Vehicle Accident Report Form

When you get involved in an accident it is important to fill out a vehicle accident report form.  Vehicle insurance companies require that you fill out an accident report form in order to process your claims.  The form ensures all details of the accident are well documented and accurately recorded.

Sample Vehicle Accident Report Form

Please fill out the following details concerning the vehicle accident.

Driver’s name: _______________________ Address: ______________________

Occupation: _________________________ Tel no: _______________________

Mob no: ____________________________ Fax no: _______________________

Details of insurer:

Company name: _____________________ Address: ______________________

Policy no: __________________________ Type: ________________________

Date insured: _______________________ Expiry date: ___________________

Details of the vehicle:

Make: _____________________________ Model: _______________________

Reg. no: ___________________________ Color: _______________________

Details of the accident:

Date: _____________________________ Location: _____________________

Time: _____________________________

Please explain exactly what happened

________________________________________________________________________

________________________________________________________________________

Give details of others involved in the accident

________________________________________________________________________

________________________________________________________________________

Give details of the damage caused by the accident

________________________________________________________________________

________________________________________________________________________

Sig: _________________________________ Date: _________________________

Category: Report Forms