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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

Section 1 - Reporter and Vehicle

InciCap ID

Section 2 - Incident Basics

Date and Time of Incident
Day
Month
Year
Time
HoursMinutes

Road, Street, Depot, Postcode ect

Incident Type
Collision With Another Vehicle
Collision With Object
Damage Discovered While Parked
Near Miss
Passenger / Occupant Incident
Other
Was Another Vehicle Involved
Yes
No
Unknown

Section 3 - What Happened

Brief factual account of what was observed

Where Any Injuries Reported
Yes
No
Unknown
Road Surface Conditions
Weather Conditions

Section 4 - Passenger / Occupant Details

Were any passengers in the Taxi at the time of the incident?
Yes
No
Unsure
Were any passengers involved, injured or claiming injury?
No, passenger was present only
Yes, passenger involved
Yes injured / Claiming injury
Unsure
Could the passenger act as a witness?
Yes
No
Unsure

Section 5 - Third-Party Evidence

Section 6 - Extra Flags

Section 7 - Evidence Uploads/Photos

Confirmation

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