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Reset Office of the Secretary of State DEPARTMENT OF ADMINISTRATIVE HEARINGSMOTOR VEHICLE ACCIDENT AFFIDAVIT INVOLVING PERSONAL INJURY/FATALITYAdditional forms may be obtained at also. Conformer Illinois

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How to fill out motor vehicle accident affidavit

01

Step 1: Start by providing your personal information, including your name, address, phone number, and driver's license number.

02

Step 2: Describe the accident in detail, including the date, time, and location.

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Step 3: Provide information about the other parties involved, such as their names, addresses, phone numbers, and insurance information.

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Step 4: Include a description of the vehicles involved, including make, model, license plate numbers, and any damages sustained.

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Step 5: Provide a detailed account of how the accident occurred. Include information about weather conditions, road conditions, or any other pertinent details.

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Step 6: If there were any witnesses to the accident, collect their contact information and include their statements in the affidavit.

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Step 7: Sign and date the affidavit to verify its accuracy.

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Step 8: Submit the completed affidavit to the appropriate authorities, such as your insurance company or local law enforcement agency.

Who needs motor vehicle accident affidavit?

01

Anyone involved in a motor vehicle accident where an affidavit is required by law or requested by their insurance company.

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What is motor vehicle accident affidavit?

Motor vehicle accident affidavit is a legal document used to report details of a motor vehicle accident to the relevant authorities.

Who is required to file motor vehicle accident affidavit?

The driver or owner of a vehicle involved in a motor vehicle accident is required to file the motor vehicle accident affidavit.

How to fill out motor vehicle accident affidavit?

To fill out the motor vehicle accident affidavit, you must provide details such as date, time, location, vehicles involved, and a description of the accident.

What is the purpose of motor vehicle accident affidavit?

The purpose of motor vehicle accident affidavit is to document and report the details of a motor vehicle accident for insurance and legal purposes.

What information must be reported on motor vehicle accident affidavit?

Information such as date, time, location, vehicles involved, contact information of drivers, and a description of the accident must be reported on the motor vehicle accident affidavit.

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