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Printable Accident Report Questionnaire

Printable Accident Report Questionnaire

Car Rental Insurance: Do You Really Need it?

Accidents happen…and our staff here at Remland Insurance is here to help in your time of need. The following is valuable information you will need if you ever have to file an Auto Insurance Claim…

Contact us ASAP at (714) 532-3341 or call the # on the back of your Insurance ID Card if accident happens after business hours

Information you need when you file an auto insurance claim:

Accident Information

  • Date, Time, & Location
  • Police report # (if taken)
  • Name of Police Department
  • Description of Accident
  • Description of Damage – All vehicles (as detailed as possible)
  • Injuries (if any)
  • Property damage (if any)

Auto Information (involved parties)

  • Year of car
  • Make of car
  • Model of car
  • Color of car
  • License plate number (including state)
  • Number of passengers in each vehicle

Personal Information (involved parties)

  • Name
  • Phone Number
  • Home Address
  • Date of Birth
  • Driver’s license Number
  • Owner of Vehicle(s)
  • Auto Insurance carrier / policy number
  • Location of vehicle (yours only)
  • Condition of vehicle (yours only)

Witness / Pedestrian Information

  • Name
  • Phone Number
  • Home Address

Once all of this information has been filed with your Insurance Carrier, the claims department will proceed with the process by contacting all parties involved including witnesses and get back to you with the final conclusion of the accident. You should receive a phone call or document in the mail stating coverage options and payment needed if the accident is over your deductible.


The COVID 19 virus has certainly changed our lives for the short term both at home and at work. Our office is working in compliance with state and local officials and their request to minimize contact with others for the short term so that we can shorten the life of this virus.
As such, our offices will be available by phone or by e mail 8-5 Monday thru Friday. If you need to make an appointment to come by, please call us before you drop by, so we can reduce risk, and take care of our staff and just be safe.
Please don’t hesitate to call us and if for some reason you can’t reach us, please look at our website for carrier contact information. Thank You for your continued business.

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