Motor vehicle traffic accident fast processing agreement and instructions

The accident happened on the way,If the minor and responsibility clearlyTwo or more parties, should be the vehicle to do not impede traffic location, fill out the "motor vehicle traffic accident fast processing agreement" and then to the insurance company claims! Move front camera or mobile phone will be available at the scene of the accident to shoot down as evidence (Image to reflect the specific circumstances, the scene of the accident for example: according to clear the way, show which one has the illegal behavior, can leave a bit further in the 10 meters, the scene of the accident before, after the photo.). If not consensus, then dial 122, which can reduce the accident caused the traffic jam.

To ease traffic congestion needs our joint effort!

Fast processing agreement of motor vehicle traffic accident

The time of accident

Years Month Day When the Divided

The location of the accident

Code

Full name

Driver's license number or ID number

The vehicle number

The insurance company

Telephone

The insurance company reported

Accident

Situation

1, rear end collision□

2, retrograde□

3, reversing the□

4, the car away□

5, the door switch□

6, violation of traffic signal□

7, failing to yield□

Other circumstances, in accordance with the law shall be responsible for the 8□

Case description:

9, both sides should bear equal responsibility □

Case description:

The injury and loss

Situation

The party responsible

The A shall assume the accident

The B shall assume the accident

The C shall assume the accident

1, full responsibility □

2, equal responsibility □

3, no responsibility □

1, full responsibility □

2, equal responsibility □

3, no responsibility □

1, full responsibility □

2, equal responsibility □

3, no responsibility □

The above fill in the contents are true, if not, will bear all legal responsibilities.

A signature: B signature: C signature:

Compensation

Situation

Voluntary surrender of insurance claims, to solve the following agreement:

A signature: B signature: C signature:

Beijing Traffic Management Bureau, China Insurance Regulatory Commission Beijing Office

"Motor vehicle traffic accident fast processing agreement" instructions

The parties shall fill in the "fast processing agreement of motor vehicle traffic accident according to the following provisions":

(a) fill out the "agreement", should write neatly, the project is complete, each party holds one copy.

(two) the accident time column, should fill in the Arabia digital, accurate to the minute.

(three) the accident site column, should fill in the accident occurred in the district (county) in a way (or junctions), the specific location of a street.

(four) the name of a column, fill in the name of the parties, the parties shall check the driver's license or ID before completion.

(five) the vehicle number column, fill in, such as black license number plate, number should be marked (card).

(six) the insurance company referred to as column, fill in the vehicle insurance the insurance company ltd..

(seven) the phone column, should fill in at any time can contact telephone number.

(eight) the insurance company reported number, the report to the insurance company, the insurance company will back a report, the report, to fill in this column.

(nine) the accident situation column, corresponding to the accident situation in the corresponding "□" mark "√", to eighth and ninth to a brief description of the accident situation.

(ten) injury and loss of column, fill in the injury and vehicle injuries and other damage to property.

(eleven) the parties responsible column, undertake corresponding parties responsible for the accident in the corresponding "□" mark "√", after completing, the parties signature confirmation.

(twelve) compensation column, for the parties voluntarily give up the insurance claim, can fill in according to the contents of the accident on both sides of the agreement, and signature confirmation.