Download pdf - ACCIDENT INFORMATION - Jim S Hall fileThe Accident Attorneys of Jim S. Hall & Associates, LLC 800 N Causeway Blvd. | Metairie, LA 70001 | 504-832-3000 | 1-800-299-5059 Licensed in

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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: ______________________________

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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:

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