9800 Fredericksburg Road
San Antonio, Texas 78288
ACCIDENT REPORT FORM
The accident report form is a useful tool to assist you in the event you have an accident, loss, you are injured, your vehicle is disabled or you need a rental car.
Please place a copy of this form in each of your vehicles as a reference tool to help you remember information necessary in processing your claim.
In the event of an accident, there are several things to remember:
Move to a safe location if you or your car is creating a safety hazard or if you' re concerned with your safety.
Do not leave the scene of the accident until you have exchanged contact information with the others involved.
Call the police and follow their instructions.
BCall 911 if there are any injuries
In minor accidents, the police may instruct you to exchange information and then contact your
insurance company
Do not discuss who is at fault with other parties.
Do not disclose your policy details. You should only share your drivers license number, that you' re insured with USAA, provide your member and USAA' s phone number.
Collect as much information as you can about the other drivers using the form below. By contacting USAA at usaa.com or by phone at 1-800-531-8722 (USAA) you can:
Report your claim.
Request a tow from the scene of the accident. If your vehicle has already been moved for storage or safety, we can assist you in having your vehicle towed from the storage location.
dReserve a rental vehicle.
Arrange your repairs. You have the right to select the repair shop of your choice. If you are uncertain
where to have your damaged vehicle repaired, USAA can assist you in selecting a repairer in the USAA' s
1
STARS auto repair network convenient to your business or home. If you select the STARS option, repairs will be warranted for as long as you own the vehicle.
If you are not injured and can exchange information with the other driver(s), we ask that you attempt to collect the following information to assist in expediting your claim. (Use the other side of this form for more room if necessary.)
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LOSS INFORMATION |
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Date of Accident: |
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Street/Location: |
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Time of Accident: |
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City and State: |
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Police/Sheriff Dept. |
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Report #: |
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OTHER VEHICLES AND PARTIES |
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Name of Driver: |
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Name of Driver: |
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Address, City, St: |
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Address, City, St: |
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Drivers License Number: |
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State: |
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Drivers License Number: |
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State: |
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Phone Number: |
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Insurance Co.: |
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Phone Number: |
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Insurance Co.: |
Policy Number: |
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Policy Number: |
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Vehicle License Number: |
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State: |
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Vehicle License Number: |
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State: |
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Year of Vehicle: |
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Make |
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Model |
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Year of Vehicle: |
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Make |
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Model |
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Passengers (y/n): |
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How Many: |
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Injuries (y/n): |
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Passengers (y/n): |
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How Many: |
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Injuries (y/n): |
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Passenger Names: |
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Passenger Names: |
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Witnesses: |
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Witnesses: |
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1STARS facilities are part of USAA's repair network program and warrant repairs for as long as you own your vehicle. Regardless of where you have your vehicle towed after an accident, you are entitled to have your vehicle repaired at the shop of your choice.
