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GLOVE BOX AUTO ACCIDENT INFORMATION FORM What to do after an auto

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					Print and keep in your glove box to ll out in case of a car accident.                                                            Ramji & Associates, PC




        GLOVE BOX AUTO ACCIDENT INFORMATION FORM
         Courtesy of
         Ramji & Associates, PC
         (281) 888-8888
         www.ramjilaw.com



        What to do after an auto accident:
         1   After an auto accident or car wreck, call an ambulance, or go to your family doctor immediately after the accident. It is very common
             that you might not “feel” hurt at the scene due to shock. You will probably begin to get stiff and sore in the hours and days following the
             accident. At least go to the ER or your doctor to get checked out. Call us if you need assistance in finding a doctor


         2   Call the police, tell them there was a car wreck with injuries, and insist they come out and write a report. The police report may be vital
             to helping you prove your case later. The police will not come out unless you tell them someone was injured in the accident


         3   Take pictures of the auto accident scene, vehicles, and other driver. (Carry a disposable camera in your car's glove box, right next to
             this checklist, for this purpose)

         4   Except to get the information below, do not talk to the other driver, and make no admissions or apologies for the accident

         5   Get names and telephone numbers of any witnesses to the accident

         6   Call Ramji & Associates at (281) 888-8888 as soon as you are able


         7   DO NOT GIVE A STATEMENT TO THE AUTO INSURANCE COMPANY! Let us do the talking for you. It is NEVER to your advantage
             to give a statement to a car insurance company




        After an auto accident, get these facts:
         1   Date and time of the auto accident

         2   Exact location of the accident (street, intersection, city, county)

         3   Other driver’s name, address, & DL #

         4   Car insurance company & your policy number

         5   Name & address of owner of other car (if different from driver)

         6   Owner’s car insurance company & policy number

         7   Make, model and tag of the other car involved in the accident

         8   The name, number and address of any witness to the wreck

         9   Note anything unusual about the accident

             Finally, after an auto accident, draw a diagram of the accident scene on the back of this form


                                                                                                                                           Se Habla Español
Print and keep in your glove box to ll out in case of a car accident.                                                               Ramji & Associates, PC




        GLOVE BOX AUTO ACCIDENT INFORMATION FORM
         Courtesy of
         Ramji & Associates, PC
         (281) 888-8888
         www.ramjilaw.com




        Important information to note at time of accident
          Get this information from the other driver(s):                  License information:

          FULL NAME                                                       DRIVER’S LICENSE NUMBER AND STATE


          FULL ADDRESS                                                    LICENSE PLATE NUMBER AND STATE



          Telephone numbers:                                              Insurance information:

          WORK                                                            INSURANCE COMPANY


          HOME                                                            POLICY NUMBER


                                                                          AGENT’S NAME
          Full description of car(s):
                                                                          AGENT’S PHONE NUMBER
          MAKE                     MODEL                   YEAR   COLOR




                                                                                                                                   Direction of travel

        More important information to note                                                                                         YOUR VEHICLE

                                                                                                                                   OTHER VEHICLE




          Details of the accident:

          TIME OF DAY


          WEATHER CONDITIONS (ice, snow, fog, rained recently?)


                                                                          Use this guideline to draw the roadway and positions of vehicles
          APPROXIMATE AIR TEMPERATURE

                                                                          Witnesses:
          ROAD/ROUTE WHERE ACCIDENT OCCURRED
                                                                          NAME                                                PHONE

          CONDITIONS OF ROAD (gravel, obstacles etc.)
                                                                          NAME                                                PHONE

          NEAREST CROSSROAD OR MILE MARKER IF ON A HIGHWAY
                                                                          NAME                                                PHONE




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posted:8/1/2011
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