PHOTO TIPS THE ACCIDENT

(Indicate below the points of collision)

DOCUMENTING THE
ACCIDENT REPORT ALL ACCIDENTS
When a crash happens, it is

d i a t e l y
Imme
important to properly document the
scene. A photo of a crash scene can
help save you thousands of dollars.
1. Take pictures of the roadway
(856)333-6510
from all angles.
• Include shots of skid marks Date and TIme of Call ____________________________________
ARC Claim Processor: ____________________________________
or gouges on the pavement
ARC Claim Number: ____________________________________
from the same distance on
each side. SECURE THE SCENE
• Move back along the road
so that you can see how ☐ Stop; turn on your emergency flashers and shut down your vehicle;
you entered the collision do not move your vehicle until the police arrive.
area. Do the same from the ☐ Set out warning devices; protect the scene. Assist the injured by
other driver’s perspective. do not move anyone; wait for medical assistance.
DOCUMENTING THE ACCIDENT
2. If anyone stops at the scene,
When a crash happens, it is important to properly document the scene.
photograph their license plate. NOTIFY THE AUTHORITIES
A photo of a crash scene can help save you thousands of dollars.
3. If the other driver or passengers ☐ Call the police and your company: request medical assistance if
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Comments: _________________________________________
Vehicle damage (describe) ____________________________
Injuries (describe) ___________________________________
Location of accident _________________________________
Driver’s Name ______________________________________

leave their vehicles and are needed. (Use a phone or CB or ask a passerby to make the call for
Here are some picture-taking tips for getting the best photo you.)
walking around uninjured, take
documentation at a crash scene: ☐ Call ARC: (available 24/7) to report the accident.
a picture of them.
Tractor # ______________ Trailer # ______________

• DO NOT photograph ☐ Stay at the scene: Be polite and courteous. Do not admit guilt or
1. Take pictures of the roadway from all angles. apologize.
Can vehicle move under its own power Yes or No

injured people in the

accident.
4. Take pictures of the vehicle(s)
or object(s) that were involved
in the crash.
• Include photos of the
2.
damaged area(s) from each
3.
side
• More detailed pictures of
the vehicles can be taken
4.
away from the scene of
collision if necessary.
5. Take pictures of any traffic
signals/signs that apply to the
5.
crash scene.
• Include shots of skid marks or gouges on the pavement from
the same distance on each side.
• Move back along the road so that you can see how you
DOCUMENT THE ACCIDENT
☐ If the other driver admits fault, ask them to complete the
entered the collision area. Do the same from the other driver’s
“Exoneration Card”.
perspective.
☐ Give your name, number, address, company name and address,
If anyone stops at the scene, photograph their license plate.
vehicle liscense number, operator’s license and insurance
If the other driver or passengers leave their vehicles and are walking
information to the police and other party involved.
around uninjured, take a picture of them.
☐ Fill in the Accident Report at the scene and if possible, take
• DO NOT photograph injured people in the accident.
pictures of the general scene, the vehicles, and your cargo.
Take photos of the vehicle(s) or object(s) involved in the crash.
☐ Don’t sign anything or make any statements except to the police,
• Include photos of the damaged area(s) from each side
your company or Velocity.
• More detailed pictures of the vehicles can be taken away from
☐ Secure your vehicle from theft and further damage; remain at the
the scene of collision if necessary.
scene until all requirements are met.
Take pictures of any traffic signals/signs that apply to crash scene.
☐ Review post-accident testing requirements: FMCSR 328.303

INSURED DRIVER & VEHICLE OPERATING
INSURED DRIVER & VEHICLE OPERATING
Insured Name __________________________________________
City ___________________ State ____________ Zip _________
Phone _________________________________
Insured Driver’s Name ____________________________________
Phone ___________________
Tractor # ______________ Year __________ Make _____________
Serial # ___________________________
Tractor # ______________ Year __________ Make _____________
Serial # ___________________________
Commodity Hauling ___________________________
Policy Number(s) ___________________________
INJURED PERSONS
1. Name ________________________ Phone _______________
2. Address ___________________________ Age ____________
3. Name ________________________ Phone _______________
4. Address ___________________________ Age ____________
5. Name ________________________ Phone _______________
6. Address ___________________________ Age ____________
7. Name ________________________ Phone _______________
8. Address ___________________________ Age ____________
DAMAGE TO PROERTY (OTHER THAN VEHICLE)
Owner ________________________________________________
Address _______________________________________________
Damaged Property ______________________________________
WITNESSES
1. Name ________________________ Phone _______________
Address __________________________________
2. Name ________________________ Phone _______________
Address __________________________________
3. Name ________________________ Phone _______________
Address __________________________________
Date: ____________
Witness ____________________ Signed _________________
I hereby exonerate and release driver ____________________
__________________________________________________
THE ACCIDENT REMEMBER
of negligence in connection with an accidnet involving the
Address _______________________________________
and ______________________________ from all blame
DETAILS ALL CRASHES/INCIDENTS
DRIVER’S EXONERATION FORM
Date ___________________________ Time _________________ MUST BEREPORTED
Location ______________________________________________ IMMEDIATELY REGARDLESS
City ___________________ State _________ OF SEVERITY OR FAULT.
DRIVER #2 1. Report immediately to police
Name ________________________________________________ 2. Secure the scene & take
on this date ____/____/_____
Address _______________________________________________ pictures
City ___________________ State ____________ Zip _________ • All 3 triangles properly
To whom it may concern:
Phone _________________________________ placed
License Number ________________ Vehicle License ___________ • Obtain information from
Vehicle Year/Make ____________________ other party
Owner ________________________________________________ • Start completing accident
undersigned.
Address _______________________________________________ kit report immediately
Insurance Company _____________________________________ • Take photos: the other
Policy Number __________________________________________ party, their vehicle and
plates
DRIVER #3 3. Report immediately to ARC
Name ________________________________________________ at 856-333-6010.
(over)
I am unable to leave the accident scene. Would you please call:
Address _______________________________________________ 4. Report Immediately to your
Give them the information on the reverse side of this card.
City ___________________ State ____________ Zip _________ company Safety Rep or
____________________________________________
Dispatcher
Phone _________________________________
5. Fill out crash report
Collect at (___) _______________________
and tell them you are reporting an accident.
License Number ________________ Vehicle License ___________
ACCIDENT NOTIFICATION CARD
Vehicle Year/Make ____________________
Owner ________________________________________________
Address _______________________________________________
Insurance Company _____________________________________
(company name)
Policy Number __________________________________________
POLICE DEPARTMENT
Department ________________________________
Officer ____________________ Phone _____________________
Was anyone given a citation or arrested? Yes or No
If yes, what were the charges? ______________________________
Did police make a report? Yes or No Report #: _______________
Did police take photos? Yes or No