Emergency Vehicle Accident Investigation Form
General Information
Date of Accident
Time of Accident
Location
Report Number
Investigator Name
Vehicle Information
Vehicle ID/Number
Make / Model
Year
License Plate
Vehicle Type
Driver Information
Driver Name
Driver's License Number
Phone Number
Address
Accident Details
Description of Incident
Weather Conditions
Road Conditions
Describe Damage to Vehicle
Other Parties Involved
Name(s) of Other Party(ies)
Contact Information
Other Vehicle(s) Details
Injuries
Describe Any Injuries
Witnesses
Name(s) of Witnesses
Contact Information
Additional Notes
Notes/Comments