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Car Accident · Side 1 — What To Do
My Vehicle
Vehicle
Plate
Registration #
DL #
VIN
My Insurance
Company
Policy #
Claims Phone
Medical Info
Blood Type
Allergies
Current Medications
Pre-existing Conditions
Primary Care Doctor & Phone
Steps to Follow
Check injuries. Don't move anyone with neck/back pain. Call 911 if hurt.
Hazard lights on. Move to shoulder if drivable. Do not leave the scene.
Call 911 if injuries, major damage, or blocking traffic.
"Accident at _______ & _______, near _______. There are / are not injuries."
No fault admission. Facts only — time, location, what you saw.
Exchange info with other driver. Fill in fields on Side 2.
Get witnesses — names and phones before they leave.
Photograph everything. See checklist on Side 2.
Officer info: name, badge #, how to get the police report.
Call your insurance — even if not at fault. Report within 24–72 hrs.
Car undrivable? Call insurance and ask if they cover a tow and have a preferred body shop. Give that body shop name to the tow truck driver.
See a doctor. Whiplash and internal injuries may not appear for hours.
After: keep all medical bills, treatment records, and repair estimates for your claim.
SAFE STEPS · safestepsplans.com · Keep this card in your glovebox. · Not legal advice. Laws and insurance requirements vary by state.
Car Accident · Side 2 — Fill In at the Scene
Other Driver
Full Name
Phone Number
Insurance Company
Policy Number
License Plate
Driver's License #
Year / Make / Model
Color
Incident Info
Date & Time
Location / Intersection
Weather / Road Conditions
Witness — Name & Phone
Officer Name
Badge # & Report #
Do Not
Admit fault · Apologize · Sign anything except the ticket · Leave the scene · Give a recorded statement to the other driver's insurance
Photos to Take
All vehicles — wide shot (show positions)
Close-up of all damage
All license plates
Other driver's license + insurance card
Skid marks & road surface
Street signs / intersection
Traffic signals / posted signs
Any visible injuries
Emergency Contacts
Relationship
Name
Phone
Relationship
Name
Phone
SAFE STEPS · safestepsplans.com · Not legal advice. Laws and insurance requirements vary by state.