An example of filling out a notice of an accident by compulsory motor third party liability insurance

Form and sample of filling out a notification of an accident

According to the law on compulsory motor liability insurance and the Traffic Rules, each vehicle is subject to compulsory motor third party liability insurance of its owners, as a result of which a compulsory motor liability insurance policy is issued.

This type of insurance allows you to cover the risks associated with the occurrence of road traffic accidents (hereinafter referred to as accidents). To receive insurance payments under compulsory motor liability insurance, a participant in a traffic accident must provide his insurance company with a notice of the traffic accident.

What is an accident notification?

A notification of an accident is a special act that confirms or denies your guilt in causing a traffic accident. As a rule, it is attached to the MTPL insurance policy in the amount of two pieces.

Where can I get an accident notification form? If necessary, you have the opportunity to obtain a form of this notification from the insurer free of charge (this right is secured by paragraph 24 of Chapter IV of the OSAGO Rules). You can also use Internet resources and download the 2019 road accident notification form using the link below https://zakon-auto.ru/dtp/img/izveshenie-o-dtp.pdf

Notification of a traffic accident: deadlines for submission

This notice must be completed and delivered to the insurance company of the second party to the accident within three to five business days from the date of its occurrence, but not more than 15. If you wish to receive direct compensation for losses, then this form must be submitted to your insurance company. Conditions under which direct compensation for losses is possible:

As a result of the accident, only property was damaged;

There were two cars involved in the accident;

Mutual availability of MTPL insurance policies.

Sample of filling out a notification of an accident for compulsory motor liability insurance in 2019

A correctly completed accident notification allows you to receive insurance compensation without any problems or delays. It should be noted that there is a simplified procedure for processing compensation payments, but subject to the following conditions:

no more than two cars were involved in the accident;

the damage was caused exclusively to vehicles;

absence of disagreement regarding the causes of the accident and the list of damages;

both parties have a compulsory motor liability insurance policy.

The following rules for filling out this notice can be distinguished:

the front part of the notice must be agreed upon by all participants in the road accident, since it is subsequently signed by them twice;

if traffic police officers took part in the analysis of this incident, then the signature of the senior squad must be present, indicating his full name, position and rank;

if there are witnesses, their last name, first name and patronymic, and residential address are indicated. If they are not there, then it is necessary to put a mark in paragraph 7 of this notice;

when filling out paragraph 13 (place of initial impact), it is necessary to indicate a specific part of the vehicle, and not list all the damage;

It is imperative to indicate all visible damage. Only those damages specified in this notice will be reimbursed.

Let's look at a specific example of how to correctly fill out a notification of an accident for an insurance company under compulsory motor liability insurance.

Step-by-step example of filling out an accident report

The front part of the form is filled out by each driver independently (each in relation to his own vehicle). The only exceptions are paragraph 1 8 of the General Information and paragraph 17 Road Accident Scheme, which are filled out by one of the drivers.

1 Collection of general information.

Filling out the front part of the notification of an accident begins with collecting general information about it:

number of damaged vehicles;

number of victims in the accident;

testimony regarding the state of intoxication (alcohol or drugs);

presence of material damage;

presence of witnesses to the incident;

if the accident was registered with the participation of traffic police officers, then the number of the police officer’s badge is indicated.

2 Data about vehicles and their owners.

Each driver fills in information regarding his vehicle, namely:

make, model and other data specified in the passport of the corresponding vehicle;

Full name and residential address of the owner of the vehicle.

3 Information about the driver of the vehicle who was driving it at the time of the accident, namely full name, date and year of birth, residential address, contact phone number, driver’s license number indicating the appropriate category and date of issue.

4 Data on insurance companies.

The name of the insurance company, details of the insurance policy (number and validity period) are indicated. If the car is insured under the CASCO program, then in the vehicle insured against damage column, the Yes checkbox is placed, but for compulsory motor liability insurance No.

5 Diagram of a traffic accident and a list of damage caused.

In the Place of initial impact column, the part of the vehicle where the first impact occurred is indicated (the area is indicated by an arrow).

In the column for descriptions of visible damage, it is necessary to indicate not only the damaged parts, but also the nature of their damage - a scratch, dent or crack.

To receive insurance payments for invisible (hidden) damage to a vehicle, it is necessary to additionally inspect it with the involvement of experts.

When displaying a diagram of a traffic accident, it is necessary to indicate the names of streets, directions of movement of cars, their position at the time of the collision, the presence of traffic lights and road markings and signs. It is recommended to display brake and skid marks whenever possible.

