Laslie’s Auto Collision Counselor

Step 1: Keep Calm

Stop to protect your passengers and car. Call ambulance for injured party, if required. Set flares if you carry them, and do not leave scene of accident.

Step 2: Exchange Documents

Don't discuss the accident with anyone or blame anyone, including yourself. Exchange only license, registration, and motor vehicle identification card.

Step 3: Give Facts

Give only your name, address, license number, license plate number, name of registered owner of the car and your insurance company. Show your driver's license to the other party.

Step 4: Get Facts

Take down the name, address, operators license number, date of birth, sex, state of license and the phone number of the other driver.

Step 5: Ownership Facts

Write down the name, address and the insurance company of the owner of the other car involved. The driver may not be the owner of the car.

Step 6: Injured Parties

Seek information from police for all injured parties involved including passengers. Take down the names, addresses, dates of birth, sex and the extent of injury.

Step 7: Witnesses

Be sure to write down the names, addresses and phone numbers of any people who saw the accident but weren't involved in it. Passengers in accident aren't witnesses.

Step 8: Damage

Note the make, body type, year and license number of the other vehicle. Also make note of the damage to the other vehicle.

Step 9: Draw Diagram

Note the date & time of the accident. Write down the location (street intersection or landmark).

Step 10: Report Accident

Report accident to your broker or agent immediately. If the accident involves death or injury report it without delay to the police department. Obtain a copy of their report within 24 hours.

Policy Number

Policy #:

 

Agent:

 

Ins. Company:

 

Ins. Comp. Phone:

 

In Case of Emergency Notify:

 

Family Doctor:

 

Allergies:
 

Driver’s Name

Name:

 

Date of Birth:

 

Address:

 

 

 

Phone:

 

 

Other Driver

Name:
 
Address:
 
 
 
Insurance Company
 
Code Number:
 
Policy Number:
 
Vehicle Identification Number:
 
Operator’s License Number:
 
State of License:
 
Plate Number.: