify.

Question Title

* 5. Do you have an MOU with CHP?

Yes

I don't know

Question Title

* 6. Do you have an MOU with the sheriff?

Yes

I don't know

Question Title

* 7. Do you have a tribal transportation program?

Yes

I don't know

Question Title

* 8. Have you accessed the Online Tribal Crash Data Tool?

Yes

Question Title

* 9. Are you interested in learning how to collect crash data?

Yes

Question Title

* 10. Would you be willing to submit your data to SWITRS?

Yes