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CAR AND MOTORCYCLE ACCIDENT CHECK LIST

Decatur Car Accident Checklist

Print the following Automobile Information Checklist and keep it in your car in case you have a collision.

Use a diagram of an intersection to map out the accident:

License plate # of other car:


Make and year:


Driver of other car:


Driver’s License No.:


Address:


Phone number:


Insured by:


Owner of other car:


Address:


Phone number:


Insured by:


Witnesses (including occupants of both cars):


Name:


Address:


Phone number:


Car type:


License plate #:


Name:


Address:


Phone number:


Car type:


License plate #:


Date of collision:


Time: Location:


Police officer:


Damage to other vehicle: