Vehicle Accident Form

Driver's Report of Accident

If you're involved in a motor vehicle accident...

  1. Don't leave the scene or move your vehicle. Be prepared to communicate ALL details of the incident to the police.
    Always use your vehicle’s 4-way flashers. Reflectors and flares at night give added protection.
  2. Call emergency services (911 or police non-emergency number) as needed.
  3. Take at least 4 photos of both vehicles, license plates, parking situation, insurance card for other party, and any notable unrelated damages.
  4. Call your supervisor and follow your department's applicable procedures.
  5. Do not admit fault in the accident or promise coverage or reimbursement to anyone.

Witnesses

It is important to get as many as possible.

Witness 1

Witness 2

Witness 3

Police Notification

Citation Issued

The Accident

Your Vehicle

Other Vehicle & Driver

Injured Persons

1. Injured Person

2. Injured Person

3. Injured Person

Damage to Property

1. Property Damage

2. Property Damage

Description of Accident

Direction of travel, your vehicle
Direction of travel, other vehicle

Diagram of Accident

Sketch a diagram below showing the roadway and vehicles.

Accident Photos

Attach up to 5 images. JPG, PNG, or WEBP only. Max 8 MB each, 40 MB total.