Accident Report Form

How do I fill out an accident report form?

If you’re involved in a collision, you and the other party should fill out the accident report form together. Do this on the spot, immediately after the accident. That way, everything is still fresh in your memory, and you can fill out the form correctly. The form has a front and a back. You only need to fill out the front side together with the other party. You can fill out the back side at home. Then, send the accident report form to your insurer. Below, we’ll briefly explain both sides of the form.

What should I do at the front?

On the front of the accident report form, you will see the numbers 1 through 15. Each number corresponds to information that you and the other party must fill out together. Take your time to go through all the steps together and fill out the form as completely as possible.

Also, clearly discuss with the other party who will fill in the information for Vehicle A and who will fill in the information for Vehicle B. Item 6 asks for the policyholder’s information. Question 9 asks for the driver’s information. For question 9, you should always enter the information of the driver who was behind the wheel at the time of the collision. If your vehicle was parked at the time of the collision and no one was present, then you should leave the driver section blank.

In the middle of the form, you’ll see number 12, labeled “circumstances.” Here, you can check the box or boxes that apply. This makes it much easier for the insurance company to assess how the collision occurred. At the bottom of the form, under number 14, labeled “my comments,” both parties can provide a brief explanation of their own.

Once all the information has been filled out completely and both parties agree with the contents of the form, the form must be signed by both individuals. After signing, the original can be torn off from the carbon copy so that both parties have their own copy of the form.

What should I do about the back?

Policyholders often forget to fill out the back of the accident report form. However, it is very important to the insurance company that the back be filled out. You can take your time filling out the back at home. You do not need the other party to do this. By filling out the back of the form, the accident report form becomes *your* form.

The back of the accident report form asks for a lot of information, but not all of it is equally important. The eight most important items that must be filled out are as follows:

1. Policyholder
2. Director
3. Damage to Your Motor Vehicle
4. Police
5. Victims
6. Circumstances at the Time of the Incident
7. Liability
8. Date and Signature

Please be sure to fill in all the information covered by these items. Example: The information required for the policyholder includes name, account number, occupation, employee/self-employed status, and eligibility for a VAT deduction.

If you have also filled out the back of the form, you can send it to your insurance company or insurance broker. They can then process your claim.

Filling Out an Accident Report Form: What Should You Keep in Mind?

Filling out an accident report form isn't complicated. However, mistakes are made regularly. For example, the form may be filled out incorrectly or incompletely and submitted to the insurance company. That's why we'd like to give you a few tips to help you fill out an accident report form:

Does the front have to be completely filled in?

The accident report form is not concise. At first glance, many of the questions may seem unnecessary, but virtually all of them must be answered—at least to the best of your ability. For example, if you do not have a green card with you, it is okay to skip the questions about the green card. The form can be filled out by two parties involved in the accident. You should enter your information under Vehicle A or Vehicle B.

Will the information entered be copied onto a second form?

The accident report form consists of two pages. Everything you fill out on the front of the form is carbon-copied onto the second sheet. After completing and signing the form, both parties involved will receive one of the forms. You can forward this to your insurance company. You can fill out the back on your own. You can also do this later. Be sure to fill out the back before sending the accident report form to your insurance company.

Do both parties need to sign the front page?

The idea is for you and the other party to describe together how the damage occurred. A single account can only be established if both parties agree on it. Only when the accident report form has been signed by both parties do both parties confirm that the account is accurate. So, in the event of damage, always make sure that both parties have signed the form.

What if you don't agree?

When filling out the form, there may be disagreement about the circumstances of the damage. Nevertheless, it is important to fill out the form together. If you disagree with the description on the form, you can make a note of this. You can do so at the bottom of the form. For example, you can indicate that you do not agree with how the situation is described. It is then up to the insurers to assess the claim and contact the parties involved to get an accurate picture of the situation.

Can I still make changes to the front page?

Once the accident report forms have been separated, you may not make any further changes to the front page. The other party has signed the form without the changes you add later. If you’ve forgotten something, it’s best to use the back of the form to clarify or supplement the information on the front.

Where can I get an accident report form?

You will receive an accident report form when you purchase auto insurance. You should keep this form in your car so that you always have it on hand in case you’re involved in an accident. You can also request the form from your insurer or insurance agent. Finally, you can download and print it here.

Who should fill out the accident report form? 

You and the other party should fill out the front of the accident report form together. You should do this immediately after the accident. Both of you must submit an accident report form to your insurer, but the information on the forms must, of course, match. You can fill out the back of the form at home. There, you’ll enter your personal information, among other things.

Do you have to fill out the accident report form together?

Presenting the situation and circumstances of an accident in a slightly different light can make a big difference under liability law. The financial stakes are high, so people sometimes choose to distort the facts slightly. This can lead to a stalemate. Your accident report form indicates that the other party is liable for the damage. According to the other party’s form, you are at fault. You can prevent this by filling out an accident report form together.

Request an Accident Report Form

Have you lost your accident report form, or have you already had to use one? If so, you can request a new form from your insurer or insurance agent. You can also simply download the form and print it yourself. Be sure to keep it in your car so you always have it on hand.

Download a free accident report form

Download an accident report form here.

European Accident Report Form

Within Europe, a single accident report form is used. The layout and design are the same; only the language differs. This makes things easier. In the event of an accidentabroad, the parties involved can use the Dutch-language accident report form as a guide to file a claim on an accident report form in another language.

Accident Report Form

You use the accident report form when your car is damaged in a collision, for example, if you accidentally knock off another car’s side mirror or if another driver rear-ends you. It’s best to fill out the accident report form immediately after the accident, since that’s when you’ll remember exactly what happened best. Are you using a printed accident report form? If so, it will need to be filled out twice—once by you and once by the other party. This is because a printed accident report form does not carbon copy. It’s important that both parties have a fully completed accident report form.

Download a free accident report form from Alpina

Make sure you always keep an accident report form in your car. In the unlikely event that something happens, you’ll be able to handle the situation properly with the other party. You candownload anonline accident report form from our website.