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Please note the following:
If you should have any questions, please contact the nearest FlexiVan office or email CVInquiry@flexivan.com
*All fields are required
Name of driver involved in accident (if different from reporting party):
Date of accident:
Time of accident:
City and state where accident occurred:
Please provide a brief description of the accident:
Date/time police were notified:
Upload police report
Has chassis/container been impounded by police?
Were there any witnesses to the accident?
Were there any other vehicles involved in the accident?
Number of Vehicles involved:
Please provide vehicle information below:
Were there any personal Injuries?
Were there any fatalities?
Was there any third party property damage involved?
Were any citations/tickets issued?
Was equipment towed away?
Where is the chassis currently located?
Where is the container currently located?
Where is the tractor and/or any other vehicles involved located?
City and state where chassis was last seen:
Brief description of lost / stolen chassis incident:
Upload police report here
Where is the tractor and/or container involved currently located?
Were there any personal injuries involved in the incident?