Motor vehicle accident notification form download 2021 Sun

What is an accident notification?

The document, which is the basis for the settlement of traffic disputes, is drawn up by all participants in the traffic accident; a sample form can be found on any insurer website in the Russian Federation. The only case when its creation can be neglected is if the incident is not serious (there are no injuries or deaths, and less than 3 participants were injured in the accident) and the parties to the conflict decided not to contact insurance offices.

Each form has a special number, being a document of strict accountability.

This applies to holders of MTPL certificates. If motorists have taken out CASCO insurance, problems are resolved in a different manner.

In case of incorrectly filling out the notification of an accident, the driver will face a fine of 1 thousand rubles.

Sample notification of a traffic accident

Almost every road user sooner or later encounters accidents of varying severity as a witness, victim or perpetrator. And in such a situation, knowledge of registration of a traffic accident will not be superfluous. In particular, it is necessary to have an understanding of what an accident report is and how to prepare it. A special act can confirm or refute the guilt of a participant in a road accident. A notification of an accident is issued on a special form with an individual number, on the front and back of which there are points that help to restore the picture of what is happening. It is important that the document is drawn up correctly, in compliance with the rules of execution, conditions and requirements. A properly completed notification of an accident will help the car owner save his time.

filling out an accident report. traffic accident notifications. The growth of motorists on domestic roads increases the possibility of accidents. Compulsory MTPL insurance allows you to solve at least the financial problems associated with road accidents.

What is it for?

A completed form will be required to receive payment under the MTPL policy.

To avoid problems with the correct preparation of the document, it is better to familiarize yourself in advance with the procedure for entering data into it. Insurance companies provide special instructions for this purpose, which are recommended to be kept at hand.

Important! There are many known cases where victims failed to fill out a notification about an accident in accordance with the law. This leads to insurers either completely avoiding compensation payments or delaying resolution of the problem by initiating lengthy legal proceedings.

How to properly issue a notice

Experts from IC SOGAZ strongly recommend adhering to generally accepted regulations when filling out an accident report. The form cannot be completed on a computer; after it has been downloaded, you should:

Fill out the document with a ballpoint pen, which will reduce the risk of scribbling.
Write legibly, preferably in block letters.
Don't make mistakes. If adjustments had to be made, then each of them must be certified by the signatures of both car owners.
Fill in all columns and fields, and put dashes in empty spaces.
Be sure to sign the accident notice.

The form consists of 2 parts. Each driver fills out his own section.

Where to get the form

In accordance with paragraph 24 of Chapter IV of the OSAGO Rules, the insurance agent is obliged to provide the car owner with forms free of charge after concluding the contract. It is possible to obtain them by visiting the insurer’s website or on our website: download and be sure to print.

Correctly fill out the notification in case of an accident:

Advice! If the form was not found by the victim, he can ask another driver (of any car) for it. It's completely legal.

The form has a front part (where you need to write the circumstances of the accident), which, when filled out, is self-copied onto a second copy. As a result, each of the participants, the victim and the culprit, receives a separate document.

Compiled by whom and when

Each participant in an accident who is a victim must have a form filled out in his own hand after the incident. The person at fault also has the right to participate in the preparation of the notice. This is especially true for inventorying vehicle damage.

When analyzing an accident, traffic police officers will rely specifically on the documents provided by the drivers.

Drawing up a notice in a simplified manner is possible if there are only two participants and the damage was caused only to property. This is called settlement of an insured event according to the European protocol.

In what cases is it used?

From a practical point of view, in the event of a minor accident, drivers are interested in quickly solving all the formalities and going about their issues.

So, how the Euro protocol is applied is subject to the following conditions:

there are casualties among drivers, passengers and pedestrians;
Only two cars are involved in the accident;
there are no disagreements between the car owners regarding the damage and the circumstances of the incident;
the liability of the drivers involved in the accident is insured in accordance with the law “On Compulsory Motor Liability Insurance”;
drivers are included in the insurance policy.

If at least one thing is not observed, you should call the traffic police.

Instructions and nuances of filling out OSAGO

The fields must be filled out exclusively in blue ink and legible handwriting. If the victim has been injured and is unable to keep records, then one of the witnesses or relatives can draw up the document.

If an accident occurs within the city, you can call an insurance agent (or at least notify him in the case of a minor accident). In this case, he will take care of the registration himself.

Important! The form must not have any tears, stains or corrections.

Document structure:

The front part of the notice - here they enter the time and date of the incident, personal data of the victims and culprits, information about insurance companies, a detailed list of damage caused to vehicles, additional information on items. Also on the main side is a diagram of the event that occurred;
The reverse side - here you should indicate the features of the accident, a list of all the equipment involved in it, enter witness statements of third parties, notes about the video recording devices installed on the vehicle (if they comply with the requirements of the traffic rules), and make other notes.

All items on the main side must be filled out by the owner of the damaged equipment (except for item 18 of the “general information” and item 17 “Road accident diagram” - here the information is recorded by the other driver).

Expert opinion

Artemyev Dmitry

Experience as a forensic expert in the field of automotive technical examination for more than 2 years, more than 3 years of work in the field of insurance disputes, appealing guilt in road accidents.

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The main side of the document must be signed twice by all participants in the event, so all entered data must be agreed upon with each of them. And if at the time of the analysis there are police officers on site, then the senior officer must also apply for a visa; information about the position, rank, personal data (last name, first name and patronymic) and badge number must be available.

Step-by-step example of filling out an accident report

The front part of the form is filled out by each driver independently (each in relation to his own vehicle). The only exceptions are paragraph 1 8 of the General Information and paragraph 17 Road Accident Scheme, which are filled out by one of the drivers.

1Collection of general information.

Filling out the front part of the notification of an accident begins with collecting general information about it:

place of origin;
date of;
number of damaged vehicles;
number of victims in the accident;
testimony regarding the state of intoxication (alcohol or drugs);
presence of material damage;
presence of witnesses to the incident;
if the accident was registered with the participation of traffic police officers, then the number of the police officer’s badge is indicated.

2Data about vehicles and their owners.

Each driver fills in information regarding his vehicle, namely:

make, model and other data specified in the passport of the corresponding vehicle;
Full name and residential address of the owner of the vehicle.

3Data about the driver of the vehicle who was driving it at the time of the accident, namely full name, date and year of birth, residential address, contact phone number, driver's license number indicating the appropriate category and date of issue.

4Data on insurance companies.

The name of the insurance company, details of the insurance policy (number and validity period) are indicated. If the car is insured under the CASCO program, then in the vehicle insured against damage column, the Yes checkbox is placed, but for compulsory motor liability insurance No.

5Diagram of the traffic accident and list of damage caused.

In the Place of initial impact column, the part of the vehicle where the first impact occurred is indicated (the area is indicated by an arrow).

In the column for descriptions of visible damage, it is necessary to indicate not only the damaged parts, but also the nature of their damage - a scratch, dent or crack.

To receive insurance payments for invisible (hidden) damage to a vehicle, it is necessary to additionally inspect it with the involvement of experts.

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When displaying a diagram of a traffic accident, it is necessary to indicate the names of streets, directions of movement of cars, their position at the time of the collision, the presence of traffic lights and road markings and signs. It is recommended to display brake and skid marks whenever possible.

Important!

If inconsistencies are identified between the information, the information set out in paragraph 16 of this notice will be taken into account.

6Circumstances of the traffic accident.

This item is intended to display the maneuver of your car. Here is a list of possible maneuvers; you need to check the corresponding box next to it. Filling out the column Indicate the number of marked cells is mandatory, since it allows you to avoid misunderstandings when assessing the circumstances of the accident.

7Comments and approval of the specified data.

In the Comments column, you can provide information not specified in the Circumstances of the accident column. This item is endorsed by the signatures of the drivers, which confirms all the above data.

If the fact of an accident is registered without the participation of the traffic police, then it is necessary to additionally put signatures in paragraph 18 of this notification, which confirms the absence of disagreements between the parties to the traffic conflict.

It is important that both front pages of this Notice are signed. Please note that once the forms have been signed and separated, corrections and additions are not permitted.

It makes no difference which of the participants in the accident takes the original of this notice and who takes the tear-off (self-copying) copy. Both forms have the same legal force.

8 Fill out the back of the form.

The reverse side of the notice allows you to endorse additional information about the accident and vehicles. This side is filled out by each driver independently:

The appropriate vehicle is selected, followed by a brief description of the circumstances of the accident, indicating streets, directions of travel, etc.
It is indicated under whose control the vehicle was owned by the owner or another person authorized to drive it.
Information about other vehicles involved in the traffic accident.
There is damage to other property.
Possibility of independent vehicle movement.
The Note column indicates the presence of video recording of this incident.

The completed accident report must be submitted to the insurance company of the person at fault.

Today, some foreign insurance companies allow you to fill out an accident notification online.

Where to apply and when?

The completed form is sent to the victims to the insurance office, but no later than 5 days after the incident.

In addition to the notice, you should have with you all the papers issued by the traffic police officers. You must arrive at the company that issued the MTPL policy.

If the institution does not work for some objective reason, then the victims must go to the company responsible for the accident and notify its employees.

Reference! In case of refusal to compensate for damage, applicants for payment of compensation have the right to contact RSA (Russian Union of Auto Insurers).

If the deadlines for submitting documentation are violated, the insurance company has the right not to pay the amount of damage.

When and when should you report an accident to the insurance company?

Having become involved in an accident, the driver of the car is obliged to contact his insurance company as quickly as possible. Each insurance holder needs to know the deadline for contacting the insurance company after an accident in order to protect against claims from the insurance company and ensure financial compensation. Not knowing when to contact someone after an accident, the car owner violates insurance rules, making it difficult to claim compensation.

According to clause 3.8 of the Rules on OSAGO, the policy owner must notify the insurance company as soon as possible, but no later than 5 working days after the car accident, but not later.

