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Information to Gather at the Accident Scene

PRINT OUT THIS PAGE AND PLACE IT IN YOUR VEHICLE’S GLOVE COMPARTMENT. PUT ACCIDENT DESCRIPTION, DIAGRAM AND STATEMENTS MADE BY OTHER PARTIES ON THE REVERSE SIDE. GO TO THE HOSPITAL FOR AN EXAMINATION.

Ask to see the other driver’s:

  • Driving License
  • Owner’s Card
  • Insurance Card

OTHER DRIVER INFORMATION
Address:
Phone #:
Car Owner’s Phone #:

OTHER VEHICLE INFORMATION
Make:
Year:
Model:
Color:
License Plate #:
Vehicle I.D. # (VIN):
Damage:

OTHER DRIVER’S INSURANCE COMPANY
Name:
Policy #:
Effective Date:
Name of Insured:
Address:
Insured Vehicle:

PASSENGER(S):

 

WITNESS(ES):
Name/Address/Phone #

 

ACCIDENT INFORMATION
Date:
Time:
Location:
Police Officer:

SUCCESSFUL CASE RESULTS

Client vs. Private Bus Company

Wrongful Death of Husband and Father in Bus Accident Settlement: $4,200,000

Client vs. State of California

Dangerous highway off -ramp resulting in spinal injuries and paralysis Settel ment: $2.800,000

Client vs. Western Building

Construction truck runs red light, hits pedestrian and causes Brain Damage Settlement: $2.030,000

Client vs. Tow Truck Company

Fatal truck crash, wrongful death policy limits Settlement $545,000

THE LEGAL EXAMINER

SAN FRANCISCO