Free Motor 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.