Fleet Vehicle Accident Report
Driver Information
Driver Name
License Number
Phone Number
Address
Vehicle Information
Fleet/Vehicle Number
Make
Model
Year
License Plate
Accident Information
Date of Accident
Time
Location
Weather Conditions
Road Conditions
Speed at Time of Accident
Description of Accident
Describe what happened
Other Party Information
Name
Phone Number
License Number
Vehicle Make/Model
License Plate
Insurance Company
Police Information
Were Police Notified?
Yes
No
Report Number
Officer Name
Witness Information
Name
Phone Number
Statement