Date and Time

Location

Weather Conditions

Your Driving Speed

Other Driver’s Basic Information

*Make sure the driver is the vehicle’s registered owner.

Name

Address

Phone Number

Driver's License number

Make

Model

Plate Number

Other Driver’s Insurance Information

Insurance Company

Insurance Policy Number

Insurance Comany Address

Insurance Company Phone Number

Passenger and Witness Information

Name

Address

Phone Number

Plate Number

Police and Emergency Personnel

Name

Badge Number

Phone Number (CARD) with Name & Phone Number

DO NOT FORGET

Describe Damage

TAKE PHOTOS of ALL CARS INVOLVED ANY PROPERTY DAMAGE AND ALL DEBRIS IN ROADWAY

Draw Diagram of accident