If inconsistencies are identified between the information, the information set out in paragraph 16 of this notice will be taken into account.

6 Circumstances of the traffic accident.

This item is intended to display the maneuver of your car. Here is a list of possible maneuvers; you need to check the corresponding box next to it. Filling out the column Indicate the number of marked cells is mandatory, since it allows you to avoid misunderstandings when assessing the circumstances of the accident.

7 Comments and approval of the specified data.

In the Comments column, you can provide information not specified in the Circumstances of the accident column. This item is endorsed by the signatures of the drivers, which confirms all the above data.

If the fact of an accident is registered without the participation of the traffic police, then it is necessary to additionally put signatures in paragraph 18 of this notification, which confirms the absence of disagreements between the parties to the traffic conflict.

It is important that both front pages of this Notice are signed. Please note that once the forms have been signed and separated, corrections and additions are not permitted.

It makes no difference which of the participants in the accident takes the original of this notice and who takes the tear-off (self-copying) copy. Both forms have the same legal force.

8 Filling out the back of the form.

The reverse side of the notice allows you to endorse additional information about the accident and vehicles. This side is filled out by each driver independently:

The appropriate vehicle is selected, followed by a brief description of the circumstances of the accident, indicating streets, directions of travel, etc.

It is indicated under whose control the vehicle was owned by the owner or another person authorized to drive it.

Information about other vehicles involved in the traffic accident.

There is damage to other property.

Possibility of independent vehicle movement.

The Note column indicates the presence of video recording of this incident.

The completed accident report must be submitted to the insurance company of the person at fault.

Today, some foreign insurance companies allow you to fill out an accident notification online.

How to file a notification of an accident according to the European protocol

Notification of an accident under the European protocol implies registration of the fact of the accident without the participation of the police, that is, paragraph 18 of the Notification is filled out. In addition, this form of recording allows you to confirm the right of the victim to receive payments under compulsory motor liability insurance. The maximum amount of insurance compensation under the Euro Protocol is 100,000 rubles (or 400,000 rubles, but only in cases where the circumstances of the incident are recorded using technical video monitoring equipment that records not only the image, but also the time of the event, as well as the coordinates of the vehicle (GLONASS/GPS system) ).

Accident Notification: Mandatory or Not in 2019

Notification of an accident is a mandatory document on the basis of which the amount of insurance compensation is determined. In addition to this, you can additionally provide a certificate of a traffic accident, which is issued by the traffic police.

If you do not have this notification form, you can use the form of the second party to the accident. If possible, you can download a sample form on the Internet.

It is not always possible to fill out this notification at the scene of the accident. The reasons may be different:

the second driver fled the scene of the accident;

refusal of one of the parties to fill out the Notice;

lack of forms and others.

If more than 2 vehicles are involved in a traffic accident and there are disagreements among drivers in assessing what happened, as well as if it is impossible for drivers to jointly fill out one form of notification of a traffic accident (for health reasons, in the event of the death of the driver, due to the failure of one of which from jointly filling out the form or for other reasons), each driver is allowed to fill out his own notification form indicating the reason for the impossibility of jointly filling out the notification of a traffic accident.

According to paragraph 41 of the OSAGO Rules, it is provided

That is, this notification can be filled out unilaterally as soon as possible after the accident has occurred, but no more than 15 working days from the date of the accident. In this case, it is necessary to indicate the make and color of the vehicle of the other participant in the accident, and, if possible, indicate information about witnesses to the accident.

Notification of an accident is a requirement for receiving insurance benefits. The presence of traffic police officers does not exempt participants in a traffic accident from filling out this Notice.

As a rule, it is attached to the insurance policy in the amount of 2 pieces. You can also download the form from us or apply for new ones from the insurance company.

Within 3-5 days, but no more than 15.

As a result of the accident, only property was damaged;

There were two cars involved in the accident;

Availability of MTPL insurance policies.

the front part must be agreed upon by all participants in the accident and signed by them twice;

if traffic police officers took part, then the signature of the senior officer must be present indicating his full name, position and rank;

if there are witnesses, their last name, first name and patronymic, and residential address are indicated. If they are not there, then you must check box 7;

when filling out paragraph 13, you must indicate a specific part of the vehicle, and not list all the damage;

It is imperative to indicate all visible damage. Only those damages specified in this notice will be reimbursed.

no more than two cars were involved in the accident;

the damage was caused exclusively to vehicles;

absence of disagreement regarding the causes of the accident and the list of damages;

both parties have a compulsory motor liability insurance policy.

We have prepared step-by-step instructions for filling it out, it is available here.

