Accident Checklist

Be prepared. Print out copies of this Accident Checklist to keep in the glove box of every vehicle your family owns.

[ ]	Safety First: Call 911
[ ]	Date: _______________________________
[ ]	Time: _______________________________
[ ]	Where did accident occur (street names)? ______________________________________________________ ______________________________________________________
[ ]	Were there any injuries? Pedestrians? _________________________________________ Passengers? _________________________________________ Name _______________________________________________ Address _____________________________________________ Phone ______________________________________________
[ ]	Get important information at the scene. In addition to getting information from other drivers, be sure to get at least the names and phone number of any witnesses or people who stopped to help.

Driver 1
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

Driver's License No.: ______________________ Exp. Date: ___________
Date of birth: _____________________
Their Insurance Co.: ___________________________________________
Their Insurance Policy No.: ______________________________________
Registered Owner of the Vehicle: ________________________________
License No. of their vehicle: ______________________________________
State: __________ Year: __________ Make/Model: __________ Color: __________
No. of Passengers: _____________________________

Driver 2
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

Driver's License No.: ______________________ Exp. Date: ___________
Date of birth: _____________________
Their Insurance Co.: ___________________________________________
Their Insurance Policy No.: ______________________________________
Registered Owner of the Vehicle: ________________________________
License No. of their vehicle: ______________________________________
State: __________ Year: __________ Make/Model: __________ Color: __________
No. of Passengers: _____________________________

Driver 3
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

Driver's License No.: ______________________ Exp. Date: ___________
Date of birth: _____________________
Their Insurance Co.: ___________________________________________
Their Insurance Policy No.: ______________________________________
Registered Owner of the Vehicle: ________________________________
License No. of their vehicle: ______________________________________
State: __________ Year: __________ Make/Model: __________ Color: __________
No. of Passengers: _____________________________

Witness 1
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

Witness 2
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

Witness 3
Name:	_____________________________
Address:	_____________________________ _____________________________
Phone:	_____________________________

[ ]

Share only pertinent information at the scene.
Provide only your driver's license and registration to the other driver, injured persons, or police officers. Do NOT discuss the circumstances of the accident with anyone except the police. Do NOT discuss responsibility with anyone except a positively identified representative of your insurance company.

[ ]

Arrange for towing your vehicle.
Don't sign any towing release that authorizes repair of your vehicle unless you have decided to have your car repaired by the facility where the towing company will take your car.

[ ]

Complete an Accident Record.
Write down everything you can remember about the accident. Include as many details as possible. Revisit the scene at a later time if necessary to take pictures.

Draw a diagram of the accident marking the vehicles involved (A, B, C, etc.) and showing the direction the vehicles were traveling and where accident occurred. Mark street names, stop signs, traffic lights, and other landmarks. Describe other pertinent information:

_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________

[ ]

Report the accident to the Department of Motor Vehicles.
California State Law requires that all accidents involving injury/death or property damage in excess of $500.00 be reported within ten (10) days to the Department of Motor Vehicles.

[ ]

Notify your Insurance Agent immediately.
Date: __________________ Time: ___________ a.m./p.m.

[ ]

Evaluate repair estimates carefully.
California State Law protects you. You have the right to take your vehicle to the repair facility of your choice and are not obligated to use the repair shop mandated by your insurance company. Make sure all necessary repairs are fully itemized. Ask questions: Was the alignment checked? Why is the hood being repaired, not replaced? and so on.

[ ]

Choose a quality collision repair facility.
Visit our web site at www.randyhansonautobody.com for more helpful tips on how to evaluate and select a collision repair facility.

[ ]

Make sure all work is done to your satisfaction before signing any insurance company release for payment.

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