Sunday afternoon, authorities were called to W Madison St & 250th St in Washington in response to a two vehicle accident with injuries. Washington Fire & Rescue, Washington EMS and the Washington County Sheriff’s Office responded to the scene. Once on scene the driver that was complaining of an arm injury refused onsite medical attention and refused to be taken to the hospital. Deputies filed a state accident report and have issued a citation to Duane Firestone of Ottumwa for failure to yield up making a left turn.