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  • Vehicle Accident Notification Form - Clayton County - Claytoncountyga

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VEHICLE LOSS NOTICE Important: Use this form to notify Risk Management of single or multiple vehicle accidents, parked and/or unoccupied accidents, acts of vandalism, theft or any other vehicle incidents.

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How to fill out the VEHICLE ACCIDENT NOTIFICATION FORM - Clayton County - Claytoncountyga online

Filing the Vehicle Accident Notification Form accurately is essential for notifying Risk Management about incidents involving county vehicles. This guide will provide you with clear instructions to complete the form online, ensuring that all necessary information is submitted in a timely manner.

Follow the steps to fill out the Vehicle Accident Notification Form online.

  1. Press the ‘Get Form’ button to obtain the form and open it for editing.
  2. Begin by entering the date and time of the accident. This information is critical for documentation purposes.
  3. Fill in the accident location accurately; this should include specific details of where the incident occurred.
  4. Indicate the investigating law enforcement agency and the case number if applicable. This helps in tracking the incident through official channels.
  5. Specify if photos were taken at the scene. If so, provide the name of the individual who captured the images and ensure that copies are sent to Risk Management.
  6. Identify the department or division involved in the incident, along with the name of the employee engaged in the accident. Clearly describe their role (Driver, Witness, Passenger, or Other).
  7. If there were other employees involved, list their names here as well.
  8. Indicate if any employees sustained injuries and provide their names if applicable, reminding users to complete a statement form for each involved employee.
  9. Provide specifics about the county vehicle involved, including vehicle number, year, make, model, and vehicle identification number (VIN).
  10. Select the cause of the accident from the provided options, including Collision, Vandalism, Theft, and more. If 'Other' is applicable, specify the cause.
  11. Describe the damages to the county vehicle succinctly.
  12. If there was another vehicle involved, list its year, make, and model, as well as the vehicle insurance company name and policy number, if applicable.
  13. Provide descriptions of any damaged property involved in the accident, including the owner's name and telephone number.
  14. Indicate whether there were any injuries to the driver or passengers in the other vehicle, and whether an ambulance was called.
  15. List any witnesses to the accident, including their names and contact details.
  16. Finally, include the name and telephone number of the person notifying Risk Management, as well as the date you are submitting the form.
  17. Upon completion, you can save the changes, download the form, print it, or share it as necessary.

Complete your Vehicle Accident Notification Form online today to ensure timely reporting!

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