Hit-and-Run Accident Incident Report
General Information
Date of Incident
Time of Incident
Location
Reporting Person Information
Full Name
Contact Information
Description of the Incident
Describe what happened
Your Vehicle Information
Make
Model
Year
License Plate
Describe the damage to your vehicle
Hit-and-Run Vehicle Information (if known)
Make
Model
Color
License Plate
Other Identifying Information
Witness Information
Names and Contact Information
Police Report
Officer Name
Report Number