Witnesses- Important! At the time of the accident, immediately get the names and phone numbers of any and all witnesses that may have seen what happened.
Your Doctor- If you are hurt, seek immediate treatment in an emergency room, in order to both treat and document your injuries. Make sure to tell about ALL injuries you received in the accident.
Questions- Call your attorney,
George Teitelbaum, at 202-783-7177
1. Date:______/______/______ Day: _______________________ Time:_____________________ 2. Weather: ______________________________________ Lighting: - Daylight Dusk or Dark 3. Give exact address or location of accident:_____________________________________________ _________________________________________________________________________________ 4. Please describe completely, what happened:____________________________________________ _________________________________________________________________________________ 5. Your observations of the condition of the other driver:____________________________________ _________________________________________________________________________________ 6. If there was a police report, what was number:__________________________________________ 7. Injuries you received as a result of the accident:________________________________________ _________________________________________________________________________________ 8. Diagram of accident:Facts Concerning the Other Party
1. Name of other Driver:______________________________________________________________ 2. Address:_________________________________________________________________________ Home Phone:__________________ Work Phone:________________________________________ 3. His Job:_________________________________________________________________________ 4. His Insurance Company Name:______________________________________________________ Address:_________________________________________________________________________ ____________________________________ Phone:______________________________________ 5. Policy Number:______________________ Claim Number:_______________________________ 6. Name and Address of Owner:_______________________________________________________ ________________________________________________________________________________ 7. Make, Model, Year of Car:________________________________________________________ 8. Tag Number:______________ Driver Licence Number:_________________________________Witnesses
Name________________________________________________________________________________ Address______________________________________________________________________________ City_____________________________________Phone_______________________________________ Name________________________________________________________________________________ Address______________________________________________________________________________ City_____________________________________Phone_______________________________________
We offer a wide variety of estate and elder law services for clients throughout the District of Columbia and Maryland. For more information, please contact our law office today. Attorney George Teitelbaum also assists clients located out of state that may have legal issues in the District of Columbia. To go to my main web site Click here.