Collision

Checklist
BrokerLink.ca
Services available in Alberta through Canada BrokerLink Inc. and in Ontario through
Canada BrokerLink (Ontario) Inc.BrokerLink & Design is a trademark of Canada
BrokerLink Inc. used under licence in Ontario. 2012 Canada BrokerLink Inc.
All rights reserved.
1. ASSESS DAMAGE
Stop. Stay calm. Take care of anyone injured.
Do not make any statements admitting fault,
or offer to pay for repairs.
Switch on your hazard lights, turn off ignition
and secure vehicle. If necessary, place
reectors or ags and divert trafc.
If necessary, call 911.
Move your vehicle and passengers away from
traffc when the area is safe unless someone
is injured or you suspect a drunk driver.
2. REPORT TO THE POLICE IF:
Anyone has been injured.
Any vehicle has more than $1,000 damage
in Ontario and $2,000 in Alberta.
Any of the vehicles are not drivable.
Any driver does not have a drivers licence
or proof of insurance.
Any public property is damaged, regardless
of the amount.
3. COLLECT INFORMATION
If possible, take pictures of the vehicles
involved and the accident scene.
Gather information from everyone involved
in the accident. Obtain all names and contact
details of drivers, passengers, witnesses
and police.
Record details of the incident.
4. CONTACT YOUR INSURANCE
ADVISOR
Report the collision, including any injuries
and damages to vehicles or properties.
Confrm your coverage.
Request the forms required to access
coverage.
5. IF YOUVE BEEN INJURED:
Seek medical treatment as soon as possible
from the healthcare practitioner of your
choice: medical doctor, chiropractor or
physiotherapist.
6. KEEP RECORDS OF:
What happened.
Who you spoke to (e.g., the police,
your insurer).
Any medical treatment you receive;
keep notes on your condition.
NOTE: Insurance companies determine
liability and fault, not the police. If necessary,
it can be determined by the court.
COLLISION CHECKLIST
At the Scene
1. Stop. Stay calm. Take care of anyone injured.
2. Switch on your hazard lights, turn off ignition and secure
vehicle. If necessary, place reectors or ags and
divert trafc.
3. If necessary, call 911.
4. If damage exceeds $1,000 in Ontario or $2,000 in
Alberta, or if there are injuries, call police. In Ontario,
report the collision to the Collision Reporting Centre.
5. Do not make any statements admitting fault, or offer to
pay for repairs.
6. Gather information from everyone involved in the
accident (obtain all contact details).
7. Call your insurance company and insurance advisor and
in Ontario, report to the Collision Reporting Centre.
Other Driver & Vehicle
Ask to see drivers licence, vehicle registration, and
insurance information.
Drivers name:
Licence number & province/state:
Address:
Phone number(s):
Name of passenger (if any):
Address:
Phone number(s):
V.I.N.:
Vehicle licence plate:
Year/Make & Model/Colour:
Owners name (if different than driver):
Address:
Phone number(s):
Insurance company & policy number:
Witness Details
Name:
Address:
Phone number(s):
Licence plate:
Injured Person(s)
Name:
Address:
Phone number(s):
Evidence of injury:
Police Details
Name:
Detachment & badge number:
File number:
Collision Reporting Details (Ontario only):

Collision Details
Date & time:
Location:
Weather conditions & visibility:

Road & trafc conditions:

Description of your vehicles damage:


Description of other vehicles damage:


Details of any other property damage:

Facts of the Collision
Direction you were travelling:
On what street:
Speed of your vehicle:
Direction of other vehicle:
Speed of other vehicle:
Road and weather conditions:


Which vehicle entered intersection rst?

Any signal given by you or other driver?

Length of skid marks (for each vehicle):

Collision Sketch
PLEASE
INDICATE
NORTH
BrokerLink.ca
Services available in Alberta through Canada Brokerlink Inc and in Ontario through
Canada Brokerlink (Ontario) Inc. BrokerLink & Design is a trademark of Canada
Brokerlink Inc. used under licence in Ontario. 2012 Canada Brokerlink Inc.
All rights reserved.