Fleet Vehicle Accident Report
Driver Information
Name
Employee/Driver ID
Contact Number
Driver's License Number
Vehicle Information
Vehicle Number/ID
Make
Model
Year
License Plate Number
Fleet Manager
Accident Details
Date
Time
Location
Weather Conditions
Describe What Happened
Vehicle Damage Description
Third Party Information
Was a third party involved?
Yes
No
Third Party Details (Name, Contact, Vehicle Info)
Third Party Insurance Information
Injuries
Driver Injuries?
Passenger/Other Injuries?
Police / Emergency
Was Police Notified?
Yes
No
Police Report Number
Officer Name / Badge Number
Additional Comments