Form NHTSA Form 1612 NHTSA Form 1612 ADS ADAS Incident Report

Incident Reporting for Automated Driving Systems (ADS) and Level 2 Advanced Driver Assistance Systems (ADAS)

[STATIC IMAGE + WATERMARK] - NHTSA Form 1612 - ADS ADAS Incident Report Form.png

Level 2 ADAS one-day reports, initial

OMB: 2127-0754

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2127-0754 can be found here:

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