In Case of an Auto Accident…

In case of an auto accident, please keep this in your car with

your insurance and registration information. 

 

AVOID A SECOND ACCIDENT

Remain Calm. Stop safely. Turn emergency lights on. 

Watch for oncoming traffic.

 

CALLS TO MAKE

Call the police Call your insurance carrier.

 

IDENTIFY WITNESSES

Be sure to ask witnesses for their complete address and contact  information.

 

PROVIDE CONTACT INFORMATION

Exchange insurance and contact information with the other driver.

 

STICK TO THE FACTS

Let the facts speak for themselves. 

Tell the investigating officer just what happened. 

 

TAKE PHOTOS

If your injuries permit, use your cell phone, camera

or digital camera to take photos of:

 

All four sides of each vehicle.

Close-up shots of damages areas.

People, passengers and witnesses. 

License plates including witness vehicles.

Skid marks and debris

Vehicle interiors

Entire scene

       RECORD THE FACTS FOR YOUR ATTORNEY

AND YOUR INSURANCE COMPANY

 

Accident Date:___________________________Time:________________

 

Where:_____________________________________________________

 

OTHER VEHICLE (get directly from vehicle registration card)

 

Vehicle Lic. # ____________________State:_______ 

 

Make_____________Model _________Color_______

 

Owner Name________________________________ 

 

Address ____________________________________

 

City/State/Zip_______________________________ 

 

OTHER DRIVER (get directly from driver’s license)

 

Name: _____________________________________ 

 

Address: ____________________________________ 

 

               ____________________________________ 

 

License # __________________
______State:_______ 

 

Home/Cell Phone:____________________________

 

Email: _____________________________________ 

 

Was driver on any assignment for owner? Yes   No

 

INSURANCE

 

Company_________________ Phone_____________

 

 Policy Holder _____________ Policy #__________

 

Weather Condition:  clear,  rain,  fog,  hail, snow other: __________________________

 

Road surface:  clear,  wet,   unpaved,  pot holes, icy other: _________________________

 

POLICE OFFICER_____________________________

 

Report Number:________________________________

 

Describe What Happened:

______________________________________________

 

______________________________________________

 

______________________________________________

 

______________________________________________

 

______________________________________________

 

WITNESS INFORMATION

 

 

Name: _____________________________________ 

 

Phone: _____________________________________ 

 

Address: ____________________________________ 

 

               ____________________________________ 

 

Home/Cell Phone:____________________________

 

Email: _____________________________________ 

 

 

 

Name: _____________________________________ 

 

Phone: _____________________________________ 

 

Address: ____________________________________ 

 

               ____________________________________ 

 

Home/Cell Phone:____________________________

 

Email: _____________________________________ 

 

 

 

Name: _____________________________________ 

 

Phone: _____________________________________ 

 

Address: ____________________________________ 

 

               ____________________________________ 

 

Home/Cell Phone:____________________________

 

Email: _________________________________
____ 

 

 

 

Name: _____________________________________ 

 

Phone: _____________________________________ 

 

Address: ____________________________________ 

 

               ____________________________________ 

 

Home/Cell Phone:____________________________

 

Email: _____________________________________ 

 

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About The Author

Laura Hack

Laura Hack

Laura Hack is a paralegal with Terrell • Hogan. She has been with the firm since 1996 and has worked primarily for Wayne Hogan. She is an experienced Paralegal with 30+ years of working in the law practice industry. Skilled in Appeals, Civil Trial Litigation Support, Torts, Trial Practice, and Pleadings.