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Vehicle Damage Report Form Template

The vehicle damage report is utilised to collect important information such as information about the driver, vehicle damage, parties/people affected and witnesses statement to verify insurance requirements. First gather some general information of the driver (full name, driver license number, VIN etc.) then add a summary (or you can also attach a sketch the scenario). After that, you take and attach photos as proof for your case and insert signatures and statements from witnesses (if there were any). In the end, you can complete the form with signatures of the driver(s) and the fleet manager.

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Vehicle Damage Report Form Template

Audit

General Information

Driver's Name:

Take a photo of the driver's driver license presenting the DL number:

Phone number of the driver:

Damage Details

Location of incident:

Exact time of damage:

Weather condition

Describe the damage and incident

Take photo to demonstrate vehicle damage:

Degree of vehicle damage

What was the root cause of the damage?

Sketch of the incident:

Attach photo(s) of the involved surrounding vehicle and/or other environment:

Is another driver involved?

Witness/es

Were there witnesses? If so, then answer the following questions:

His/Her statement

Phone number:

Full name and signature of the witness

Summary

Further comments:

Acknowledgment

Driver (Full Name & Signature):

Fleet Manager (Full Name & Signature):

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