•Stay Calm.
• Assist injured.
• Call Police and if needed, call Ambulance.
• Take brief notes.
• Don't accept any claim settlement at the scene of accident.
•Call your insurance
company.
• Call body shop as soon as possible.
•Call for towing if
needed (1-610-662-5673).
Accident
Details
Time
of accident:
Date of Accident:
Street:
Cross Street:
City:
State:
Weather Conditions:
Road Surface:
Investigating Officer:
Badge #:
Police department:
Phone:
Your vehicle:
Your vehicle's
damage:
Vehicle One:
Owner:
Address:
Phone:
Driver's License #:
State:
Insurance Company:
Policy #:
Make:
Model:
Year:
Color:
Number of Passengers:
Vehicle One's damage:
Vehicle Two:
Owner:
Address:
Phone:
Driver's License #:
State:
Insurance Company:
Policy #:
Make:
Model:
Year:
Color:
Number of Passengers:
Vehicle Two's damage:
Witness(es)
Name:
Address:
Phone:
Name:
Address:
Phone:
Sketch
of Accident Scene
You both have my deep gratitude and appreciation for your kind attention to my needs concerning the repairs on my Passat.
~
Mary C. L.
It affords me great pleasure to express my thanks to your staff and associates for the professional manner in which my claim was handled.
~ Maria M.
Not only were your prices the best around but the courtesy exhibited by you and your staff was noteworthy.
~ Peter P. (USAir) Supervisor
