Get Accr 701012 2009

Filling out the ACCR 701012 online can streamline the process of reporting vehicle incidents. This guide provides a detailed, step-by-step approach to assist users in completing the form accurately and efficiently.

Follow the steps to complete the ACCR 701012 effectively.

1. Click the 'Get Form' button to download the form and open it in your preferred editor.
2. Enter today’s date in the specified format: month, day, and year. This is crucial for record-keeping purposes.
3. Fill in the vehicle owning area number, rental agreement or trip ticket number, and vehicle unit number. Ensure that all details accurately reflect the rental agreement.
4. Record the mileage and locations involved: renting location number and return location number. This helps identify the journey trajectory.
5. If the incident involves an employee accident, check the corresponding box and fill in the required fields on the right side of the form.
6. Provide the license plate number along with the state or province details. This is necessary for vehicle identification.
7. Document the date and time of the incident accurately, including the exact location where the incident occurred (city, state/province).
8. Fill in the police report number and include any police information such as the name of the officer, badge number, and phone number.
9. Complete customer details including name (last, first), email address, and physical address. This contact information is essential.
10. Add the customer's work phone number and insurance information, including the name of the insurance provider and policy number.
11. Provide details about the driver, including their name as it appears on their driver’s license and the driver’s license number and issuing state/province.
12. Indicate the vehicle make, year, license plate number, and number of occupants in the vehicle at the time of the incident.
13. Describe the damages incurred by the vehicle or property. This detail is crucial for insurance evaluations.
14. Document any injuries sustained in the incident, including names and contact information for any witnesses.
15. Read and acknowledge the driver/customer statement about damage responsibility and the cooperation required during the investigation.
16. Indicate if the rental vehicle is drivable, specifying any damages and whether it was towed.
17. Once all information is complete, save your changes. You may also choose to download, print, or share the form as needed.

Complete your ACCR 701012 form online now for a smooth reporting process.