Upload
voanh
View
217
Download
3
Embed Size (px)
Citation preview
ACCIDENT INFORMATION
504-832-3000800-299-5059CALLHALL.COM
Other Driver’s Name: _______________________________ Phone: ______________________Address: ______________________________________________________________________Other Car Owner’s Name: ___________________________ Phone: ______________________Address: ______________________________________________________________________Witness Name: ____________________________________ Phone: ______________________Address: ______________________________________________________________________Other Car’s Make ______________ Model _____________Year ______License ____________Other Car Owner’s Insurance Name: _____________________________________________Policy #: _________________________________ Phone: ______________________________
GET THESE FACTS
The Accident Attorneys of Jim S. Hall & Associates, LLC 800 N Causeway Blvd. | Metairie, LA 70001 | 504-832-3000 | 1-800-299-5059
Licensed in Louisiana and Texas
DIAGRAM THE ACCIDENTAccident DetailsDate and Time:_______________________________Location: ___________________________________Police Report # ______________________________Weather Conditions: __________________________Road Conditions: ____________________________Notes: