Page 727 - The Central Motor Vehicles Rules, 1989

ANNEXURE-XIII THE CENTRAL MOTOR VEHICLE RULES, 1989 699

16. In case of commercial
vehicle

Permit details
Fitness details
17. Whether Permit and Yes No
Fitness have been verified
from the Authority
If yes, attach report
If no, give reasons
18. Whether the Owner Yes No
reported the accident to
the Insurance Company
If yes, give date
19. In case the driver fled Yes No
from spot, whether the
owner produced the
driver before the police
If yes, attach the copy of
notice under Section 133
of Motor Vehicles Act.
Victim(s) details
20. Victim(s) Pedestrian/Bystander
Cyclist
Two-wheeler
In other Vehicle
Others (Specify)
DEATH CASE
21. Name of the deceased

22. Age of the deceased
23. Occupation
24. Details of Legal Representatives of the deceased
Name Relationship Age
(i)
(ii)

(iii)
(iv)
(v)