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BEFORE YOU BEGIN!

✔ Make sure you are safe
✔ Switch on hazard lights
✔ Move away from traffic
✔ Call emergency services if required (999)

STEP 1: COMPLETE FORM & ADD PHOTOS
STEP 2: SUBMIT REPORT
STEP 3: RECEIVE PDF BY EMAIL

InciCap® Vehicle Incident Report

  1. INCIDENT

Time of Incident
Time
HoursMinutes
What Happened
Collision with another vehicle
Single vehicle incident
Damage while parked
Collision with property or object
Pedestrian or cyclist involved
Theft or vandalism
Near Miss
Other
What was your vehicle doing?
Moving
Stationary in traffic
Parked
Parked and unattended
Other
Where Did It Happen?
Road
Junction
Roundabout
Motorway / dual carriageway
Car park
Private premises
Rural road
Other
Conditions
Dry / clear
Wet / raining
Icy / snowy
Poor visibility
Other / unsure
Other

2. YOUR VEHICLE

Vehicle Type?
Car
Van
Taxi / private hire
HGV
Bus / coach
Motorcycle
Other
Was The Vehicle Being Used For Work?
Yes
No
Prefer not to say
Where is Your Vehicle Damaged?

  1. OTHER VEHICLE / PARTY

Was Another Vehicle Involved?
Yes
No
Other Vehicle Type
Car
Van
Taxi / private hire
HGV
Bus / coach
Motorcycle
unsure
Other

  1. WHAT HAPPENED?

Briefly explain what happened, including the movement and position of the vehicle(s) and anything important immediately before or during the incident.

  1. PHOTOS & EVIDENCE

Is Dashcam or CCTV Footage Available?
Yes
No
Unsure

  1. WITNESSES

Were there any independent witnesses?
Yes
No
Unsure

  1. YOUR DETAILS

  1. CONFIRM & CREATE REPORT

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