MOTOR VEHICLE ACCIDENT CHECKLIST

Car Accident Checklist

Print the following Information Checklist and keep it in your car in case you have a collision in Alabama.

Use a diagram of an intersection to map out the accident:

License plate # of other car:


Make and year:


Driver of other car:


Driver’s License No.:


Address:


Phone number:


Insured by:


Owner of other car:


Address:


Phone number:


Insured by:


Witnesses (including occupants of both cars):


Name:


Address:


Phone number:


Car type:


License plate #:


Name:


Address:


Phone number:


Car type:


License plate #:


Date of collision:


Time: Location:


Police officer:


Damage to other vehicle: