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ACCIDENT FORM
DRIVER NAME
TRUCK #
TRUCK COLOR
VIN #
CONTAINER OR BOBTAIL #
Phone
PLATE#
WHERE DID THE ACCIDENT HAPPEN
WAS ANYONE INJURED?
ANYONE TAKEN BY AMBULACE?
ANY VEHICLE TOWED?
FATALITY?
DID YOU GET A TICKET?
ARE YOU AT FAULT?
WHO IS THE OTHER PARTY?
PHONE NUMBER FOR OTHER PARTY?
ANY PASSENGERS?
ANY WITNESSES?
WERE THE POLICE CALLED?
WHAT IS THE REPORT NUMBER?
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