This document provides information about an accident or breakdown involving a vehicle. It includes details like the date and location of the incident, vehicle and challen information, parties involved, actions taken, estimated losses, expenses, and status. An investigating officer collected information through spot photographs, surveys, and police reports. The final sections outline settlement, recovery, and new vehicle details if the vehicle was replaced.
This document provides information about an accident or breakdown involving a vehicle. It includes details like the date and location of the incident, vehicle and challen information, parties involved, actions taken, estimated losses, expenses, and status. An investigating officer collected information through spot photographs, surveys, and police reports. The final sections outline settlement, recovery, and new vehicle details if the vehicle was replaced.
This document provides information about an accident or breakdown involving a vehicle. It includes details like the date and location of the incident, vehicle and challen information, parties involved, actions taken, estimated losses, expenses, and status. An investigating officer collected information through spot photographs, surveys, and police reports. The final sections outline settlement, recovery, and new vehicle details if the vehicle was replaced.
This document provides information about an accident or breakdown involving a vehicle. It includes details like the date and location of the incident, vehicle and challen information, parties involved, actions taken, estimated losses, expenses, and status. An investigating officer collected information through spot photographs, surveys, and police reports. The final sections outline settlement, recovery, and new vehicle details if the vehicle was replaced.
NEAREST BRANCH [………………….] NEAREST POLICE STATION [……..………………………………………………………..] VEHICLE NO [……………………….] CHALLAN NO. [..../……………………..] CHALLAN DATE [………………………….] CHALLAN FROM [……………………….] CHALLAN TO [………………………….] COMPANY VEHICLE/MARKET VEHICLE [……………….] BREAKDOWN/ACCIDENT DATE [../../…..] TIME [……. AM/PM…..]
FIRST INFORMATED TO LOADING BRANCH [……………….] INFORM DATE [../../…..] TIME […….. AM/PM……] NAME OF INFORMED PERSON [……………………………………..]
INFORMATION TO THE PARTY […] NAME OF PARTY […………………………………………………………………………..]
NAME OF INFORMED PERSON OF PARTY [………………………………………………………………………………………………]
ACTION TAKEN BY BRANCH [………………………….] ACTION DATE […/…/…..]
REPLACEMENT/REPAIR [………………………….] INVESTIGATING OFFICER [………………………….] MOBILE [……………………..] FIR & PANCHNAMA /SPOT PHOTOGRAPH […] FIR NO. [……………………….] POLICE STATION [………………………………………… UPLOADED […..] SURVEY CONDUCTED YES/NO [….] SURVEY REPORT YES/NO […..] SPOT SURVEYOR NAME [……………………………………………….] MOBILE NO. [………………………………..] APPROX LOSS/DAMAGE [………………………….] ACCESSED LOSS/DAMAGE […………….…...] POLICE/ACCIDENT SPOT EXPENSES [….……………………..] MATERIAL LOSS [………………………….] LIFE LOST YES/NO [….] REMARK [……………………………………………………………………………………………………………….……………………………….]
SETTLEMENT & RECOVERY OF LORRY HIRE YES/NO. […..]
SETTLEMENT & RECOVERY AMOUNT [………………….] NET LOSS […………………………..]
TOTAL CHALLAN LORRY HIRE [……………………..……] ADVANCE [………………………] BALANCE […………..….]
STATUS […………………………………………………………………………………………………………………………………………………]
NEW VEHICLE NO. [……………………….…]
NEW CHALLAN NO. [……/…………………..] CHALLAN DATE […/…/…..] NEW CHALLAN FROM [………………………….] CHALLAN DESTINATION […………] TOTAL LORRY HIRE […………………] ADVANCE [……………………] BALANCE […………………….]
