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OTHER NAMES Accident Report Form

What is an Accident Report?

An Accident Report helps you document the details of an unexpected event that occurs. An Accident Report should list all parties involved, including any bystanders or witnesses, in addition to any law enforcement or emergency personnel. It's important to fill out an Accident Report as soon as possible to ensure that all the details are remembered accurately.

Accident Report forms are used for a variety of reasons, including for insurance claims, for use in court, and for medical records. No matter how minor an injury is, the Accident Report form should be completed as soon as an accident occurs to ensure that no details are left out.

When to use an Accident Report:

You were involved in an accident and want to record all of the details.
You witnessed an accident and want to document the details for future reference.
You are an employee who is responsible for reporting accidents.

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REPORT

INFORMATION

Date of :

Time of :

Location of :

Type of :

Description of the :

PERSON(S) INVOLVED IN THE

Name:


Address:


	,

Phone Number:

E-mail Address:

Status:

YesNo

WITNESS INFORMATION


By:	Date:

Report recipient: