Accident Reporting Worksheet

Accident Reporting Worksheet - Please note: There is no answer key to this guide. These questions are designed to trigger your thought process and understanding of different scenarios that you must know in order to be a well rounded safe driver and to help prepare yourself for the test at the end of each level.

The most frightening event a new driver can experience is a collision. To help relieve some of the anxiety that accompanies a collision, keep a copy of this accident reporting worksheet in your glove compartment at all times and refer to it when necessary.

Immediately after a collision, you should:

  • Stay where you are. Do not leave the scene. If your car is creating a safety hazard or if you are afraid you may be injured by oncoming traffic, move to a safer place but stay near the scene.
  • Call the police immediately and follow any instructions they give. In minor accidents, or in periods of “cold reporting” you may be instructed to exchange information with the other driver(s) then contact your insurance company.
  • Do not disclose the limits of your insurance policy.
  • Do not admit fault.
  • Prevent Further Damage- To prevent chances of fire, do everything possible to remove debris around (or inside) the vehicles that have been damaged.
  • Complete as much of the accident report as possible (included at bottom of this page). This report can be used for insurance purposes and to further explain the incident to the reporting officer (if not present).
  • When cold reporting status is in effect, or in certain emergency situations, an officer might not be available to examine the details. In this instance, the accident report will need to be filled out thoroughly. The drivers involved should complete a clear report of identity of all party's in the accident, as well as noting damage and injury, including names and addresses of other witnesses.
  • Provide the other driver(s) with your insurance company name, policy number, and your name. If the police will not let you speak with the other driver(s), ask the officer to give your information to the other driver(s) for you.

What if I can not drive my car after the accident? You may have to have your car towed. In that case, have it towed to a nearby reputable body shop. Your insurance company may have a preferred body shop for you to use. You also want to check ahead of time whether or not you have towing coverage for your vehicles.

What happens when I report the accident to my insurance? Generally speaking, the insurance representative will ask for the information on the accident report and make an appointment to have any damaged appraised. You will then meet with a claims adjuster for further investigation.

What happens after the appraiser has inspected my vehicle? The appraiser will provide you an estimate that you take to the repair shop of your choice. If the shop agrees with the estimate, authorize the repair. If not, have them contact the appraiser. If further damage is discovered during the repairs, the repairer should contact the appraiser for approval. After the appraiser approves the changes, a supplemental check will be issued.

Is there anything else I should do? To make the process more efficient, promptly complete and return any forms the insurance company sends to you. If you obtain any pertinent information, such as an advance copy of the police report or contact from another insurance company, provide that information to your insurance company as well.

Accident Date / Time:

Street or Intersection:

City & State:
Police Dept or Sheriff Office:
Case #
Tickets Issued?
YES            NO
If yes, to whom?
Charge:

 

Name:

Address:

City, State Zip:
Home Phone:
Bus Phone:
Fax:
Age
Sex- Ht- Wt
Position in Vehicle and Injuries:

 

Other Vehicle

Year / Make / Model:

VIN:

Color:
License Plate & State:

 

Other Driver

Name:

Age:

Apparent Injuries?
YES            NO
Address:

City, State Zip:

Home Phone:
Bus Phone:
Fax:
DL # and State

Ins. Carrier and Policy:

 

Registered Owner of Other Vehicle

Name:
Address:

City, State Zip:

DL # and State

Ins. Carrier and Policy:

 

Passengers in Other Vehicle

Name:
Address:

City, State Zip:

Home Phone:
Bus Phone:
Fax:
Age:

Sex- Ht- Wt

Position in Vehicle and Injuries:

 
Name:
Address:

City, State Zip:

Home Phone:
Bus Phone:
Fax:
Age:

Sex- Ht- Wt

Position in Vehicle and Injuries:

 

Witness

Name:
Address:

City, State Zip:

Home Phone:
Bus Phone:
Fax:
 
Name:
Address:

City, State Zip:

Home Phone:
Bus Phone:
Fax:

 

Accident Information

List apparent damage to other vehicle—point of impact, apparent new damage, obvious old damage. Also, draw a simple diagram of the collision with direction of travel and traffic signs.