Vehicle Accident & Damage Report
Driver-completed accident / damage report — captures facts, photos, and witness info needed for insurance and DOT reporting.
14 days free, $0 today — this template is included, and everyone else in your company uses it free.
Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.
Built for: Trucking · Fleet Operations · Field Service · Property Management · Government
What's inside this template
Incident Details
- Date and time of incident
- Location (street, city, state, mile marker if highway)
- Weather conditions
- Road surface condition
- Driver name and vehicle # involved
Vehicle Damage
- Photo: front of vehicle
- Photo: rear of vehicle
- Photo: driver-side and passenger-side
- Photo: close-up of damage point
- Description of damage
- Vehicle drivable?
Other Parties
- Other vehicle (year, make, model, plate, VIN)
- Other driver name, license, contact, insurance
- Witness names and contact info
- Photo of other vehicle damage
- Photo of other driver license + insurance card
Authorities & Injuries
- Police called?
- Officer name, badge, agency, report #
- Injuries to anyone?
- EMS response details
Driver Statement
- Sequence of events (what happened in driver's own words)
- Driver signature and date
Common use cases
Frequently asked questions
When does a crash require state DOT reporting?
Most states require reporting within 10 days when injury, death, or property damage exceeding a state threshold (often $500–$2,500) occurs. DOT-regulated commercial vehicles must also report to FMCSA.
Should drivers admit fault on this form?
No — drivers should record facts (location, conditions, sequence of events) but never admit fault. That determination is made by police and insurers using all available evidence.
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Start free with Safety & Compliance — Vehicle Accident & Damage Report is included, and everyone else in your company uses it free.
Rolled out to every employee at AutoZone (125,000), PetSmart (50,000+), A.S. Watson and Raley's (20,000) — and at larger retailers we are not permitted to name.