Intake Form - Auto Accident

This Auto Accident Intake Form is for use by an attorney to gather information from a client regarding an auto accident. This form contains a broad scope of questions regarding the client including full name and all contact information, employment and health insurance information and prior medical treatments. This Intake Form also includes detailed information regarding the accident itself including date, time and brief description, vehicle description and the names of any witnesses. When gathering information about an accident it is important that all pertinent information be documented. (continued ...)