## Accident scene checklist

## Immediately following an accident, do the following:

**Call Police:** Call 911 and request that an accident report be completed.

**Ensure safety:** Make sure you and others involved are safe. Set emergency signals to prevent further damage or injury.

**Contact company:** Contact your dispatcher or safety manager to report the accident to your company.

**Document the scene:** Take photos, videos, and exchange information with other drivers involved.  
***Only speak with your company representatives, the police, or your insurance provider about the accident.***

**Report to your insurance:** You may report claims 24 hours a day, 7 days a week, 365 days a year.

**• HDVI Fleet Portal** Submit your claim at **https://login.hdvi.com**  
**• Email** Submit your claim to **claims@hdvi.com**  
**• Phone** Report your claim to **708-816-4384**

Scan the QR code or visit  
the **HDVI claims page**  
to download the **form**  
**fillable PDF document.**

## Do NOT:

**Admit fault or say “I’m sorry.”** This can be taken as an admission of guilt.

**Overreact:** Try your best to remain calm.

## Witness information

**Name**  
**Address**  
**Phone**  
**Email**  
**License plate no. & State**  
**Vehicle Description**  
**Name**  
**Address**  
**Phone**  
**Email**  
**License plate no. & State**  
**Vehicle Description**

---

Accident Data

| Date | (MM/DD/YYYY) |
| --- | --- |
| Time | (AM/PM) |
| Location |  |
|  |  |
|  |  |

## Injuries/Fatalities

**Persons injured**  
**Fatalities**  
**Treatment needed**  
**Who? Where were they taken?**

## Investigation

| Was accident investigated by police? |  |
| --- | --- |
|  |  |
| Department |  |
| Officer | Badge # |
| Citation issued? |  |

## Vehicle no. 2

| Type | Make |
| --- | --- |
| Model | Year |
| Driver |  |
| Address |  |
|  |  |
| License Plate No & State |  |
| Owner |  |
| Address |  |
| Phone |  |
| Insurance Company |  |
| Policy # |  |
| Towed? |  |
| Wrecker Service Info |  |
| Damage to Vehicle |  |

## Vehicle no. 3

| Type | Make |
| --- | --- |
| Model | Year |
| Driver |  |
| Address |  |
|  |  |
| License Plate No & State |  |
| Owner |  |
| Address |  |
| Phone |  |
| Insurance Company |  |
| Policy # |  |
| Towed? |  |
| Wrecker Service Info |  |
| Damage to Vehicle |  |
|  |  |