Cars & vehicles
Vehicle accident report template (US)
A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.
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Preview — US standard
Vehicle Accident Report
Report date: Report Date
Prepared by: Preparer Name and Title
Accident
| Item | Details |
| --- | --- |
| Date and time | Accident Date and Time |
| Location | Street, Intersection, City and State |
| Weather and road conditions | Weather and Road Conditions |
| Police called? | Yes or No |
| Police department and report number | Police Department and Report Number |
| Citations issued | Citations or None |
Our Vehicle and Driver
| Item | Details |
| --- | --- |
| Driver name | Driver Name |
| Driver's license number and state | Driver License Number and State |
| Vehicle year, make and model | Our Vehicle Year, Make and Model |
| Plate and VIN | Our Plate and VIN |
| Insurance company and policy number | Our Insurer and Policy Number |
| Purpose of trip | Purpose of Trip |
Other Vehicles and Drivers
| Item | Details |
| --- | --- |
| Driver name, address and phone | Other Driver Name, Address and Phone |
| Driver's license number and state | Other Driver License Number and State |
| Vehicle and plate | Other Vehicle and Plate |
| Owner, if different | Other Vehicle Owner |
| Insurance company and policy number | Other Insurer and Policy Number |
What Happened
Description of What Happened, Including Direction of Travel, Speed and Sequence of Events
Diagram or photos: Diagram or Photos Attached
Injuries
Injured People, Nature of Injuries and Medical Treatment, or None
Damage
Our vehicle: Damage to Our Vehicle
Other vehicles or property: Damage to Other Vehicles or Property
Vehicle towed to: Tow Location or Not Towed
Witnesses
Witness Names and Phone Numbers
Do not admit fault at the scene. Many states require a report to the DMV or police within a set time when there are injuries or damage over a set amount; reported on: State Report Details or Not Required. Notify the insurer promptly.
Driver signature: Driver Signature Date: Driver Signing Date
Supervisor review: Supervisor Signature Date: Supervisor Review Date