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Printable Accident Form
 

Please click here to open the Accident Form.

14 Washington Street

Haverhill, MA  01832

(978) 373-9336 ~ (978) 388-9997 ~ (877) 388-9997

What to Do

  1. Stop your car. Check for injuries
  2. Call for help if there are injuries.
  3. Get pictures of the accident scene.
  4. Move your car to a safe location, out of traffic, if it can be moved.
  5. Exchange insurance information.
  6. Report the accident to your insurance company.
  7. If you are injured, get the medical care you need and tell your doctor about the accident.
  8. Get pictures of the car accident, car damage and pictures of any injuries you or passengers sustained.
  9. If there are any injuries, call your lawyer.
  10. Jot down a brief description of what happened.
 

Information to get from the other driver 

Driver's Name_________________________
Address______________________________
____________________________________
____________________________________
Phone________________________________
Insurance company_____________________
Drivers License Number_________________
License Plate Number___________________
Names of all occupants in the car
_____________________________________
_____________________________________

_____________________________________
_____________________________________
_____________________________________
_____________________________________
Make and Model of their car
_____________________________________


 Information you will need for your attorney

Date of accident_________________________
Location of accident______________________
Time of day______________________________
Weather conditions________________________
Names of witnesses & contact information:
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Describe what happened:
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Names of everyone involved in the accident:
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
Names of police at scene
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
            

Information to give the person who hit you

Your name, address, phone number, driver's license number, insurance company, names of injured persons.
   
  

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