HomeMy WebLinkAbout25-8956 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 25-8956 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 10 - 1-- 2025 1036 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK NO. e✓ --- ----� ❑
SW 43RD ST MILEPOST
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5 ❑ FEET e S ❑ w SR 167
❑
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/No D:2534496567 0 81
30
6� LAST NAME ROBERSONE FIRSTNAME SHANTELL MIDDLE N 1 1 2 31
INITIAL
STREET ❑ 4245 S SPENCER ST CITY SEATTLE ST WA ZIP 981182731 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
INTERLOCK YES[:]NO INTERLOCKYEs NO YEs NO
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 CLASS NATURE OF INJURIES 2❑
3
10[1P1 ATNES# CPD4443 sTAT WAu N# 1 YVGF22D515205790
5 TRAILER STATE TRAILER STATE
11
3-LATE# PLATE# ROM To
TRLR. TRLR. 7 3 33
12 3 5 VIN#' VIN#'
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE J 9 34
13 2 ZOO1 MAID 626 DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO SHANTELL ROBERSONE4245 S SPENCER ST SEATTLE WA 98118 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 ❑ INSURANCE CO <53 4
LIABILITY INSURANCEIN EFFECT &POLICV# TOPVEwcLE CHARGE TTOM 5 36
LEGALLY YES❑NO CITATION# 5A0828072,5AO828072 NO VALID OPER LICENSE WITH
15❑ STANDING 6
MOTOR PEDAL- PROPERTY DAM THR OLD MET PHONE
UNIT p,� ❑✓ ❑ PEDESTRIAN ❑ ❑ YES 1/ NO D:2068836701
VEHICLE CYCLE OWNER
16 a
LAST NAME KURTULAN FIRST NAME TAMER MIDDLE I N
INITIAL
17❑ STREET ❑', 4702 DAVIS AVE S APT HH2O3 CITY RENTON ST WA ZIP 980556265 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSPORTED ❑ 38
INTERLOCK YES�NOR INTERLOCK YEs I I NoF YES t l NO❑
19[� DRIVER'S STATE WA SEX M I D.C... 05 _ 17 1993 El 39
LICENSE# MMDDYY
WELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21❑ LICENSE A8761365 TATe WA VIN## 7SAYGDEE3NF427355
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
VIN#. IN#.
VEH YEAR 2022 MAKE TESL MODEL MODEL Y STYLE UT VEHICLE TO TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO TAMERKURTULAN4702DAVISAVESAPTHH2O3 RENTONWA980556265 D:2068836701 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSURANCE
#E CO GEICO 6181-27-47-44IN 1U
9TOP
VE""LE CITATION# CHARGE o BOTTOMLEGALLYYES NEI25❑ J
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EG40770
COLLISION REPORT III III III III III 111
1591972 CASE# 25-8956
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
C.CATALAN 10-20-25 03:28 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 1012112025 12:12:34 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED 10:41 AM TIME POLICE ARRIVED 10:59 AM
PART I PAGE IT]OF 4�
REPORT NO. EG40770 CASE# 25-8956 OF COLLISION
10/16/25 10:36
OF CbLLI510N
NARRATIVE
On October 16, 2025, at approximately 1036 hours, I was dispatched to a two-vehicle collision at the
intersection of SW 43rd St and SR 167, within the City Limits of Renton, County of King, State of
Washington.
Upon arrival, I contacted the involved parties and confirmed no injuries had occurred requiring
immediate medical response at the time of report. There, I collected the involved parties driving
documents and their independent recollection of events leading up to the collision.
The driver of Unit#1, identified as Shantell Roberson, said she was traveling eastbound on SW 43rd
St and approaching the intersection SR 167, just a few feet east of the overpass. Roberson stated
she had recently changed lanes in front of Unit#2 which made them upset. Roberson stated she was
traveling eastbound on SW 43rd St in lane 1 of 2.
While slowing down at the upcoming intersection, Unit#1 cut her off, changing lanes from lane 1 of 2
to lane 2 of 2 which she was currently occupying. The traffic signal turned red, and Unit#1 came to
an abrupt stop. Roberson said she was unable to stop her vehicle in time and subsequently struck the
back of Unit#2. Unit#1 sustained moderate damage to the front bumper.
I then spoke with the driver of Unit#2, identified as Tamer Kurtulan, and he explained a similar story.
He was also traveling eastbound on SW 43rd St. As he passed Ikea, Unit#1 made a quick lane
change from lane 2 of 2 to lane 1 of 2 which Kurtulan was occupying. Unit#1 cut him off, so he
honked his horn. Once Kurtulan passed East Valley Rd, he moved from lane 1 of 2 to lane 2 of 2. Unit
#1 was behind him at that time. The traffic signal turned red at SR 167 and SW 43rd, so he brought
his vehicle to a stop. While standing, Unit#1 struck his rear bumper causing moderate damage.
Based on the above statements, 1 determined that the Driver of Unit#1 (Roberson) is the proximate
cause for the collision due to following too closely. RCW 46.61.145 states that The driver of a motor
vehicle shall not follow another vehicle more closely than reasonable and prudent, having due regard
for the speed of such vehicles and the traffic upon the condition of the highway.
I gave Roberson a verbal warning for driving too closely but cited her for not having a valid license
and not having insurance while operating a motor vehicle. Roberson stated she was expecting a
citation for those infractions.
Both vehicles were driven away without further incident. An exchange of information was provided to
all involved parties
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
C. Catalan 10/20/2025 Renton
PAGE 3 OF 4
REPORT NO. EG40770 CASE# 25-8956 DATE AND TIME 10/16/2510:36
OF COLLISION
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