TEXAS CAR ACCIDENT INFORMATION FORM
Driver Information
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Telephone: |
Date of Birth: |
Driver’s License No. & State: |
Texas Insurance Information
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Name: |
Telephone: |
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Policy No. |
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Vehicle Information
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Make |
Model |
Color |
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License Plate No. & State |
VIN: |
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Witness Information
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Name: |
Telephone: |
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Address: |
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Name: |
Telephone: |
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Address: |
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Courtesy of:
Robert C. Slim Law Firm, PLLC Tel: (214) 321-8225