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Constat Amiable Européen Daccident Automobile 2

This document provides instructions for completing a European Accident Statement form at the scene of an accident and afterwards. The key steps are: 1) Get details from witnesses. 2) Complete either the blue or yellow part of the statement form, referring to relevant documents. 3) Have the other driver sign once complete. 4) Mark the point of impact and cross relevant boxes. 5) Draw a plan of the accident location. Afterwards, complete a Motor Accident Report on the back and send the forms to your insurer. The form can also be used for non-vehicle accidents like theft or injury.

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Halvir Dd
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162 views1 page

Constat Amiable Européen Daccident Automobile 2

This document provides instructions for completing a European Accident Statement form at the scene of an accident and afterwards. The key steps are: 1) Get details from witnesses. 2) Complete either the blue or yellow part of the statement form, referring to relevant documents. 3) Have the other driver sign once complete. 4) Mark the point of impact and cross relevant boxes. 5) Draw a plan of the accident location. Afterwards, complete a Motor Accident Report on the back and send the forms to your insurer. The form can also be used for non-vehicle accidents like theft or injury.

Uploaded by

Halvir Dd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LISH

G IMPORTANT - PLEASE READ THIS CAREFULLY


EN Directions for use of the European Accident Statement

GENERAL NOTES
THE OBJECT OF THIS FORM IS TO GET A STATEMENT OF THE FACTS OF
THE ACCIDENT AGREED BY EACH DRIVER. European
The Continental driver will also have a similar form in his own language and it does Accident Statement
not matter which one is completed, BUT you must ensure that you keep either the
original or the copy of the completed form to send to your insurer.
(e.g. a Frenchman may fill in his part of his own form in French, leaving you to
complete your part of his form in English—you will know what the questions mean
by looking at your own form).

INSTRUCTIONS
AT THE SCENE OF THE ACCIDENT

1 Get details of all witnesses before they leave.


Complete question 5. don’t get angry
2. Preferably using a ballpoint pen, complete fully either the blue or the yel-
low part of the Agreed Statement of Facts (you will need to refer to your
insurance certificate, green card and driving licence).
3. When you are satisfied with the accuracy of the statement, sign it and
have it signed by the other driver (15). be polite
4. Don’t forget to
(a) mark clearly under (10) the point of initial impact.
(b) put a cross (x) in each appropriate square on your side of (12) and
state the total number of spaces marked with a cross.
(c) draw a plan of the accident location (13) showing all the information keep calm
indicated.

UNDER NO CIRCUMSTANCES ALTER ANYTHING ON THE AGREED


STATEMENT OF FACTS AFTER COMPLETION

WHEN YOU RETURN HOME see directions for use


1. FULLY COMPLETE the Motor Accident Report on the back of the
English version of the Agreed Statement of Facts.
2. Send the completed Agreed Statement of Facts and Motor Accident
Report immediately to your Insurer.

SPECIAL NOTE
This form may be used even if no other vehicle is involved, for example: own
damage, theft, fire, injury to pedestrian, etc.

KEEP THIS FORM (AND A BALLPOINT PEN) IN YOUR CAR

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