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VEHICLE ACCIDENT CHECKLIST

(DO NOT ADMIT FAULT!)

DATE / / TIME

Sharp ABT Vehicle


Reg. No. Make/Model:
Reg. Exp. Driver:

Other Vehicle/s Involved


Reg. No. Make/Model:
Reg. Exp. Driver:
Insurance Details: Licence No.
Details:

Witness Details
Name: Contact Details:
Name: Contact Details:
Name: Contact Details:

Details
(location, what occurred,statements made by other party, damage to other,any injuries, photos with phone)

Vehicle Accident Wagon Vers 1.0 14/05/ 2010


What damage has occurred to the company vehicle? Mark on picture ie “dent”
Description:

Vehichle Accident Wagon Vers 1.0 14/05/2010


What damage has occurred to other vehicle?

Vehichle Accident Wagon Vers 1.0 14/05/2010

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