Page 691 - The Central Motor Vehicles Rules, 1989
P. 691

ANNEXURE-XIII     THE CENTRAL MOTOR VEHICLE RULES, 1989              663

                                                                  FORM-I
                                                       FIRST ACCIDENT REPORT (FAR)
                                                   By Investigating Officer to Claims Tribunal
                                             Within 48 hours of the receipt of intimation of the Accident
                                  Copy to Victim(s) and Insurance Company and State Legal Services Authority (SLSA)
                                  FIR No.
                                  Date
                                  Under Section
                                  Police Station

                                   1.  Date of Accident
                                   2.  Time of Accident
                                   3.  Place of Accident

                                   4.  Source of Information  Driver/Owner
                                                             Victim
                                                             Witness
                                                             Hospital
                                                             Good Samaritan
                                                             Police
                                                             Others (Specify)
                                       Name, mobile number & address of the Informant
                                       Name

                                       Mobile No.
                                       Address
                                   5.  Nature of Accident    Injury
                                                             Fatal
                                                             Damage/loss of property
                                                             Any other loss/injury
                                       Number of Vehicles
                                       involved
                                       Whether Registration  Yes    No
                                       Number of the Offending
                                       Vehicle known
                                       Whether offending     Yes    No
                                       Vehicle impounded by the
                                       police
                                       Whether the driver of the  Yes  No
                                       offending vehicle found
                                       on the spot
                                       Number of Fatalities
   686   687   688   689   690   691   692   693   694   695   696