How to fill out an accident report correctly?

General recommendations

The notice set consists of two self-copying copies of the form fastened together. You should fill out the front side of the “top” copy with a ballpoint pen on a hard surface, otherwise the text and marks in special fields will not be printed well.
When registering an accident, blank notification forms from any driver can be used.
The presence of blots, errors and typos in the notice leads to problems when registering an insurance event.
If the second driver refuses to fill out the notice, fill out the document yourself. Be sure to indicate the make and model, state registration plate and color of the vehicle of the other participant in the accident. If there are witnesses, please include their details in the notice.

Procedure in case of an accident with several vehicles

Fill out two sets of accident reports: one with the driver who was in front of you at the time of the accident, the other with the driver who was behind you at the time of the accident.
If your vehicle was “pushed” onto a vehicle that was in front of you, indicate this circumstance in paragraph 15 of the notice. Indicate in each notice exactly who “pushed” your vehicle.

Front side (filled out by drivers together at the scene of the accident)

Columns for joint filling (filled out by one of the participants in the accident)

The scene of the accident. Indicate the address of the accident site to the nearest house or kilometer of road. Example: Moscow region, Elektrostal, st. Pobeda, 12.
Date of the accident. Indicate the date and approximate time of the accident. Example: 02/15/2015; 15:00.
Number of damaged vehicles. Indicate the total number of vehicles damaged as a result of the accident. Example: 2.
Number of wounded (persons who received bodily injuries) and deaths. Indicate the total number of people injured and killed as a result of the accident. If there are no casualties or fatalities, enter the number “0” in the appropriate boxes. Example: number of wounded 0, dead 0.
Was the participants in the accident examined for intoxication? Indicate whether one or more participants in the accident were examined for alcohol intoxication. Place a check in the appropriate box.
Material damage caused to other vehicles (except “A” and “B”) and other property. Indicate whether damage was caused to other vehicles other than the vehicles of the participants in the accident filling out this notice, and to any other property. Place marks in the appropriate boxes.
Witnesses to an accident. Indicate the last names, first names, patronymics (if any) and the address of residence of witnesses to the accident. Example: Petrov Petr Petrovich, Moscow, st. Main, 15, apt. 13, Sidorov Igor Ivanovich, Moscow, st. Pyataya, 11, apt. 12. If there are no witnesses, write “no witnesses.” If the witnesses are passengers of your vehicle or the vehicle of another participant in the accident, underline their names to clarify this circumstance.
Was the registration carried out by a traffic police officer? Indicate whether a traffic police officer participated in the registration of the accident. Place a check in the appropriate box. If the accident was registered by a traffic police officer, indicate his badge number. Example of a badge number: 063222 MIN.

Columns for separate filling

Each participant in the accident fills out his half of the notice (Vehicle “A” or “B”). The selected side of the notice does not in any way affect the procedure for determining the degree of guilt of the drivers.

