Auto Accident Kit Instructions

ACCIDENT DETAILS:

If you are involved in a auto accident, follow the steps below:

1. Check yourself and passengers for injuries.2. Call Police 911 request ambulance if needed.3. Take pictures of the accident from all sides.4. Move vehicles to a safe location after taking photos.5. Identify witnesses - Get their contact information

Date:

6. Fill out “Other Driver” information.7. Fill out “Accident Details” section8. Do not make any statements with anyone but the police.9. Collect all information from the police.10. Contact your insurance company - seek medical attention if injured.

Time: Locaton: City:

Accident Description:

Police: Yes/No Police Department: Tickets: You/Other Driver Report #

OTHER DRIVER INFORMATION

Name: Address:

DOB: Phone: Email:

Driver License # Vehicle Owner Name:

Comments:

INSURANCE INFORMATION

Other Driver Insurance: Policy #

If a third vehicle is involved:

Name: Phone:

Insurance: Policy #

WITNESS INFORMATION

Name:

Phone:

Statement:

ADDITIONAL WITNESS INFORMATION

Name:

Phone:

Statement:

Vehicle Damage Photos

Take pictures at the scene of the accidentPlease indicate where damages were on your car

This accident kit was developed and distributed by

INDICATE BODILY INJURYPlease indicate where injuries occured

on your body

Front

Back

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Front

Back

303-GOOD-LAW

Accident Scene Photos

INDICATE VEHICLE DAMAGE

DO NOT PUT YOURSELF IN DANGER BY STANDING IN THE

STREET WHILE TRAFFIC IS MOVING AROUND YOU.