ACCIDENT REPORT INFORMATION

LESSON #12

The following is the information you will need to complete the Accident Report Form.

You are the driver of your family car when you are involved in an accident. Use the "actual" information about you, your car, insurance, etc.

There is about $3,900.00 damage to your car and about $2,400.00 damage to the other car involved.

You were traveling west on 1^st Avenue, a two-way, two-lane arterial, and starting to make a left turn onto 'A' Street, a two-lane, two-way non-arterial. There was no traffic light at the intersection. You were struck partially head-on by an on-coming car. The whole front end of your car was damaged. The left front bumper and fender of the on-coming car was damaged.

The accident occurred on two days before this lesson 12 was assigned, this year at 9:10 AM in Wenatchee in Chelan County.

There were no passengers in your car. The one passenger in the other car, Janis Smith, suffered a broken index finger. You were not able to obtain the doctor’s name to whom she went. Her address was the same as the driver’s address.

The driver of the other car was Jonathan A. Smith whose address was 3110-132^nd Street, S.E., Seattle, WA 98122. He said he was an insurance salesman. His Washington driver’s license number was SMITHJA252NA. His birthday was August 1, 1975.

The city police were called and were there in a short period of time.

The sun was shining and the streets were dry. There was no street maintenance or construction in the area. You were distracted by a closely following car and another car partially across the center of 'A' Street into which you were turning.

The woman in the car on 'A' Street was about 30 years old, left her name and address as a witness. She was Gwen Jones and lived at W.2120 – 9^th. Avenue, Wenatchee.

Jon Smith was the registered owner of the 1998 Ford Thunderbird,2-door, he was driving. The Washington license was 248KBG and the Vehicle Identification number was 26G28IBC6662AG. The mileage on his odometer was 86,242.