If the deadline for applying and submitting documents has been missed, then the insurance company has the right to refuse payment of funds due to a violation of the terms of the contract, except for valid reasons for missing the deadline, for example, due to an injury received in a traffic accident.

If a participant in an accident did not notify the insurer within 5 days and did not know what to do, he has the right to turn to the law. If the 5-day period was missed for valid reasons, then the insurance organization must accept his application. After filing a claim, the insurance company is obliged to pay compensation in full within 20 calendar days (clause 3.11 of the Rules).

What to do if you didn’t fill it out at the scene of the incident

A situation may arise that one of the participants in the accident did not fill out the notification:
Refused this procedure;
Fled from the scene;
Killed in an accident;
There were no extra forms.

Clause 41 of the OSAGO Rules states that it is allowed to fill out a notice unilaterally if for some reason other participants (or a participant) did not do so.

The statement is written by the victims within 15 days from the moment of the accident.

Be sure to indicate in the form:

The model, type and color of the cars of those drivers who did not submit notices;
It is recommended to find witnesses to the accident and record their information in a document.

What should you do after an accident?

After an accident has occurred, the first thing you need to do is turn on the emergency lights, and also mark the location of the accident with an emergency stop sign. Before the European protocol is issued, it is advisable to observe the following steps:

find out what intentions the second participant in the incident has regarding what happened, and also propose to resolve the issue according to the European protocol;
if the other party agrees, the validity period of compulsory motor liability insurance is immediately checked;
The final stage is recommended to take panoramic photographs and video recording with reference to existing road signs or other objects located in the accident area. You also need to capture close-ups of vehicle damage, debris and braking distances.

What to do after filling

After an accident, traffic police officers (when called) will set a day for analyzing the incident. As a result, the perpetrators and victims will be identified.

The injured party, along with a notification form and documents confirming his innocence, arrives at the insurance company’s branch.

Employees are required to accept a citizen’s application requesting compensation for losses.

Reference! The injured party has the right to go to court if it is sure that insurance payments are not enough to pay off the damage.

There are cases when victims of an accident end up in medical institutions, then the relatives or friends of the injured citizen will have to take care of drawing up a notice.

Common questions that arise when filing a notice

Problems arising at the time of writing:

The document does not establish the guilt of any of the participants. It is intended to give the most objective assessment of the situation that has arisen. The initiator of the accident is determined by police officers as a result of analysis and necessary examinations, after which the participants in the accident are notified;
The notice should always be filled out (if it is necessary to contact insurers); the presence or absence of traffic police inspectors does not matter;
If there are 3 or more participants in the accident, then each of them writes a notice;
In the event of a collision with an obstacle, there is no need to fill out a document, the owner of the MTPL policy will not receive compensation, and the citizen who purchased the CASCO certificate will be able to assess the damage based on the actual damage to the car;
Signatures are not required on the back of the notice.

Expert opinion

Artemyev Dmitry

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In the event of a collision with animals, structures or pedestrians, insurance companies should write a regular statement asking them to evaluate and pay for the damage.

Reference! It should be taken into account that sometimes the emergency commissioner from the insurance service can meet halfway; with the mutual consent of all participants, notices can be rewritten.

In what cases can you use the VSK European protocol?

It is necessary to issue a notice in the following cases:

there is a limitation on the value of damage;
the participants in the accident were able to agree on who was at fault and what kind of damage was caused;
both vehicle owners have valid MTPL insurance;
During the traffic accident, only cars were damaged.
no more than two participants

The vehicle owner must objectively assess the situation. This will help you understand whether it is worth drawing up a European protocol, or whether it is better to invite traffic police officers.

If the participants in the accident cannot come to an agreement and determine the parameters of the damage, then you should wait for the traffic police to arrive.

Common mistakes

If the vehicle was not insured, the culprit will pay for the damage from his own funds. If the victim does not have compulsory motor insurance, he will receive nothing;
The victim forgot to notify the insurance company about the accident and lost the opportunity to receive money as compensation;
Errors in the preparation of notices;
Sometimes all the forms are filled out by the same person (in the same handwriting as the rest of the documents). Insurers may find this suspicious, since there are many cases of fraud in this area;
Corrections to the main text were made with different ink - another reason for refusing to pay compensation;
There is no consistency: the culprit writes one thing, and the victims write something completely different.

What to do in case of refusal:

Request a written document indicating the reason for the refusal;
Conduct an independent examination to assess the damage to the vehicle;
Collect all available documents, including receipts indicating additional expenses;
Write a statement to the court.

Expert opinion

Artemyev Dmitry

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You need to understand that a dispute with a structure that has dozens of experienced lawyers on its staff is a long story. Therefore, already at the stage of searching for an insurance company, it is recommended to carefully study the local market for services and choose a large organization with a minimum percentage of refusals.

Advice! Most often, difficulties arise when participants in an accident decide not to call either the police or emergency commissioners. One small mistake results in non-payment of compensation.

Quite often, an accident diagram and a description of the first impact are drawn up with errors (the list of damages is indicated, not the nature of the collision). The police find it difficult to determine the culprit and draw up a report of mutual violation.