WHAT TO DO IN CASE OF AN ACCIDENT?
(print and store in your car)

REMEMBER!   BUCKLE UP FOR SAFETY!

ACCIDENT INFORMATION

Date of accident: Time: AM/PM:
Location: Cross streets:
Weather: Visability:
Road conditions: Traffic conditions:
Traffic signs or signals: Street lights:
Was other driver intoxicated?
Speed of your car: Speed of other car:
Did other driver signal? Seat belts worn?
Was either driver turning?
Headlights: Stoplights:
Turn signals:
Distance from other car when you first saw it:
Measure skid marks:
Curves, curbs, hills, debris:
Pedestrians:
Other remarks:

POLICE (OR HIGHWAY PATROL)

Dept: Name:
Badge Number: Phone:
Arrest or citations: Report taken:

WITNESSES

1.  Name: Phone:
Street Address: City: State:
2.  Name: Phone:
Street Address: City: State:
3.  Name: Phone:
Street Address: City: State:

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Fax:    (818) 500-1855

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