Vehicle make and model. Vehicle identification number (VIN). State registration plate of the vehicle. Vehicle registration certificate. Fill in the fields in accordance with the data specified in the Vehicle Registration Certificate. Examples: Make and model – VAZ 21083; VIN – XTA55441122111212; State reg. TS sign – X 945 RP 199; Vehicle registration certificate – 45MA 856745.
Owner of the vehicle. Address. Indicate the last name, first name, patronymic (if available) and address of the owner of the vehicle or the name and address of the legal entity that owns the vehicle. Example: Ivanov Ivan Ivanovich, Moscow region, Elektrostal, st. Novaya, 17, apt. 7 or Zvezda LLC, Moscow region, Elektrostal, st. Sadovaya, 15.
Vehicle driver. Date of Birth. Address. Telephone. Indicate the last name, first name, patronymic (if available), date of birth, address and telephone number of the driver who was driving the vehicle at the time of the accident. Example: Ivanov Ivan Ivanovich;
10/13/1980; Moscow, st. Pushkina, 40, apt. 50, 8 926 743 00 23. Driver's license. Category. Date of issue. Indicate the series and number, category and date of issue of the driver’s license of the driver who was driving the vehicle at the time of the accident. Example: 5801 587432, “B”, 01/23/2012.
A document granting the right to own, use and dispose of a vehicle. Indicate the name of the document on the basis of which the driver was operating the vehicle at the time of the accident. Example: power of attorney. Important! If at the time of the accident the vehicle was being driven by its owner, it should be indicated in the “PTS” or “Vehicle Registration Certificate” column. If the driver drove the vehicle based on the verbal permission of the owner of the vehicle, a dash should be placed in this column.
Insurer. Indicate the name of your MTPL insurer in accordance with the data on the corner seal in the upper left corner of the policy. Example: Pobeda Insurance Company LLC.
Insurance policy. Indicate the series and number of your MTPL policy, located in the upper right corner of the policy. Example: EEE 0198982892.
Valid until. Indicate the expiration date of the contract indicated in the very top column of your MTPL policy. Example: 04/15/2017.
The vehicle is insured against damage. Check the “yes” box if you have a valid CASCO policy. Otherwise, check the “no” box.
Location of initial impact. Indicate with an arrow the location of the first impact with the vehicle of the second driver filling out this notice. You need to put a mark on either a large vehicle, a passenger vehicle, or a motorcycle, depending on the type of your vehicle.
Nature and list of visible damaged parts and elements. List all injuries sustained as a result of this accident. In this case, hidden defects will be identified and described during inspection of the vehicle by experts. Example: the left headlight is broken, a crack on the front bumper, a dent and a scratch on the left fender. Important! The insurer may refuse to pay for the restoration of parts damaged in an accident, but not specified in the notice.
Notes. In this column, the driver indicates all available comments, in particular, if necessary, supplements paragraph 16 “Circumstances of the accident.” The driver can also indicate that the second party to the accident provided inaccurate information in the notification. In addition, in this column you can enter information about the refusal of the second participant in the accident to sign the notice.
Circumstances of the accident. Carefully read all the possible circumstances of the accident.
Check only those boxes that apply to your case. If the listed circumstances do not correspond to your case, check the “Other” box (clause 23 for the driver of vehicle “A”, clause 24 for the driver of vehicle “B”). Indicate the number of marked cells. Enter the number corresponding to the total number of marked squares. Example: 3.

Column for joint filling (filled in by one of the participants in the accident)

Road accident diagram. Draw an accident diagram in accordance with the standard accident diagrams of the Russian Union of Auto Insurers. Attention! Be careful, do not make any mistakes or corrections! If there are contradictions in the information specified in clauses 16 and 17, the data from clause 16 takes precedence.

Column for separate filling

Signatures of drivers certifying that there are no disagreements regarding clauses 14, 15, 16, 17. If there are no disagreements on the mentioned points of the notice, sign in the column corresponding to the part of the notice you filled in (“A” or “B”). In addition, you should sign under paragraph 15 in the column “Signature of the vehicle driver.” You only need to sign the part of the notice you filled out (“A” or “B”).

Attention! After disconnecting the forms, it is prohibited to change or supplement the information on the front side of the notice.

Reverse side (each participant in the accident fills out and signs his/her own copy)

Attention! It is not necessary to fill out the back side of your copy of the notification at the scene of the accident. This can be done later, for example, at home or at the insurer's office.

If there is not enough space on the back of the notice to provide the necessary information, write down additional information on a blank piece of paper. Be sure to write at the top of the sheet “Attachment to the “Notice of Road Accident”, and sign at the bottom with a transcript. In this case, you should put a mark in the “With attachment” box on the back of the notice.

Vehicle. Indicate which side of the notice you filled out (“A” or “B”). Place a check in the appropriate box.
Circumstances of the accident. Describe the circumstances of the accident in accordance with the notes in paragraph 16 and the accident diagram in paragraph 17. Example: 01/24/2016 I, Ivan Ivanovich Ivanov, driving a VAZ 21083 state vehicle. reg. sign A 574 RP 199, moving along the street. Mira towards st. Sadovaya in the right lane at a speed of 40 km/h. Unexpectedly for me, the vehicle is GAZ 33021 state. reg. sign C 253 KV 98 under the control of Petrov Petr Petrovich, moving in the same direction as me in front of me in the left lane, began to change lanes to the right lane. I sounded the horn and applied the emergency brake, but I was unable to avoid a collision.
The vehicle was under control. Choose an option depending on your situation. If the vehicle belongs to you, check the “vehicle owner” box. If you drove the vehicle on other grounds, check the box “another person authorized to drive the vehicle.”
If more than two vehicles were involved in the accident, provide information about these vehicles. This column contains information about all vehicles involved in the accident, except for the vehicles of drivers who filled out this notice. In this column you should indicate the make and model of the vehicle; state reg. sign; FULL NAME. owner of the vehicle (name for legal entities); address of the vehicle owner and his telephone number; FULL NAME. driver of the vehicle (at the time of the accident); driver's address and telephone number; name of the insurer; series and number of the MTPL policy. Example: GAZ 33021; E 793 RV 199; owner Viktor Petrovich Sidorov, living at the address: Moscow, st. Vesennyaya, 45, apt. 132 (tel. 8 926 383 64 93); driver Sidorov Igor Viktorovich, living at the address: Moscow, st. Vesennyaya, 45, apt. 132 (tel. 8 960 746 84 84); LLC "Insurance Company Pobeda"; OSAGO EEE policy 0198982892.
Damage to property other than the vehicle. Indicate the name of the damaged property and its owner. Example: Name – Road barrier. Who owns it – Unknown.
Can the vehicle move under its own power? Please check the appropriate box depending on your situation. If the vehicle cannot move under its own power, also indicate where the vehicle is parked. Example: If “No”, then where is the vehicle now located - a guarded parking lot located at the address: Moscow, Yuzhny Prospekt, 34.
Notes. In this column you can indicate any information about the accident that you consider significant. If there are no notes, the blank lines should be crossed out.

Lastly, indicate the date the notice was filled out, your last name and initials; sign.

Notification of an accident - form and sample to fill out

The MTPL law, as well as the traffic rules in 2020, oblige all car owners, without exception, to take out a policy. OSAGO will help compensate for expenses incurred as a result of a road accident. But in order to receive these funds (and this applies not only to compulsory motor liability insurance), you will need to draw up and present to the insurance company a notification about the accident.

What it is

Such a document is an act that outlines all the details of the accident that occurred. It says whether the insurance owner is at fault for the accident or not. It is given along with insurance in the amount of two sheets.

Is it necessary to register it?

A notification must be issued by each of the car owners who participated in the accident if damage was caused:

The car itself and/or the property that was in it (not necessarily belonging to the owner of the car).
Health or life of people.

Note! This notification is completed even if the incident was not observed by the police. The fact of writing is not an admission of guilt in the incident.

When and by whom is it compiled?

You should fill out an accident report right after the accident. The person who suffered from the accident is writing, because compensation from the insurer is intended for him. In this case, the culprit of the incident also participates in filling out the notification of the accident - otherwise the injured party will have the opportunity to cheat and add extraneous damage to the document. From the point of view of such safety, the at-fault driver can also issue a notice.

It happens that after an examination carried out by the insurance company, it turns out that the priorities are incorrectly determined, which can lead to castling of the victim and the culprit. Also, if you do not write on the spot and resolve the material conflict yourself, you can run into trouble - after the culprit leaves, the victim can still call the traffic police and report that the guilty party fled the scene of the incident.

Note! If a document is missing or filled out incorrectly, the insurance company has the full right to refuse compensation to the owner.

Where can I get the form?

An accident notification form is issued during the signing of an insurance contract - not only OSAGO but also others. In addition to the form, the car owner is also given instructions to fill out, which contain the rules of action. It is advisable to familiarize yourself with these nuances in advance.

The blank paper should always be kept in the vehicle. If you lose it, you need to come to the insurer's office and get a duplicate (clause 24 of Chapter 4 of the MTPL Rules).

Nobody forbids you to use the Internet and take the electronic version of the form from there, and then print it out. There are many sources for this, for example online at zakon-auto.ru

Sample and example of filling

For different insurances and situations, the example of filling out a notification of an accident will be slightly different.

The front side is completed by drivers - each indicates information about their vehicle. You need to start filling out with general information:

The scene of the accident.
Date of.
Number of injured cars and people.
Testimony of witnesses regarding the presence of intoxication.
Witnesses.
The badge number of the police officer who handled the accident.

In the form for notification of an accident under compulsory motor liability insurance, information about the transport of the participants is written. The car make, model range and remaining data on the car's technical passports are indicated. The full name and registered address of the participants in the accident must also be filled in.

Then information about the person driving:

Month and year of birth.
Phone number.
Driving license code, category and year of issue.

The following block of information concerns insurers:

Name of company.
Insurance number.
Until what date is it valid?

Now it's time to describe the road accident pattern. In the indicated place, the location of the car, the area of damage caused is recorded, and its type and nature are described. It is better for all drivers to draw up the scheme in cooperation. In a situation with invisible damage, it will be necessary to involve experts so that the car is thoroughly inspected (if the victim wishes to receive compensation for this part of the damage).

The accident diagram itself outlines all the neighboring streets, also where the cars were moving and their location in the accident, and, if possible, tire marks on the asphalt. Don't forget to note traffic lights, signs and markings.

Next, it was the turn to describe all the details surrounding the road incident. Here it is necessary to reflect the vehicle maneuver performed and indicate maneuvers that could have been performed.

