WHAT TO DO IN CASE OF AN ACCIDENT?
(print and store in your car)

REMEMBER!   BUCKLE UP FOR SAFETY!

THE OTHER DRIVERS

Name: Approx. age:
Address:
City: ZIP Code:
Phone # (home): Phone # (work):
Drivers License #: Expires:
Automobile: (year, make and model)
Color: License Plate #:
Registration #:
Insurance Policy #: Expires:
Company: Agent: Phone #:
Name: Approx. age:
Address:
City: ZIP Code:
Phone # (home): Phone # (work):
Drivers License #: Expires:
Automobile: (year, make and model)
Color: License Plate #:
Registration #:
Insurance Policy #: Expires:
Company: Agent: Phone #:

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