At Tenn And Tenn, P.A. our New Hampshire personal injury lawyers have identified 10 easy steps for you to follow if you are involved in an automobile accident.
Print this Guide and put it in your glove compartment to assure you obtain the appropriate information if an accident occurs.
ACCIDENT FORM
This form is provided as a means of organizing your accident information. It may help you, should legal action be required. Complete this form carefully.
Accident date ___/___/___ Time_______a.m. __________p.m.
Location of accident: ___________________________________________
____________________________________________________________
____________________________________________________________
Road Conditions; ______________________________________________
Traffic Conditions: ______________________________________________
Weather Conditions: ____________________________________________
Speed of your car just before accident: ______________________________
Speed of other car just before accident: ______________________________
Did your car skid? ____________________________
How many feet? ________________________
Did the other car skid? _________________________
How many feet? _______________________
Place of impact on other car:______________________________________
____________________________________________________________
____________________________________________________________
Any other conditions that may have caused the accident:
________________
____________________________________________________________
ACCIDENT INFORMATION
Other Driver's Name: ____________________________________________
Address:______________________________________________________
_____________________________________________________________
Home Phone: (__) ______________________________________________
Work Phone: (__) _______________________________________________
Driver's License #: ______________________________________________
State ___________ License Plate # _________________________________
Year of Car: ________________________________________________
Make of Car: ________________________________________________
Color of Car: _______________________________________________
Model of Car: _______________________________________________
Owner of vehicle: _______________________________________________
Insurance Company: ____________________________________________
_____________________________________________________________
Agent Name: __________________________________________________
_____________________________________________________________
Policy #: ___________________________________________________
Does other driver appear to have been drinking? _________________________________________
_____________________________________________________________
_____________________________________________________________
Any statement made by the other driver as to the cause of the accident ________________________
_____________________________________________________________
WITNESSES
Name: _______________________________________________________
Address: ______________________________________________________
_____________________________________________________________
Home Phone: (_____) _______________________________________
Name: _______________________________________________________
Address: ______________________________________________________
_____________________________________________________________
Home Phone: (_____) _______________________________________
Name: _______________________________________________________
Address: ______________________________________________________
______________________________________________________________
Home Phone: (_____) _______________________________________
Awards & Memberships
Copyright © 2012 Tenn And Tenn, P.A. New Hampshire Auto Accident Attorneys and NH Automobile Accident Lawyers.
Manchester NH Car Collision Attorney Disclaimer: This website is dedicated to providing public information regarding personal injury, criminal defense and other legal information. None of the information on this site is intended to be formal legal advice, nor the formation of a lawyer or attorney client relationship. Please contact a New Hampshire lawyer or attorney at our law firm for information regarding your particular case. This website is not intended to solicit clients outside the State of New Hampshire.
Tenn And Tenn, P.A. is a trusted New Hampshire law firm, whose lawyers assist clients with personal injury cases, including automobile and motorcycle accidents, medical malpractice claims, criminal matters including DWI/DUI defense, and domestic relations matters.
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