The last point on this side of the form is comments. This place on the form contains all the remaining information that was not indicated in the previous paragraph. Here, all participants in the incident leave their signatures as confirmation of the correctness of the above.

Note! All sheets must be signed. Once the forms have been separated, it is prohibited to make corrections to what is written.

All that remains is to write what you need on the second side. This half is filled out by car owners without the participation of others, and this is allowed to be done in a more convenient environment. Additional information on the situation is provided here:

Circumstances in brief.
Information about other vehicles involved in the accident.
Was there any damage to property other than the car?
Can the car drive independently after an accident?
Availability of a video recorder and accident recording.

A fully completed notice is sent to the insurance company of the person responsible for the accident.

The sample notification of an accident with CASCO insurance is practically no different. Everything goes according to the previous algorithm. One thing - it is necessary to check the box in the paragraph about the car regarding insurance against damage. If we are talking about compulsory motor liability insurance, then this checkbox does not need to be ticked.

To write a notice of an accident for Ingosstrakh, Alfastrakhovaniye, Rosgosstrakh and other insurance companies, you should use a simple pen. You need to write with emphasis - otherwise the information will not be transferred to the second form properly.

The papers are signed after peeling off. Car owners put two entries on each sheet, and one on their back side.

For Europrotocol

The sample for filling out a notification of an accident under the European protocol also follows a similar pattern, but there are more differences. To be filled out as follows:

The first point is the location of the accident. Full address of a nearby house. The place is an intersection - we indicate both streets. In case of a suburban incident, the name of the highway, the kilometer and where the traffic is directed are written.
Date and time of the incident.
How many cars were damaged – 2.
The presence and number of injured or deceased participants. A dash is placed here, since in this case the European protocol is not drawn up.
Intoxication test – “No”.
Material damage to strangers – 0 (otherwise the protocol will not be drawn up either).
Witnesses.
Registration by a police inspector - “No”.

If the previous paragraphs were filled out by drivers together, then the following ones should be filled out separately:

Car data.
Information about the car owner.
Who was driving? This is not necessarily the car owner, but the driver must be registered in the MTPL, because otherwise the European protocol will be invalid.
Insurer's name and policy number.
Collision area.
Characterization of damage caused.
Notes. Here, the participants in the accident sign the sheet as a sign of agreement with what is stated.
Next, check the circumstances of the accident and indicate the number of checked items.
Scheme of the incident.
Signatures of each driver. This is also where the existence of disagreements is indicated.

Now you need to divide the forms into two identical sheets. One of them was written with a pen, and the second, which was under it, was filled in through a layer of carbon paper. There is no difference between them, and you can take any of them.

After separation, drivers fill out the second sides of their notices. Here we write about the conditions of the accident, as well as about disputes between car owners (seventh point). If there is not enough free space when writing, you are allowed to take a blank sheet of standard size, which is attached to the document. On it, in turn, a note is made about the presence of the application. The signatures of all drivers are placed on the new sheet, the author is indicated and what is attached.

Where is it served?

After an accident and a notification about it is drawn up, the paper, along with other mandatory documents, is submitted by the injured party to the insurance company (their own or the culprit’s). In addition to the notification form, you must have with you certificates obtained from the traffic police department.

Note! It makes sense to contact the insurer of the guilty party only when the victim’s company has been liquidated or no longer provides its services.

If the insurance company refuses to pay for such a case, then you need to request a written explanation. The notice, along with the rest of the papers, is submitted to the RSA along with the complaint.

The completed notice is sent within five days. You must meet the five-day deadline, otherwise the insurer will refuse compensation. The refusal will be completely legal. If the delay occurred for a valid reason, then it must be supported by supporting documents, attaching them to the rest of the package.

Direct compensation for damage received is possible:

There were two vehicles involved in the accident.
The participants had a compulsory insurance policy.
Only property was damaged - people remained unharmed.

What to do if there is no notification of an accident?

You are allowed to use the document of another car owner. As a last resort, write everything down on a blank sheet of paper, and then transfer the information to a full-fledged form. But in this situation, there are often problems with the lack of signatures of the remaining participants in the incident.

Filling out a notification of an accident under compulsory motor liability insurance

A notification of an accident under compulsory motor liability insurance is drawn up by all participants in the road accident to compensate the insurance company (IC) for the damage incurred by the victim’s car. It is necessary not only to clearly know how the form is drawn up, but also to understand the consequences that can result from a negligent attitude to this issue.

Filling out an accident form to receive compensation under compulsory motor liability insurance is the responsibility of drivers, after which it is provided to the insurance company, regardless of the number of vehicles involved, the extent of their damage and the presence or absence of injured people. Since an accident affects the interests of at least three parties (two drivers and an insurance company), strict requirements are imposed on the correct completion of the form. If the filling procedure is not followed, the insurance company may refuse compensation for damage. Therefore, having a good example of filling out a notification of an accident under MTPL, you can guarantee successful cooperation with the insurer.

note

Notification of an accident must be submitted to the insurance company by both the injured and the at-fault party. Art. 14 p. 1 p. g indicates that the insurer has the right to demand that the culprit reimburse the amount paid to the victim if the culprit does not send the notification form completed with the victim to his insurer within five working days.

What is a document and why is it needed?

In the hands of policyholders (drivers) there are strict reporting forms with their individual number and fields in which the personal information of the participants in the accident, its circumstances and scheme are indicated. Each driver receives such a document, as well as instructions for filling it out, along with the insurance policy. The form is issued at the scene of the incident. In this case, a set of documents of any driver can be used. No other media (printed or handwritten) will be accepted for the registration of an accident.

A notification of an accident on a properly completed reporting form is provided to the insurance company. Based on this document, the insurer receives the necessary information to verify the occurrence of an insured event that is subject to compensation in accordance with the MTPL agreement.

If the form is lost , you need to contact the insurance company, which will issue a duplicate. When a lack of notice is detected during an accident, proceed as follows:

All information about the accident is recorded on a piece of paper.
Receive a duplicate document from the insurance company.
The data indicated by the drivers immediately after the accident is transferred to the official form (an example of filling out such a notice is given below).
Obtain the signature of the second participant in the accident.

It’s good that the driver always has such a notice, as well as an example of how to fill it out, with him. This simplifies the procedure for drawing up a document and obtaining the signature of another participant in the accident who is at the scene at the time of the accident.

By having a form that is correctly completed by all parties to the incident, two important goals are achieved:

You can receive insurance compensation without resorting to litigation.
This allows you to protect yourself from the actions of a potentially unscrupulous second driver. For example, the situation was allegedly resolved by the participants on the spot. The victim received compensation from the culprit for the damage caused and left. The remaining driver calls the traffic police and states that the culprit of the accident fled the scene. The fact that there is no other side is obvious. It is not so easy to prove independent settlement of relations and receipt of compensation. As a result, the innocent party faces the loss of their driver's license.

A correctly completed notification of an accident to receive payments under compulsory motor liability insurance protects against such difficulties.

Who fills out the form and when?

The notification form is double-sided. Moreover, the first part is self-copying. When an accident occurs, it is filled out and signed by both drivers. The reverse side is for each of them separately. The victim will contact the insurance company for compensation. The participation of the second driver in filling out the notice is mandatory. This will eliminate the indication of non-existent damage to victims, which will unreasonably increase the amount of compensation. If it exceeds the legal limit of 400,000 rubles, the guilty party will have to pay the difference in the cost of repairs.

General rules for filling out the form

The accident notification form must be completed taking into account the following requirements:

The document cannot be torn or sloppily filled out. Damaged media will not be accepted by the insurance company.
To fill out an accident report, use only a ballpoint pen with blue ink.
Data is entered in block letters and must be legible.
Each participant in the incident has its own column - “A” and “B”. It doesn't matter which driver uses one side or the other.
The front part is agreed upon and signed twice by both participants in the accident: once under their personal data and information about the car, the second - below the road accident diagram to confirm the correctness of the jointly compiled description of the circumstances of the incident.
Empty columns are filled with a long dash or the letter Z.
After checking the boxes in the section specially designated for this (clause 16), their number is indicated, which excludes unauthorized corrections of the form by third parties.
If a representative of the traffic police is present, he certifies the document.
After compilation, the document is checked for errors, then the copy and the original are separated from each other. From this moment on, it is prohibited to make corrections to the form.

As an example of filling out a notification of an accident, you can use the samples located on stands in the office of the insurance company, or download materials from the public domain.

Consistently filling out a notification of an accident under compulsory motor liability insurance

Front side

The fields of the front part of the notification form are filled in as follows:

clause 1. The scene of the accident. There are three possible options here. When a collision occurred on one of the streets in a populated area, the exact address (city, street, building number) is indicated; if the accident occurred at an intersection, the intersection of the corresponding streets is indicated; for an accident that occurred outside a populated area, the area where the highway is located, its name, kilometer and direction of travel is indicated.
clause 2. The date of the accident and the time of the event are entered in numbers.
clause 3. Number of damaged vehicles - this field takes into account all participants in the collision.
clause 4. This item is filled out based on the presence and number of wounded and dead.
clause 5. Whether an intoxication test was carried out is checked.
clause 6. We indicate the presence or absence of material damage suffered by other (except “A” and “B”) vehicles.
clause 7. The names, addresses and contact numbers of witnesses to the accident are entered. If they are absent, the words indicate that they were not there.
clause 8. If the registration of an accident was carried out not according to the European Protocol, but with the involvement of a representative of the road inspection, the number of his badge is indicated.

