Safety Measurement System - Crash SC0025295676 (U.S. DOT# 426649)

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United States Department of Transportation

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Use of SMS Data/Information

FAST Act of 2015:

Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier has received an UNSATISFACTORY safety rating under part 385 of title 49, Code of Federal Regulations, or has otherwise been ordered to discontinue operations by the Federal Motor Carrier Safety Administration, it is authorized to operate on the Nation's roadways.

Safety Measurement System:

The data in the Safety Measurement System (SMS) is performance data used by the Agency and Enforcement Community. A symbol, based on that data, indicates that FMCSA may prioritize a motor carrier for further monitoring.

The symbol is not intended to imply any federal safety rating of the carrier pursuant to 49 USC 31144. Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier in the SMS has received an UNSATISFACTORY safety rating pursuant to 49 CFR Part 385, or has otherwise been ordered to discontinue operations by the FMCSA, it is authorized to operate on the nation's roadways.

Motor carrier safety ratings are available at http://safer.fmcsa.dot.gov and motor carrier licensing and insurance status are available at http://li-public.fmcsa.dot.gov/.

Detailed Crash Report as of 11/28/2025

Carrier Information

Carrier Name: Forms And Supply Inc
U.S. DOT#: 426649
Carrier Address: 6410 Orr Road
Charlotte, NC 28213-6332
State Census#:

Crash Information

# of Fatalities: 1
# of Injuries: 0
Towaway: Yes
# of Vehicles in Crash: 2

Location

Crash Date & Time: 11/13/2025 1215
Location: Monroe Hwy
City: LANCASTER
County: LANCASTER
Crash State: SC

Reporting Data

Report State: SC
Report #: SC0025295676
Reporting Agency: HP04
Officer Badge #: 8279-
Federally Recordable: Yes
State Recordable: Yes

Crash Environment

Roadway Trafficway: Two-Way Trafficway, Divided, Unprotected Median
Weather Condition: No Adverse Conditions
Road Access Control: No Control
Light Condition: Daylight
Road Surface Condition: Dry

Driver Information

Age: 28
Citation Issued: No
License State: NC
Valid License: Yes

Vehicle Information

Identification

VIN: 3C7WRMDL9RG188346
Plate Number: VB9659
Plate State: NC

Hazardous Materials

HM Placards: No
Release of Cargo: No

Vehicle Type

Vehicle Configuration: Single-Unit Truck (2-Axle, 6 Tire)
Cargo Body Type: Van/Enclosed Box
Gross Vehicle Weight Range: 10,001-26,000