Accident Report Form

Accident Report Form

Why should an Accident Report Form be completed?

An Accident Report Form is a standard claim statement that clearly describes the circumstances of the accident.

Although it is not mandatory, it is highly recommended as it helps to protect your interests while allowing the insurer to assess the damages and determine liability between you and the other driver.

Front and back of an Accident Report Form

The front of an Accident Report Form is the most important part.

  • This is where both drivers detail all the circumstances of the accident.

In the event of a disagreement, each driver can provide their own version of the facts by ticking the relevant boxes and adding comments.

  • The column that contains the checkboxes is important.

It determines liability and cannot be modified once the copies are separated.

  • The front of an Accident Report is unquestionable once signed by both drivers.

It constitutes a joint accident declaration.

  • If the other party refuses to sign the declaration, call the police.

Note the address and telephone number of the local police station and the name of the agent drafting the accident report so that your insurer can contact them quickly.

The back of an Accident Report helps speed up the compensation process by providing your insurer with essential information. Each party fills out the back of their own copy, meaning it cannot constitute evidence because, unlike the front, is not completed jointly.


Front of an Accident Report Form

The following information should be recorded for both vehicles as accurately as possible:

  • 1. Date of the accident.
  • 2. Country and location of the accident.
  • 3. Names and addresses of witnesses.
  • 4. Contact details of the policyholder (box 9 of the Green Card).
  • 5. Vehicle registration number (box 5).
  • 6. Contact details of the insurer (box 10).
  • 7. Green Card and insurance policy number (box 4).
  • 8. Tick the checkboxes corresponding to the circumstances of the accident: only tick the boxes in your column (A or B) that apply to your circumstances and not for the other vehicle.
  • 9. Contact details of the driver (not necessarily the policyholder).
  • 10. Mark the point of impact on each vehicle with a cross or arrow.
  • 11. Draw the accident scene, including the road, direction of traffic, signs, road markings, etc.
  • 12. Specify any material damage resulting from the impact.
  • 13. Add any comments that clarify the circumstances.
  • 14. Sign the document (mandatory).

Back of an Accident Report Form

The back of the Accident Report Form is used to complete the information provided on the front. You must:

  • 1. State your name (if you are the policyholder).
  • 2. Specify whether the driver is the policyholder or not.
  • 3. Describe the circumstances of the accident.
  • 4. State whether a police report has been filed.
  • 5. Mention any material damage other than the damage caused to the two vehicles (e.g. A third vehicle or public property).
  • 6. Specify the number of injured persons and provide their contact details. In the case of injuries, the police should have attended the scene, so note the address and telephone number of the local police station and the name of the officer who drafted the report of the accident so that your insurer can access the information quickly. If you are injured, keep any supporting documents for any expenses incurred.
  • 7. Sign the document.