Many types of legal disputes involve claims against a person, business, or insurance company arising out of an accident where you were injured or your property was damaged. This includes both car accidents and “slip and falls.”

Use this form to keep track of the names, addresses, and phone numbers of the parties and witnesses involved along with communications with them, dates of various events, conversations, details from insurance companies and other information you will need to process an accident claim. 

Important to Know:

• This form is for your personal reference, to help you stay on top of matters; it’s not part of your claim.
• Get witness statements in writing as soon as possible.
• When you're ready to inform the appropriate insurance company of an accident, use the "Notice of Insurance Claim." 

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• 7-Zip (http://www.7-zip.org) (for Windows users).
• StuffIt Expander (http://my.smithmicro.com/mac/stuffit/expander.html) (for Macintosh). Please note: Many recently manufactured Macs have a native capability to decompress zip files. See your computer's user manual for verification of this and instructions for access.

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