ACCIDENT INFORMATION - Jim S Hall fileThe Accident Attorneys of Jim S. Hall & Associates, LLC 800 N...

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ACCIDENT INFORMATION 504-832-3000 800-299-5059 CALLHALL.COM Other Driver’s Name: _______________________________ Phone: ______________________ Address: ______________________________________________________________________ Other Car Owner’s Name: ___________________________ Phone: ______________________ Address: ______________________________________________________________________ Witness Name: ____________________________________ Phone: ______________________ Address: ______________________________________________________________________ Other Car’s Make ______________ Model _____________Year ______License ____________ Other Car Owner’s Insurance Name: _____________________________________________ Policy #: _________________________________ Phone: ______________________________ GET THESE FACTS The Accident Attorneys of Jim S. Hall & Associates, LLC 800 N Causeway Blvd. | Metairie, LA 70001 | 504-832-3000 | 1-800-299-5059 Licensed in Louisiana and Texas DIAGRAM THE ACCIDENT Accident Details Date and Time:_______________________________ Location: ___________________________________ Police Report # ______________________________ Weather Conditions: __________________________ Road Conditions: ____________________________ Notes:

Transcript of ACCIDENT INFORMATION - Jim S Hall fileThe Accident Attorneys of Jim S. Hall & Associates, LLC 800 N...

Page 1: ACCIDENT INFORMATION - Jim S Hall fileThe Accident Attorneys of Jim S. Hall & Associates, LLC 800 N Causeway Blvd. | Metairie, LA 70001 | 504-832-3000 | 1-800-299-5059 Licensed in

ACCIDENT INFORMATION

504-832-3000800-299-5059CALLHALL.COM

Other Driver’s Name: _______________________________ Phone: ______________________Address: ______________________________________________________________________Other Car Owner’s Name: ___________________________ Phone: ______________________Address: ______________________________________________________________________Witness Name: ____________________________________ Phone: ______________________Address: ______________________________________________________________________Other Car’s Make ______________ Model _____________Year ______License ____________Other Car Owner’s Insurance Name: _____________________________________________Policy #: _________________________________ Phone: ______________________________

GET THESE FACTS

The Accident Attorneys of Jim S. Hall & Associates, LLC 800 N Causeway Blvd. | Metairie, LA 70001 | 504-832-3000 | 1-800-299-5059

Licensed in Louisiana and Texas

DIAGRAM THE ACCIDENTAccident DetailsDate and Time:_______________________________Location: ___________________________________Police Report # ______________________________Weather Conditions: __________________________Road Conditions: ____________________________Notes: