Accident Reporting

  • Before starting form:
    • Prevent further damage and/or injuries. Turn on warning signals and move out of traffic if possible.
    • Call local police department
    • Call manager or supervisor
    • Take pictures: vehicles, roadway markings, debris, all drivers and passengers.
    • Be courteous and cooperative, but do not apologize or admit fault.
    • Do not discuss accident or sign any papers with anyone except for your employer, a police officer or your insurance representative.
    • Complete this accident reporting form and provide the police report to your employer.
  • Date Format: MM slash DD slash YYYY
  • :
  • Drop files here or
    Accepted file types: jpg, gif, png, jpeg, heic.
    Include photos of all sides of all vehicles, close-ups of damaged areas, skid marks, traffic signals, debris, vehicle interiors (including seat belts and air bags), and all drivers and passengers.
  • YOUR VEHICLE

  • OTHER VEHICLE

  • PERSONS INJURED

  • WITNESSES

  • ADDITIONAL NOTES OR DETAILS

  • This field is for validation purposes and should be left unchanged.