6 Kedron Ave.(route 420)
Morton, PA 19070
610-543-4227
homeabout uscontact usservicesaccident form
After an Accident

•Stay Calm.
• Assist injured.
• Call Police and if needed, call Ambulance.
• Take brief notes.
• Don't accept any claim settlement at the scene of accident.
•Call your insurance company.
• Call body shop as soon as possible.
•Call for towing if needed (1-610-662-5673).


Accident Details

Time of accident:
Date of Accident:
Street:
Cross Street:
City:
State:
Weather Conditions:
Road Surface:
Investigating Officer:
Badge #:
Police department:
Phone:

Your vehicle:



Your vehicle's damage:

 

 

Vehicle One:

Owner:
Address:
Phone:
Driver's License #:
State:
Insurance Company:
Policy #:
Make:
Model:
Year:
Color:
Number of Passengers:

Vehicle One's damage:

Vehicle Two:

Owner:
Address:
Phone:
Driver's License #:
State:
Insurance Company:
Policy #:
Make:
Model:
Year:
Color:
Number of Passengers:

Vehicle Two's damage:

Witness(es)

Name:
Address:
Phone:

Name:
Address:
Phone:


Sketch of Accident Scene

map it out

 

You both have my deep gratitude and appreciation for your kind attention to my needs concerning the repairs on my Passat.
~ Mary C. L.

 

It affords me great pleasure to express my thanks to your staff  and associates for the professional manner in which my claim was handled.
~  Maria M.

 

Not only were your prices the best around but the courtesy exhibited by you and your staff was noteworthy.
~ Peter P. (USAir) Supervisor