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Incident Report

A traffic accident occurred at 6:33 P.M. on September 11, 2001, involving two pick-up trucks in rainy weather. Vehicle #1, a 1995 GMC Topkick, collided with Vehicle #2, a 2000 Ram 1500 TRX, due to reduced visibility and braking issues. No injuries were reported, and both drivers were advised to submit damage estimates for insurance claims.

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10 views2 pages

Incident Report

A traffic accident occurred at 6:33 P.M. on September 11, 2001, involving two pick-up trucks in rainy weather. Vehicle #1, a 1995 GMC Topkick, collided with Vehicle #2, a 2000 Ram 1500 TRX, due to reduced visibility and braking issues. No injuries were reported, and both drivers were advised to submit damage estimates for insurance claims.

Uploaded by

rajizzreys
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of the Interior and Local Government


NATIONAL POLICE COMMISSION PHILIPPINES
NATIONAL POLICE
HINDANG MUNICIPAL POLICE STATION
Hindang, Leyte, 6524

TRAFFIC ACCIDENT REPORT

Time and Date of Occurrence 6:33 P.M., September 11, 2001 (Tuesday)
Place of Occurrence

Weather Condition Rainy


Reportee Traffic Enforcer
Time Reported to Authorities 6:45 P.M., September 11, 2001
Numbers of Vehicles Involved Two (2)

Particular Vehicle #1 Vehicle #2


Type GMC Topkick 4x4 Ram 1500 TRX
Make/Model 1995 2000
Plate Number TMD 796 ESC 441
Classification Pick-up Truck Pick-up Truck
Driver
Address Ibabao, Brgy. Atabay, Sentro, Brgy. Lawis,
Hilongos, Leyte HIndang, Leyte
License Number (NP)DO7-22-456432 (NP)DO5-41-328695
Restriction 1-2-3/ Expiry 2- Restriction 1-2-3/ Expiry 1-
01-03 21-05
Age/Nationality 35 years old/Filipino 43 years old/Filipino
Gender/Civil Status Male/Married Male/Married
Driving Experience 6 years 15 years
Name of Owner
Address Liatris st., Brgy. Poblacion, S.V. Mais st., Brgy. Tinago,
Hilongos, Leyte Hindang, Leyte
Registration Certificate # MVRR77665332 MVRR33269431
CR-3443562 CR-7654431
File – 4201-55670 File – 3298-11265
Insurance Estate COC 32998 Expiry Safes COC 77865 Expiry
June 7, 2013
Description of Damages Right Front Portion, Left Front Portion,
Headlights windshield, side mirror, etc.
Injured Person None None
Narrative:
Prior to the accident, V2 was entering the intersection when V1 was late to notice the
entering vehicle due to the rainy weather. V1 hit the brakes but did not have enough friction,
causing to the tires slip and accidentally hit the left front portion of V2, thereby causing damage
to both vehicles.
Both drivers gave their statement and both were advised to submit estimate of damages
on both vehicles and corresponding photographs.
This report is for the purpose of insurance claim only.

Police Staff Sargeant


Investigating Officer
Noted:

Police Captain
Chief, Hindang Traffic Unit
_______________________________________________
_

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