2. Give exact time of accident date day and hour. 3. Under Location of Accident show sufficient information to locate exact scene of the accident. PERSONAL REPORT OF ACCIDENT This form should be completed when a traffic accident occurs and a law enforcement officer is not called to make a report. ROAD ACCIDENT OCURRED ON Give name of street or highway number U.S. or State. If no highway number identify by name. L O C A T I N V E H S Space for any third vehicle on reverse side. Total involved Date of Accident Place Where Accident Occurred Day of Week HourA. M. P. M. Weather Clear Raining Fog Etc. DO NOT WRITE IN THIS SPACE City Town County Or Township If accident was outside city miles limits indicate distance from limits of south-north nearest town. Use two disof tances and two directions center of east-west if necessary. This report is for your personal use and should not be mailed to the Department of Driver Services as it will be destroyed upon receipt. Time INSTRUCTIONS 1. Answer all questions to the best of your knowledge. If unable to answer any questions mark not known. 4. Print or type all names and addresses. 5. Sign the report in the space provided on the reverse side. 6. Report must be complete as to exact names birth dates and drivers license numbers. 7. Use a second report form or a sheet of plain paper of the same size to report additional vehicles injured persons or witnesses or any other information for which there is insufficient space. At its intersection with Check and OR complete one Not at intersection Name of intersecting street or highway number of show nearest intersecting street or highway house number bridge driveway or other identifying landmark. YOUR VEHICLE NUMBER 1 Approximate cost Year Make Type sedan truck taxi bus etc* Year State Number Driver Full Name Street City and State Driver s Occupation License Birth DateAgeSex Carpenter Sales Clerk Etc* State Number Mo. Da Yr OwnerOwner s Birth Date Mo Parts of Owner s Vehicle DamagedDriveable Yes No Driver License Is this vehicle covered by Yes IF YES TO EITHER SHOW automobile liability insurance No INSURANCE COMPANY Show name of insurance company not name of insurance agency. If vehicle not covered did driver Yes have liability policy applicable No Show Policy Number Here Address OTHER VEHICLE NUMBER 2 DAMAGE TO PROPERTY OTHER THAN VEHICLE cost to repair NAME OBJECT AND STATE NATURE OF DAMAGE NAME AND ADDRESS OF OWNER OF DAMAGED PROPERTY 3rd J U R D Vehicle No* 3 If third vehicle Involved In Vehicle Passenger Pedestrian Injured Age Sex Race taken to Specify other Nature and Attending Did injured die extent of injuries Doctor taken to Injured Did injured die extent of injuires Light Conditions Daylight Dawn or Dusk Darkness What Pedestrian Was Doing Pedestrian was going N S E W Crossing or entering at intersection Across or intoFromTo Street name highway no. Walking in roadway-with traffic Pushing or working on vehicle Other in roadway Getting on or off vehicle Specify other Standing in roadway Not in roadway Playing in roadway What Drivers Intended To Do Check one for each driver Go straight ahead Overtake and pass Make right turn Make Left Turn Make U Turn Start in Traffic Start from parked position Back Remain stopped in traffic lane Remain Parked Get out of parked or stopped vehicle Witnesses approximate DESCRIBE WHAT HAPPENED Refer to vehicles by number.
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How to prepare Georgia SR 13
Record all Details of the Car Accident with SR 13 Form
Unfortunately, car accidents happen every day. By your fault or incidentally occurred, every event and its participant should be carefully kept in respective documents. The SR 13 form is used for such cases. Before the police and ambulance come it is necessary not to panic and undertake the next actions:
- Try to get out of the car and help the other passengers to do the same. Mind that injured participants need the first aid.
- Examine all damaged vehicles visually to avoid explosion or try to go on a safe distance.
- Wait for policemen and ambulance officers. The participants have to exchange personal and contact details, insurance and driver’s license numbers.
- Complete SR 13 form to supply the insurance company with the relevant information. Additionally, the data about the broken vehicle will help auto mechanic to repair it faster.
How Can One Complete The SR 13 Form in PDF Online?
Fill out the digital blank online not using extra software with your only device connected to the Internet. Click at the “Start Now” button and follow such steps:
- Pryour own personal data and the card number. Mind that all information should be correct and up-to-date.
- Indicate the occupation of the driver and the parts of the damaged automobile.
- For the careful examination of all the events, describe the place where the accident took place and the intentions of the drivers that led to it.
- Do not forget to describe the state of injured persons and pedestrians if there were any. Specify full names and types of wounds they have got.
- If you have not mentioned some details, just mark “Not known” item.
- Finally, describe the vision of all the things occurred in your own words. Certify the document using a legally binding signature, and download the document to keep it in electronic version or print.
Online choices aid you to prepare your doc management and strengthen the productivity of one's workflow. Observe the quick handbook to be able to carry out Georgia SR 13, avoid problems and furnish it in a very well timed fashion:
How to accomplish a Georgia SR 13 internet:
- On the website along with the form, click on Start out Now and move towards editor.
- Use the clues to fill out the applicable fields.
- Include your personal information and facts and get in touch with knowledge.
- Make certain that you just enter right info and figures in applicable fields.
- Carefully look at the subject matter belonging to the sort in the process as grammar and spelling.
- Refer to support section should you have any queries or deal with our Guidance staff.
- Put an digital signature on your Georgia SR 13 when using the guidance of Indication Instrument.
- Once the form is finished, push Performed.
- Distribute the all set kind by means of email or fax, print it out or preserve in your device.
PDF editor lets you to definitely make variations on your Georgia SR 13 from any net connected product, personalize it in keeping with your requirements, signal it electronically and distribute in different approaches.
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