Collision form

How do I fill out a collision form?

Are you involved in a collision? Then you and the other party complete the claim form. You do this on the spot, immediately after the accident. That way, everything is still fresh in your mind and you can fill out the form correctly. The form has a front and a back. You only need to fill out the front together with the other party. You can also fill out the back side at home. Then send the claim form to your insurer. Below we will briefly explain both sides of the form.

What to do at the front?

On the front of the claim form you will see the numbers 1 to 15. For each number there is information that you and the other party must fill in. Go through all the steps calmly and fill in everything as completely as possible.

Also clearly discuss with the other party who fills in their details under vehicle A, and who under vehicle B. At number 6, the details of the policyholder are requested. Number 9 asks for the driver's details. For number 9, you should always fill in the details of the driver at the time of the collision. Was your vehicle parked at the time of the collision and no one was present? Then you cannot fill in the driver's details.

In the middle of the form you will see number 12, indicated as "reason". Here you can tick the appropriate box or boxes. This makes it much clearer for the insurance company to assess how the collision happened. At the bottom of the form, at number 14, marked "my comments", both parties can give a brief explanation.

Once all the information has been completed and both parties agree with what is written on the form, the form should be signed by both persons. After signing, the original can be torn off from the reprint so that both parties involved have their own form.

What to do at the back?

The completion of the back of the claim form is often forgotten by the insured. Yet it is very important for the insurance company that the reverse side is completed. You can fill in the reverse side at home. You do not need the other party to do this. By filling in the reverse side of the form, it makes the claim form your own.

A lot of information is requested on the back of the claim form, but not everything is equally important. The most important eight points to be filled in are the following:

1. Policyholder

2. Driver
3. Damage to your motor vehicle
4. Police
5. Victims
6. Circumstances of occurrence
7. Liability
8. Date and signature

Please make sure that you fill in all the information covered by these points. For example: The data that fall under policyholder are name, account number, profession, employment/self-employment and right to deduct VAT.

If you have also completed the back of the form, you can send it to your insurance company or insurance agent. They will then be able to deal with your claim.

Filling in a collision form: what to pay attention to?

Filling in a collision form is not complicated. Nevertheless, mistakes are often made. For example, the form is filled in incorrectly or incompletely and submitted to the insurer. Therefore, we would like to give you some tips that you can use when filling in a collision form:

Does the front cover need to be completed in full?

The collision form is not compact. At first glance, many questions seem superfluous, but almost all questions must be answered. At least, as far as possible. For example, if you do not have a green card with you, it is not a problem to skip the questions about the green card. The form can be completed by two people. You fill in your details under vehicle A or vehicle B.

Will the completed data be printed on a second form?

The collision form consists of two sheets. Everything you fill in on the first form is printed on the second. After filling in and signing, both parties involved will receive one of the forms. You can send this to your insurer. You can fill in the back of the form on your own. You can also do this later. Fill in the back before you send the collision form to the insurer.

Do both parties have to sign the front?

Together with the other party, you must describe how the damage arose. It can only become one story if both parties agree. Only if the collision form is signed by both parties, do both parties declare that the story is true. Therefore, in case of damage, always make sure that there is a signature of both parties on the form.

What if you do not agree?

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

Can I still adjust the front?

After the collision forms have been torn apart, you may no longer make any adjustments to the front. The other party has signed the form without the modifications that you add later. If you have forgotten something, it is better to use the back of the form to explain or complete the front.

Where can I get a collision form?

You will receive a collision form when you take out car insurance. You should keep this in your car, so you always have it to hand in case you have a collision. You can also request the form from your insurer or broker. Finally, you can also download and print it here.

Who should fill in the collision form?

You must fill in the front of the accident form together with the other party. You do this immediately after the accident. You must both submit a collision form to your insurer, but the information on the forms must of course match. You can fill in the back of the form at home. On it you can fill in your personal details, among other things.

Should you fill out the collision form together?

A slightly different representation of the situation and the circumstances of an accident can make a big difference in liability law. The financial interests are high, so people sometimes choose to distort the facts. This can lead to a stalemate. Your collision form shows that the other party is liable for the damage. According to the other party's form, you are to blame. You can avoid this by filling in a collision form together.

Download a free collision form through Alpina

Always keep a claim form in the car. In the unlikely event that something happens, you can settle this properly with the other party. On our website you can download an online claim form.