Motor Vehicle Accident Questionnaire

State:
Multi-State
Control #:
US-Q1028
Format:
Word; 
Rich Text
Instant download

Description

This form addresses important considerations that may effect the legal rights and obligations of the parties in a motor vehicle accident matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorney's case evaluation and can significantly reduce costs associated with case preparation.



This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new client's needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.


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How to fill out Motor Vehicle Accident Questionnaire?

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FAQ

What is the year, make, and model of the vehicle you were driving at the time of the accident? Were there any other vehicles involved? What type of damage was done to your vehicle? Is your vehicle in need of repairs?

Their name, address, and date of birth. Their license plate number. Vehicle make, year, and model. Passenger information. Their insurance company and any policy information available. Their vehicle's perceived traveling speed.

Don't make any statements right after an accident. Don't admit fault. Don't say you are uninjured. Don't give an official statement or recorded statement. Don't accept a settlement without consulting an attorney. Stick to the facts. Medical records.

Could you please state your full name? Do you understand that this interview is being recorded? Is it being recorded with your permission? If I need to share the information with another adjuster, may I do so? What is your address and telephone number?

Write down their name, home address, birth date, and gender. You'll also want the name of the state that issued their license, their license number, and the date it expires. Give them this information for yourself as well. If the other driver does not have insurance or identification, call the police.

Remain Calm and Polite. Identify the Person You Speak With. Give Only Limited Personal Information. Give No Details of the Accident. Give No Details of Your Injuries. Take Notes. Resist the Push to Settle Immediately.

Stay at the scene. Call 911 for help. Call the police if there's property damage. Get info from the other drivers. Get names and contact info from any witnesses. Take pictures and videos. Do not discuss responsibility for the collision. Speak to a car accident lawyer ASAP.

Write down their name, home address, birth date, and gender. You'll also want the name of the state that issued their license, their license number, and the date it expires. Give them this information for yourself as well. If the other driver does not have insurance or identification, call the police.

Type of incident (injury, near miss, property damage, or theft) Address. Date of incident. Time of incident. Name of affected individual. A narrative description of the incident, including the sequence of events and results of the incident.

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Motor Vehicle Accident Questionnaire