Dailey Law Office has provided a form you should have if you are involved in an automobile accident.

This form is very important. It reminds you of everything you should do at a time when you have other things on your mind.

Please print a copy for each automobile you own or drive and put one in the glove compartment of each automobile for ready access. Now would be a good time to do it.

NOTE: Before placing the form in your glove compartment, take the time to fill in the Named Insured, Policy Number and your Insurance Agent in the space provided. You will need this information.


  1. Click here for a Printable Version of the Accident Form

  2. Print or download the Accident Form as a PDF file.

You might want to print some copies for your friends.

PDF (Portable Document Format) is very useful, since it is cross platform (Windows or Macintosh). If you do not have Adobe's Acrobat Reader, merely click on the button to your left to download a FREE copy. You should have a copy on your computer, since the Internet uses this format for most documents.

Dailey Law Office " 498 Ohio Street " Suite 2 " Terre Haute, Indiana " 47807

Business 812-234-1605 " Facsimile 812-234-9304 "