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The form gathers policyholder information, VAT status where relevant, and full driver details including licence, experience, convictions, and medical limitations. It also records witnesses, injured persons, vehicle particulars, accident circumstances, police evidence, and third-party vehicle or property damage. A sketch and a detailed narrative section support assessment of liability and claim handling, including anti-fraud information sharing.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/motor-accident-report-form-accident-information-and-driver-details/269358/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/motor-accident-report-form-accident-information-and-driver-details/269358.png","ImageObject",300,407,{"name":92,"@type":93},"Chloe Bennett","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information is required for the policyholder section?","Question",{"text":113,"@type":114},"The form requests the policyholder’s name, occupation, phone number, and address including postcode, along with the policy number.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What driver details must be completed in the driver section?",{"text":118,"@type":114},"The driver’s name and address, occupation, date of birth, licence number, type of licence held, date test passed, driving experience in the U.K., and whether there are convictions or physical infirmities must be provided, including related details if applicable.",{"name":120,"@type":111,"acceptedAnswer":121},"Which accident and vehicle specifics are needed for claim assessment?",{"text":122,"@type":114},"The form collects accident date and time, location and road conditions, your position on the road and approximate speed, horn and lamp information if dark, perceived blame, and vehicle particulars such as registration, make/model, VIN/chassis number, valuation, colour, and year of make.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},269358,1789450910,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":24},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","# 1 POLICYHOLDER          \n\n\n| Name_   |  |\n| --- | --- |\n| Occupation_   | Policy No._   |\n| Tel.No.Home   | Bus.   |\n| Address_   |  |\n|  |  |\n|  | Post Code_   |\n\n# 2 V.AT.            \n\n\n| ls the vehicle owner registered for VAT purposes?  \u003Cbr>YES/NO  \u003Cbr>If YES state if the VAT included in the cost of repairing or replacing the  \u003Cbr>vehicle can be recovered  \u003Cbr>a)Completely b)Partially_____%  c)Not at all (delete as necessary)   |\n| --- |\n\n# 3 DRIVER OR PERSON IN CHARGE OF VEHICLE□  \n\n\n| It is sill necessary for this section to be fully completed even if the  \u003Cbr>policyholder was the driver or the vehicle was unattended or parked.  \u003Cbr>Name___   |\n| --- |\n|  |\n| Address_   |\n| Occupation_   |\n| Date of Birth_   |\n| Licence No.   |\n| Driving Licence held Full/Provisional/Heavy Goods/International/Other  \u003Cbr>(delete as appropriate)  \u003Cbr>Date test passed_   |\n| Length of recent and regular driving experience in the U.K.etc.   |\n| YES/NO  \u003Cbr>Has he/she been convicted of any motoring offences?  \u003Cbr>If so give details_   |\n| Has he/she any physical infirmity,or defective vision or hearing,or lost  \u003Cbr>a limb or an eye YES/NO.If so give details_   |\n| If your permanent Driver,how long has he/she been in your employ?   |\n| YES/NO  \u003Cbr>Has he/she,in his/her name,a Motor Insurance Policy?  \u003Cbr>If so please state name of Insurers and the Policy Number   |\n\n# 4 NAMES AND ADDRESSES OF WITNESSES   \n\n\n| Independent   |\n| --- |\n|  |\n|  |\n| Passengers(State if injuries sustaned by any such person,and,if so the  \u003Cbr>nature thereof)   |\n|  |\n|  |\n|  |\n\n# 5 INJURED PERSONS              \n\n\n| Give name(s)and address(es)of anyinjured persons(other than occupants  \u003Cbr>of your car)_   |\n| --- |\n|  |\n|  |\n|  |\n|  |\n| Nature of injuries   |\n\nPARTICULARS OFMOTOR ACCIDENT  \n# 6 PARTICULARS OF VEHICLE            \n\n\n| Present Value  \u003Cbr>Reg.No._   |\n| --- |\n| cC's_  \u003Cbr>Colour_  \u003Cbr>Year of Make   |\n| Make &Model_   |\n| VIN/Chassis Number_   |\n| If the vehicle is not your property entirely state the name and address of the  \u003Cbr>owners including any finance company interested.   |\n| State exact details of the journey at the time of accident  \u003Cbr>Travelling from  \u003Cbr>to_   |\n| What was the purpose of the journey?(The word PRIVATE is not sufficient)   |\n| YES/NO  \u003Cbr>Was the vehicle being used in accordance with yourinstructions?  \u003Cbr>How many passengers were being conveyed?_   |\n| State nature and weight of any goods carried,and gross vehicle weight   |\n| (For Commercial Vehicles only)   |\n\n# 7 PARTICULARS OF ACCIDENT       \n\n\n| Date and time of the accident?_  \u003Cbr>Where did the accident occur?   |\n| --- |\n| Class of road  \u003Cbr>Approximate width of road  \u003Cbr>Condition of road_  \u003Cbr>Your position on road_  \u003Cbr>If driving on n/s how far out were n/s wheels from kerb?  \u003Cbr>At what speed was your vehicle travelling immediately prior to the  \u003Cbr>Was your horn sounded?  \u003Cbr>accident?_  \u003Cbr>If dark,what lamps were showing on your vehicle?_  \u003Cbr>Who in your opinion,was to blame?_  \u003Cbr>Give name if other than yourself or driver_   |\n| Are you a member of the AA or RAC?_   |\n\n# 8 POLICE EVIDENCE               \n\n\n| Did the Police take evidence or particulars?  \u003Cbr>YES/NO  \u003Cbr>lf so,give his/her Number and Station_   |\n| --- |\n|  |\n| Was he/she a witness?    YES/NO  \u003Cbr>YES/NO  \u003Cbr>Did he/she indicate that anyone may be prosecuted?  \u003Cbr>If so,whom?_   |\n\n# 9 PARTICULARS OF THIRD PARTY VEHICLE INVOLVED  OR OTHER PROPERTY DAMAGED         \n\n\n| Name &address of the owner_   |\n| --- |\n|  |\n|  |\n| Name &address of the driver_   |\n|  |\n|  |\n| Make,Model,Reg.No.&Colour_   |\n|  |\n| Nature of damage_   |\n|  |\n| Has notice of any claim been given to you?  \u003Cbr>YES/NO  \u003Cbr>lf in writing,forward immediately unanswered.If verbally,give particulars   |\n| Details of the third party Insurers if known   |\n\n10 SKETCH  \n\n| YOUR VEHICLE   |\n| --- |\n|  |\n|  |\n|  |\n|  |\n| If your Policy covers the cost of repairs to your vehicle in the interest o both  \u003Cbr>Policyholder and the Underwriters","cbCaihOV8E4GnCKe","https://ap.wps.com/l/cbCaihOV8E4GnCKe","pdf",1592824,"English","# 1 Policyholder\n# 2 VAT\n# 3 Driver or person in charge of vehicle\n# 4 Names and addresses of witnesses\n# 5 Injured persons\n# 6 Particulars of vehicle\n# 7 Particulars of accident\n# 8 Police evidence\n# 9 Particulars of third party vehicle involved or other property damaged\n## 10 Sketch - Your vehicle\n## 11 Explain fully how accident occurred\n## 13 Information for deciding liability","[{\"question\":\"What information is required for the policyholder section?\",\"answer\":\"The form requests the policyholder’s name, occupation, phone number, and address including postcode, along with the policy number.\"},{\"question\":\"What driver details must be completed in the driver section?\",\"answer\":\"The driver’s name and address, occupation, date of birth, licence number, type of licence held, date test passed, driving experience in the U.K., and whether there are convictions or physical infirmities must be provided, including related details if applicable.\"},{\"question\":\"Which accident and vehicle specifics are needed for claim assessment?\",\"answer\":\"The form collects accident date and time, location and road conditions, your position on the road and approximate speed, horn and lamp information if dark, perceived blame, and vehicle particulars such as registration, make/model, VIN/chassis number, valuation, colour, and year of make.\"}]","Motor Accident Report Form - Accident Information and Driver Details | PDF"]