MARC, Inc. of Manchester Automobile Accident Procedure
This must be completed at the scene in the event of any accident and turned into administration as soon as possible. Administration will notify insurance carrier as soon as possible.
If you have an accident, the following procedures are to be utilized:
Type option 3
1. Check occupants of your vehicle for life-threatening injuries and call 911 if necessary. If needed, provide first aid.
2. Report the accident to the police.
3. Keep occupants in the vehicle unless it is unsafe for them to be there (i.e., gas leak, unsafe vehicle position, etc.)
4. Notify MARC Administration as soon as possible at 860-646-5718. After hours, please call Kevin Zingler at 860-803-0140 or Peter Engelbrecht at 860-214-2117.
Fill out the form below.
Take photographs of any damage with cell phone including photos of license plates and upload them into this form.
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You are vehicle 1
Driver of vehicle 1
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Driver's License Number
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Vehicle Registration Number
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Vehicle ID Number
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Other Occupants
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Is There Another Vehicle Involved?
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Yes
No
Driver of Vehicle 2
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
License Number and State
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Vehicle Description
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Color, year, make, model
Vehicle Registration Number and State
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*If vehicle is registered to someone other than the driver, list their name and address here
Insurance Company
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Policy Number
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Other Occupants
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Location of Accident
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Ticket/warning Issued?
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Yes
No
If yes, to whom?
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Investigating Officer Name
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Case Number
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List any other additional information here. If more than 2 vehicles are involved, list pertinent information here as well.
Upload Photos of Accident
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Signature
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Date
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Day
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Date
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