Get Mandatory To Be Attached On Separate Sheet

Filling out the Mandatory To Be Attached On Separate Sheet is an essential step in documenting vehicle accidents. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to access the Mandatory To Be Attached On Separate Sheet online. Opening the form will allow you to begin filling it out.
2. In the first section labeled 'For State Use Only,' enter the state claim number, budget account number, coverage details, and the name of the adjuster.
3. Fill in the date and time of the accident under 'A.M./P.M.' along with the location of the accident.
4. Provide complete information about the driver involved, including their name, agency, office address, business phone number, driver's license number, and expiration date.
5. Detail the vehicle information, including the VIN, plate number, year, make, and model of the vehicle. Specify if it is a motor pool vehicle and describe any damage to the state vehicle.
6. Next, provide the details of any other party involved in the accident, including their owner's name, insurance company, policy number, and vehicle information.
7. Describe any damages to the other vehicle and any reported injuries.
8. Explain the sequence of events leading to the accident in the designated section, outlining what occurred beforehand.
9. Indicate if the accident was reported to law enforcement, providing the report number and detailing any citations issued.
10. Include a diagram that shows the positions of the vehicles involved in the accident, marking points of contact and direction.
11. List any witnesses to the accident, including their names, addresses, and phone numbers.
12. Document information about any injured persons, ensuring to indicate if any are NSHE employees.
13. Finally, review the form for accuracy, obtain the necessary signatures from the NSHE driver and the department head.
14. Save your changes, download the form, and share it as necessary with the relevant offices.

Complete the Mandatory To Be Attached On Separate Sheet online to ensure accurate documentation of vehicle accidents.