Lawyers texarkanaarkansasBailey & Galyen, Attorneys at Law - Texarkana, AR Law Firm 2025

1. Click ‘Get Form’ to open the Incident Information Sheet in the editor.
2. Begin by entering the date at the top of the form. Fill in your name, address, and contact information in the designated fields.
3. Provide details about the incident, including the date, time, and location. Indicate whether police were called and include any report numbers if applicable.
4. For each passenger involved, complete their information including name, contact number, and any injuries sustained. Specify if they received medical treatment.
5. If there was property damage, indicate whether your vehicle is drivable and provide an estimate of damages along with insurance details.
6. Describe your injuries thoroughly in the section provided. Include any medical treatments received post-accident.
7. Complete sections regarding health insurance and prior injury claims as necessary.
8. Finally, review all entered information for accuracy before submitting your completed form.

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