Form preview

Get the free ACCIDENT REPORT FORM - portalapps cityu

Get Form
An ACCIDENT REPORT FORM is required for documenting all accidents, injuries, or illnesses occurring on the job for processing by the Human Resources Department.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign accident report form

Edit
Edit your accident report form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your accident report form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing accident report form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit accident report form. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
Dealing with documents is always simple with pdfFiller. Try it right now

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out accident report form

Illustration

How to fill out ACCIDENT REPORT FORM

01
Begin by identifying the date and time of the accident.
02
Provide the location of the accident.
03
List the names and contact information of all individuals involved in the accident.
04
Describe the events leading up to the accident in detail.
05
Include any witnesses' names and contact information.
06
Document any injuries sustained by parties involved.
07
Attach photographs or diagrams of the accident scene, if available.
08
Sign and date the form to confirm the information is accurate.

Who needs ACCIDENT REPORT FORM?

01
Individuals involved in the accident.
02
Insurance companies for claims processing.
03
Employers if the accident occurred at work.
04
Legal representatives for potential litigation.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
26 Votes

People Also Ask about

Standard Form 91 - Motor Vehicle Accident (Crash) Report.
Accident report forms should include fields for names and contact information of the individuals and witnesses involved, the type of accident, the date and time the accident occurred, the location of the accident, a detailed description of the accident, and room for any additional comments.
When describing the actual event, try to be as detailed and chronological as possible: Direction of Travel: Which direction were you and the other vehicles traveling? Actions: What were you and the other drivers doing immediately before the accident? Impact: Describe how the vehicles collided.
How To Write A Car Accident Witness Statement Include the Witness's Full Name and Contact Details. Detail the Who, What, When, and Where of the Accident. Share Your Perspective on How the Crash Occurred. Report Observations of Injuries and Property Damage. Include Other Relevant Information. Sign the Witness Statement.
How Do You Create an Effective Victim Impact Statement in a Car Accident? Use your own words to convey your experiences. Focus on how the incident has affected your life, rather than detailing the accident itself. Clearly outline the physical, mental, emotional, and financial impacts, addressing each separately.
How to Write an Incident Report: A Step-by-Step Guide (with Examples) Step 1: Provide Fundamental Information. Step 2: Take Note of Any Damages and Injuries. Step 3: Identify Affected Individual(s) Step 4: Identify Witnesses and Take Their Statements. Step 5: Take Action. Step 6: Close Your Report.
Just tell your story or part of the accident in plain simple terms/words. Don't embellish your narrative. Keep it simple and tell the truth. Focus on the accident scene itself. You may need to use white typing paper to add on to your original report too so keep that in mind.
Examples of accident in a Sentence He was injured in an accident at work. The accident happened when her car slid on a patch of ice. Investigators are still trying to determine the cause of the accident. Their meeting was an accident.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Accident Report Form is a document used to officially record details about an incident or accident, often related to workplace injuries, vehicle collisions, or other mishaps.
Typically, the individual involved in the accident, a witness, or a representative of the organization responsible for the location where the accident occurred is required to file the form.
To fill out the Accident Report Form, one should provide accurate details including the date, time, and location of the accident, a description of the events, the names and contact information of those involved, and any witnesses, as well as any medical attention received.
The purpose of the Accident Report Form is to document the circumstances of an accident for record-keeping, compliance with legal or insurance requirements, and to facilitate investigations into the incident.
Key information that must be reported includes the date and time of the accident, location, details of the individuals involved, a description of the accident, injuries sustained, and any actions taken afterward.
Fill out your accident report form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.