Make sure you receive the above-listed information. If you’re missing any of it, get in contact with the other party in the accident.
For the first part, which takes down your own information:
Note the number of vehicles involved, the accident’s date, and the location in which the accident occurred. For the report to be filed, the accident must have occurred in California. Also, check the appropriate box regarding whether the accident happened on private property.
Note the number of vehicles involved, the accident’s date, and the location in which the accident occurred. For the report to be filed, the accident must have occurred in California. Also, check the appropriate box regarding whether the accident happened on private property.
Note the time at which the accident occurred, and check the box regarding whether it was in the AM or PM. Check the appropriate box regarding the type of accident: moving, stopped in traffic, parked, involving a pedestrian, involving a bicyclist, or other. If you were driving for your employer, make a note of it in the appropriate checkbox.
Note the time at which the accident occurred, and check the box regarding whether it was in the AM or PM. Check the appropriate box regarding the type of accident: moving, stopped in traffic, parked, involving a pedestrian, involving a bicyclist, or other. If you were driving for your employer, make a note of it in the appropriate checkbox.
Takedown your personal information including your full name, driver’s license number, and state of residence. Give your street address and telephone number, with your work number for ‘Wk’ and your home number for ‘Hm.’ If there were any damages over $1,000 to your vehicle, check the box indicating this.
Takedown your personal information including your full name, driver’s license number, and state of residence. Give your street address and telephone number, with your work number for ‘Wk’ and your home number for ‘Hm.’ If there were any damages over $1,000 to your vehicle, check the box indicating this.
Write the name of the vehicle owner. If it’s you, just rewrite your name. If it’s another person or company, write that name instead. Indicate the address the vehicle owner can be found at.
Write the name of the vehicle owner. If it’s you, just rewrite your name. If it’s another person or company, write that name instead. Indicate the address the vehicle owner can be found at.
Write the name of the insurance company, your policy number, and the period your policy is valid for. Also, write the name of the policyholder.
For the next part, concerning the other driver:
Write the name and driver’s license of the other driver, along with the state their license is in
Write the name and driver’s license of the other driver, along with the state their license is in
Record their street address, date of birth, and telephone number(s)
Record their street address, date of birth, and telephone number(s)
Record the year and make of their vehicle, along with either their license plate or VIN number and the state of registration
Record the year and make of their vehicle, along with either their license plate or VIN number and the state of registration
If the vehicle sustained any damages exceeding $1,000, check the appropriate box
If the vehicle sustained any damages exceeding $1,000, check the appropriate box
Write the name of the vehicle’s owner and the address at which they can be found
Write the name of the vehicle’s owner and the address at which they can be found
Write the information about their insurance coverage, including the name of the company, their policy number, the dates in which their policy is active, and the name of the policyholder
For property damage, injuries, or deaths:
Write the name and address of any individual who suffered an injury or was killed, and check the appropriate boxes
Write the name and address of any individual who suffered an injury or was killed, and check the appropriate boxes
Write about any other property that sustained damages, along with whether the damages exceeded $1,000
Write about any other property that sustained damages, along with whether the damages exceeded $1,000
Record the name and address of the property owner
Record the name and address of the property owner
Sign the form