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» Involved in an Accident

Legal Services :: Involved in an Accident?
  • Stop at the scene of the accident.
  • Exchange telephone numbers and contact information from the parties to the accident.
  • Call 911 if there are injuries.
  • Call highway patrol or local police.
  • Do not sign anything, except a traffic ticket.
  • Do not volunteer information about who is at fault for the accident.
  • Obtain and write down as much information as possible from any witnesses at the scene.
  • Seek immediate medical attention for any injuries. If you do not have medical insurance or a family physician, Anthony R. Lopez & Associates will help you get medical treatment with a well qualified doctor near your home or work.
  • Take photographs of the vehicles and accident scene if you have a camera.
  • Report the accident to your insurance company and DMV.
  • Call ANTHONY R. LOPEZ & ASSOCIATES at
    1-800-371-6878.
  • Bring as much of the information listed below for a FREE consultation.
IMPORTANT:
Complete as much of the following information at the accident scene.
Do not wait – memories fade over time! - Please feel free to print this page.

1. Date of the Accident: _______________________Time: ____________ a.m./p.m.
 
 
2. Location of the accident: _______________________________________________________________
 
 
3. Name and driver’s license number(s) of the other driver(s):
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
4. Year, Make, Model, Color, and License Plate No. of each vehicle:
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
 
5. Insurance Company & Policy No. for each vehicle:
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
6. Witness No. 1, Name, Address, & Phone No.
 
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
  Witness No. 1, Name, Address, & Phone No.
      ____________________________________________________________________________________
 
      ____________________________________________________________________________________
 
7. Was anyone injured? List any places where anyone was injured, bruised, bleeding, cut, or sore:
 
      ____________________________________________________________________________________
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