HomeMy WebLinkAboutCity Council Committees - Civil Services Commission - 08/19/1993 IN CASE OF ACCIDENT
• THIS GUIDE IS PROVIDED TO HELP YOU IN CASE OF ACCIDENT•
- FOLLOW THE NUMBERED STEPS, CAREFULLY RECORDING ALL NECESSARY I
NFORMATION.
ice officer must be called to the scene of any
CALL THE POLICE: A pol
accident involving a City vehicle. The vehicle is not to be moved until
the officer directs that you may do so:
'..- --
NO..COMMENT: -...Do not make any statement concerning the assumption of
that information required by authorities.. ... . _ .
liability. _ Give .out only_ _,.
- Do not sign any statement except -for an authorized INA representive. -'
-- - YOUR VEHICLE
g RECORD FACTS ABOUT YOU AND
-- - -
' -�-' Central and Willis St. . Rent . .._
Date 8/19/93_ Time lu=5e ._Location -- Department o ice
Dtiver .Name gorge - ---- eVy
Vehicle # 1 Year & Mak alibu Stationvagon
e a rig ron en er
License # -..Nature .of Damag
4 . OBTAIN FACTS ABOUT THE OTHER VEHICLES)
n Telephone 852-6629
riv Name 1 :, to ,Sa� m Zip Rent980
Ad 11101 SE 208th t•1112 .- --
't% _e Year & Make93 Honda Accord
- __tense _�358 EOH -------- - _- _. Vehicle ID # ZHGGB75 OPA 583�4 -
Nat_`:a of Damage rear end
- Telephone
D_.. r Name _ - City & Zip
Add: ss
Veh:=1e Year & Make Vehicle ZD #
License #
Nature of Damage _
:•_:
5. OBTAIN FACTS_ABOUT -ZNJURED,iPERSON(S) Age u-_n
Name - - AnrAli Phone a a�9 -
Address 11101 E 20 _Pedestrian
Injured was: In City Vehicle x In Other Vehicle
Nature of Injury neck in 'ur
Age
Name Phone
Address Vehicle In Other Vehicle _Pedestrian
Injured was: In City
Nature of Injury
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6. GET WITNESSES
.Name NONE Phone
Address City & Zip
Name Phone
Address City & Zip
r
7 . DESCRIBE THE ACCIDENT
Location Central and. Wllis St. City &_ State Rent,_ WA
Describe What Happened I was going east on Willis. I had a free right .
hand turii. The car in front of me stepped abruptly and I hit his left
e-- end It appeared as if it was a chain reaction. The pickup in front
of the car I hit went around the corner and stooped for no reason then
-" This started the chain reaction
CFI
_ - C owaTAtab
8 . REPORT THE ACCIDENT TO YOUR IMMEDIATE SUPERVISOR AS SOON AS POSSIBLE
9. COMPLETE AND SUBMIT THE FOLLOWING ADDITIONAL REPORTS, ALONG WITH THIS
REPORT,- TO THE EQUIPMENT RENTAL DIVISION AS -SOON AS POSSIBLE
A) INCIDENT REPORT
B) STATE OF WASHINGTON MOTOR VEHICLE COLLISION REPORT from the Police
,. _„_Department is required for ANY vehicle accident: _
-- F00lE04
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