Free printable tool

Car Accident Claim Workbook

Use this workbook to organize facts and documents. It is not a substitute for emergency help, medical care, insurer instructions, official forms, or legal advice.

1. Collision summary

2. People and vehicles

RoleName/contactVehicle/plateInsurer/policy
Driver 1
Driver 2
Witness
Witness

3. Evidence checklist

  • Wide scene photos
  • All vehicle sides
  • Damage close-ups
  • Plates and identifiers
  • Signals and signs
  • Road and weather
  • Witness contacts
  • Camera locations
  • Police report
  • Dashcam preserved
  • Tow and repair records
  • Personal property damage

4. Medical and recovery tracker

DateProvider / eventSymptoms or findingsInstructions / next step

5. Work and daily function

DateWork missed or modifiedHousehold / care impactSupporting record

6. Expense log

DateExpensePurposeAmountReceipt?

7. Insurance and claim call log

DatePerson / organizationWhat was discussedPromise / deadline / next step

8. Deadline and document register

ItemDue dateWho confirmed itCompleted

9. Before signing a settlement or release

  • I understand every party and claim being released.
  • I understand whether future medical or benefit rights end.
  • I have reviewed the medical prognosis and future needs.
  • Income and out-of-pocket losses are documented.
  • I know the gross amount, every deduction, and estimated net amount.
  • Liens, benefit repayment, legal fees, costs, taxes, and prior payments are addressed.
  • I understand remaining risks, alternatives, and deadlines.
  • I obtained independent advice where the consequences are significant.

Educational organizational tool only. Keep sensitive information secure. Do not leave this workbook in a vehicle or public place.