Police Carrier
Resume:
Date:
Name of person involved in accident:
Phone#:
Date of Accident and time:
How many passengers:
What type of car?
Currently employed?
Name of other party involved in accident:
Phone# if available of other party:
Insurance carrier for other party:
Type of car being driven by other party:
What happened and where?
Were the police called out and if so, is there a police report?
What Insurance carrier do you have and how much coverage?
Is a rental car needed?
What types of injuries were sustained? Need to refer to Doctor for treatment.
Contact this candidate