VEHICLE ACCIDENT REPORT

AFTER AN ACCIDENT

  • Take steps to prevent further accidents
  • Remain calm: do not argue, blame, or accept blame
  • Provide immediate medical help; call 911 for emergency services
    • Contact the police when damage exceeds $750, for any injury or death
  • Obtain and exchange personal information for this accident report including photos, and witness interviews.
  • Complete the Accident Report Form
    • Determine if additional forms must be completed such as an Incident Report or a Hazard Notice.

    ONLINE VEHICLE ACCIDENT REPORT FORM

    * Indicates Required Field

    EMPLOYEE DRIVER INFORMATION

    Personally-OwnedCompany-Owned

    ACCIDENT DATE, TIME, PLACE

    YesNo

    YesNo

    THOSE INVOLVED

    WHAT HAPPENED?

    ACCIDENT SCENE