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Call 911
and INSIST on a police investigation. This ensures an accurate report
of the facts is available.
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Before you
leave the scene, exchange insurance information with all involved
drivers
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Obtain the
names of all witnesses to the accident
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Take
photographs of the damage to all vehicles and the accident scene. Keep
a disposable camera in the glove compartment for this purpose.
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Dann D. Sheffield
& Associates
Personal Injury Law
Call Day or Night
1-888-587-0555 |
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Accident Details
Date________________, 20___
Time____________AM/PM
Accident Location
____________________________________
____________________________________________________
Description of Accident
________________________________
____________________________________________________
____________________________________________________
____________________________________________________
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Describe Damage to Your Vehicle

Police Officer
Name ___________________________________
Badge # _________________________________
Case #___________________________________ |
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Witnesses
Name
_____________________________________
Address
___________________________________
Phone
_____________________________________
Name
_____________________________________
Address
___________________________________
Phone
_____________________________________
Name
_____________________________________
Address
___________________________________
Phone
_____________________________________
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Other Drivers and Vehicles
Vehicle 1 Make/Model _______________________
Damage _________________________________
Driver's Name _____________________ Age ___
Address _________________________________
Phone ___________________________________
Vehicle 2 Make/Model _______________________
Damage _________________________________
Driver's Name _____________________ Age ___
Address _________________________________
Phone ___________________________________
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