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ACCIDENT/INJURY QUESTIONNAIRE Name: (Last, First MI) Today's Date: AUTOMOBILE ACCIDENT ADDITIONAL INFORMATION Was anyone else in the vehicle with you? No Yes (Number of people) You were? Front seat
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How to fill out automobile accident additional information

01
Start by providing your personal information. This includes your name, address, phone number, and email.
02
Next, provide the details of the accident. This includes the date, time, and location of the accident.
03
Fill out information about the vehicles involved. Provide the make, model, and license plate number for each vehicle.
04
Describe the damages to each vehicle. Note any visible damage and the extent of the damage.
05
Provide information about any injuries sustained. Note the type of injury and any medical treatment received.
06
Include contact information for any witnesses to the accident. This can be helpful for insurance purposes.
07
Lastly, sign and date the form to confirm that the information provided is accurate and complete.

Who needs automobile accident additional information?

01
Automobile accident additional information is needed by individuals involved in a car accident. This can include both drivers and passengers who were present at the time of the accident.
02
Insurance companies also require this additional information to process claims and determine liability.
03
Law enforcement agencies may also request this information when investigating the accident or filing a report.
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Automobile accident additional information refers to supplementary details about a car crash that may be required to be reported in addition to the basic accident report.
The individuals involved in the accident, insurance companies, and law enforcement authorities may be required to file automobile accident additional information.
Automobile accident additional information can be filled out by providing details such as witness statements, damage estimates, and other relevant information about the accident.
The purpose of automobile accident additional information is to provide a more comprehensive understanding of the accident and help in determining fault and assessing damages.
Information such as witness accounts, photos of the accident scene, insurance details, and any other relevant details about the accident may need to be reported on the automobile accident additional information.
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