Truck Accident Checklist

    Let's find out if you have a viable personal injury case for your truck accident. Answer these questions to the best of your ability.

    When did your truck accident occur?

    Where did your truck accident occur?

    Did you get the information of the driver of the truck involved in the accident? YesNo

    If yes, please list the truck driver’s name and contact information here:

    Did you get the license plate of the truck involved in the accident? YesNo

    If yes, please list license plate number and state here:

    Did you get information from any additional witnesses to the accident? YesNo

    If yes, please list witness names and contact information here:

    After your accident, were you able to contact the police? YesNo

    Did the police file an accident report? YesNoI don't know

    Do you have a copy of the accident report? YesNo

    Did you take pictures of the vehicles involved in the accident? YesNo

    Did you sustain injuries from the accident? YesNo

    Were you taken to the hospital after the accident? YesNo

    Did you see a doctor regarding injuries sustained from the accident? YesNo

    Please give a short description of your injuries and how you were treated:

    Have you been following the medical advice given to you for your injuries? YesNo

    Was your vehicle damaged in the accident? YesNo

    Do you have an estimate of how much these damages will be to fix? YesNo

    If yes, what is the estimate (in U.S. dollars):

    Your Information:

    Thanks for submitting your checklist. We’ll be in touch very soon. If you have any questions or you’d like to talk to us right now, call (570) 348-3711.