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SCORE STATEMENT OF INCIDENT Use this form to record statements of incident and to provide information on future incident prevention. Thank you for helping us with this matter. Please use the reverse
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How to fill out statement of accident

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How to fill out a statement of accident:

01
Gather all necessary information: Start by collecting all relevant details about the accident, including the date, time, and location. Also, record the names, contact information, and insurance details of all parties involved.
02
Describe the accident: Provide a detailed account of what happened, including the sequence of events leading up to the accident. Be as specific as possible and use clear language to convey the circumstances accurately.
03
Include witnesses and their statements: If there were any witnesses to the accident, make sure to mention their names and contact details. It is also helpful to include their statements or descriptions of what they saw.
04
Document injuries and damages: Describe any injuries sustained by yourself or others involved. Also, record any property damage that occurred as a result of the accident. If possible, take photographs of the scene, injuries, and damages to support your statement.
05
Be honest and objective: When filling out the statement, stick to the facts and avoid speculation or opinions. Provide an objective account of the accident without exaggeration or downplaying.
06
Review and proofread: Before submitting the statement, review it thoroughly to ensure all information is accurate and complete. Check for any errors or missing details that need to be rectified.

Who needs a statement of accident:

01
Insurance companies: Statements of accidents are often required by insurance companies to assess the validity of claims and determine fault or liability.
02
Law enforcement agencies: In some cases, law enforcement agencies may request a statement of accident as part of their investigation, especially if there were serious injuries or fatalities involved.
03
Legal proceedings: If the accident results in legal actions, such as personal injury lawsuits or insurance disputes, a statement of accident becomes crucial in providing evidence and supporting the claims or defenses presented in court.
04
Employers: Employees who were involved in work-related accidents may be required to provide a statement as part of their company's accident reporting procedures.
05
Individuals involved in the accident: Providing a statement of accident can be essential for individuals involved in the accident to document their side of the story and protect their interests. This is especially important when dealing with insurance claims or legal actions.
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The statement of accident is a formal document that details the circumstances of an accident.
Anyone involved in an accident, such as drivers, passengers, or witnesses, may be required to file a statement of accident.
The statement of accident can be filled out by providing information about the accident, such as date, time, location, and description of what happened.
The purpose of the statement of accident is to document the details of an accident for insurance purposes and legal proceedings.
Information such as names and contact details of parties involved, description of accident, and any injuries or damages must be reported on the statement of accident.
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