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At speed was the other vehicle traveling? Posted Speed Limit What traffic controls were in effect? For whom? Who had the right of way? What signals were given by you? What signals were given by the other driver? What did you do to avoid the accident? What did the other driver do to avoid the accident? Name of Witness Witness Phone Number ( Home Address ) Information City Driver Description of the Accident/Incident State ZIP + 4 Attached sheets include additional description, witn.

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