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Inspections general

Vehicle Accident & Damage Report

Driver-completed accident / damage report — captures facts, photos, and witness info needed for insurance and DOT reporting.

Built for: Trucking Fleet Operations Field Service Property Management Government

What's inside this template

Incident Details

  • Date and time of incident (critical · weight 1.0)
  • Location (street, city, state, mile marker if highway) (critical · weight 1.0)
  • Weather conditions (weight 1.0)
  • Road surface condition (weight 1.0)
  • Driver name and vehicle # involved (critical · weight 1.0)

Vehicle Damage

  • Photo: front of vehicle (weight 1.0)
  • Photo: rear of vehicle (weight 1.0)
  • Photo: driver-side and passenger-side (weight 1.0)
  • Photo: close-up of damage point (weight 1.0)
  • Description of damage (weight 1.0)
  • Vehicle drivable? (weight 1.0)

Other Parties

  • Other vehicle (year, make, model, plate, VIN) (weight 1.0)
  • Other driver name, license, contact, insurance (weight 1.0)
  • Witness names and contact info (weight 1.0)
  • Photo of other vehicle damage (weight 1.0)
  • Photo of other driver license + insurance card (weight 1.0)

Authorities & Injuries

  • Police called? (critical · weight 1.0)
  • Officer name, badge, agency, report # (weight 1.0)
  • Injuries to anyone? (critical · weight 1.0)
  • EMS response details (weight 1.0)

Driver Statement

  • Sequence of events (what happened in driver's own words) (critical · weight 1.0)
  • Driver signature and date (critical · weight 1.0)

Common use cases

Post-accident driver report
Insurance claim filing
DOT / state crash reporting
Fleet damage trend analysis

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.

Related templates

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