In the section provided for information about vehicles and their owners ( paragraphs 9-12 ), enter brands, VIN codes and vehicle numbers based on vehicle registration certificates. In this case, the actual owners of the car are indicated. (A special section is provided for information about the drivers driving the vehicle at the time of the accident).

Next, the insurance company of one and the second driver is indicated, indicating the series and number of the policies, as well as their validity period. The driver's license number and category are indicated. A mark indicating the presence or absence of CASCO insurance is also placed here.

In a specially designated place ( clause 13 ), indicate with an arrow the place where the first blow was received.

Clause 14 of the notice is intended to briefly describe the nature of the damage, the degree of which is indicated by one of three options: scratch, deformation or rupture. For example, a fender is scratched, a bumper is deformed, and so on. At this point, it is important to describe all obvious damage to vehicle parts. In the absence of a description, the insurance company has the right to refuse compensation, citing the fact that the damage was received at a different time. Damages invisible to the eye are described during vehicle inspection by experts, so there is no need to list them.

The accident diagram, which is drawn by hand in clause 17 of the Notice, should give a clear understanding of the situation that has arisen. It includes not only the direction of travel of the vehicle at the time of the impact, but also road signs, road markings and traffic light placement, as well as braking distances traveled by vehicles and other potentially important information.

When considering a case by an insurance company, when there is a discrepancy between the schematic image and the circumstances of the accident marked with “checkmarks” in the lines of paragraph 16, the “checkboxes” are given priority . Therefore, the task of drivers is to ensure that graphic information does not diverge from text data.

In paragraph 16, the vehicle maneuvers before the collision must be correctly displayed. The point is, for example, not to confuse parking with stopping, and overtaking with changing lanes with simple overtaking. Correctly indicating such data reduces the time it takes for the insurance company to consider the case and affects the final result. If the options in paragraph 16 are not enough to describe the entire situation that occurred, in paragraph 15 , which is provided for comments, all this can be indicated. Here you can note your disagreement with the explanations of the second driver or indicate the fact of his refusal to sign the notice. This completes the design of the first part of the form.

back side

The second side can be filled by the driver in the privacy of his own home. On it, having indicated in paragraph 1 which letter (“A” or “B”) on the first side his car is designated, he provides the following data:

Paragraph 2 gives a detailed description of the situation.
paragraph 3 is intended to indicate whether the owner or another person was driving the car at the time of the accident.
When more than two cars were involved in an accident, their identification data is provided - license plate number, make, model, information about the insurance company and policy.
Clause 5 lists damage to other property (except the vehicle) indicating its owner.
When the vehicle is moving, this is noted in paragraph 6. Otherwise, its location is also indicated there.
If there is more information that the driver considers necessary to display, this is done in paragraph 7 “Notes”.

No more than 5 days in advance, starting from the next day after the accident, the form is submitted to the insurance company.

Using the example provided to fill out a notification of an accident, you can correctly draw up your own form. This will allow you to receive compensation under compulsory motor third party liability insurance (MTPL) from the insurance company in a minimum amount of time.

If you are faced with an underestimation of insurance payments or a complete refusal to compensate for damage, call Honest. Our specialists will tell you how to proceed.

Notification of an accident. Sample filling, diagram, form

Sample of filling out a notification of an accident under MTPL 2019, front and back with a plan (scheme) of the road.

When concluding an OSAGO or CASCO agreement, the insurance company must issue the following set of documents along with the policy:

Notification of a road traffic accident (RTA) - form (double-sided self-copier);
Instructions for filling out the Notification of an accident.

Instructions for filling out the Road Accident Notice

Attention: filling out the Notification of an Road Accident and signing it is not an act recognizing your guilt or the guilt of another participant in the accident.

General recommendations for filling

Both the front and back sides of the Notice must be completed.

Correctly filling out a notification about an accident is the main thing that needs to be done in this situation. Conscientiously and carefully fill out all positions on the Notification form, take into account all the information about this accident, about its participants and witnesses. A correctly completed Notice speeds up the work of insurers, and you will be able to receive insurance compensation faster.