Car Accident Checklist


Last Name:


Policy Number:


Last Name:


Policy Number:

Plate (Partial or Full):

Make and/or Model:


Color:


Description of Person:

Call police
if no report has been filed

Already called police and filed a report?

Report Case Number:

Record as much information related to the car accident as possible.

  • Damage to your car
  • Damage to other car(s) involved
  • Other causes of car accident (ex. weather conditions, road conditions)
  • Personal injuries

Host:



Any questions?
Chat with your claims adjuster

Assigned Auto Repair Shop:

667 Randolph Road

San Francisco, CA