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Free Motor Accident Information Form

Free Motor Accident Information Form
Mar 24, 2022 gnuworld
accident information form

We’ve compiled a free motor accident information form you can print out and keep in the cubbyhole of your car.

If you’re ever involved in a road accident, you can use the form to guide you in gathering relevant information, at the accident scene or soon after the incident.

Why it’s important to record accident information

Motor vehicle accidents are stressful and disorienting. However, knowing which questions to ask and recording relevant information at the time can protect your rights.

Reporting an accident to the police

Under the National Road Traffic Act, it’s legally required that you report a road accident that seriously injures anyone to the police. You can make this report at the accident scene or at any police or traffic department.

You’ll be required to complete an official Accident Report (AR) form.

Once the form is completed, an entry is made in the official Accident Register (SAPS 176) and you’ll be given an official reference number.

Supporting insurance and road accident claims

Using a motor accident information form to collect the right information can help you support subsequent claims.

You’ll need to supply accident details if you plan to pursue an insurance claim.

If you sustain an injury in a motor vehicle accident, collecting the right information can also equip you with suitable evidence to support a claim against the Road Accident Fund (RAF). This may entitle you to compensation.

Motor Accident Report Form

Note that this form is not an official Road Accident Fund form or police document –  – just a useful document for making sure you record relevant information.

You can download a copy of the official police Accident Report (AR) form here.

We suggest printing our free motor accident information form and keeping it in your vehicle, in case you’re one day involved in an accident (or need to assist someone else who is). Open a PDF version for printing.

The Accident
Date:
Time:
Location:

Accident Details
Speed:
Lights on:
Direction travelling:

Conditions
Road:
Weather:
Visibility:

SAPS Information
Case Number:
Police Station:
Telephone No:
Contact Officer:

Damages
Your vehicle: ____________________________

________________________________________

________________________________________

_______________________________________

Other vehicle: ___________________________

________________________________________

________________________________________

________________________________________

Description of Accident

­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

Driver Details
Name:
ID No:
Telephone No:
Email Address:
Physical Address:

Owner Details (If different to drivers)
Name:
ID No:
Telephone No:
Email Address:
Physical Address:

Vehicle Details
Make:
Registration No:
Insurance Co:

Witness #1:
Name:
Telephone No:
Email Address:

Witness #2:
Name:
Telephone No:
Email Address:

Sketch of Accident Scene

 

 

 

 

 

 

 

If possible take photographs or videos of the scene of the accident and surrounding environment, the vehicles involved and their licence plates and discs and any damage to the vehicles.

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How DSC Attorneys can help after an accident

At DSC Attorneys, all our attorneys are highly qualified in personal injury law and have extensive combined experience in handling road accident claims. Contact us for expert legal advice and representation. We work on a “no win, no fee” basis.

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