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Car crash

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1Incident

Date of incident(required)

YYYY

Time of accident?

Location(required)

Did you need to call a tow truck after the accident?Yes

2Driver APlease insert information regarding driver and vehicle

Vehicle A license plate number(required)

Driver A(required)

Date of birth / Kennitala

Phonenumber / Area Code

The confirmation and a PIN for the case status are sent to this address.

3Driver BPlease insert information regarding driver and vehicle

Vehicle B license plate number

Driver B

Date of birth / Kennitala

Phonenumber / Area Code

4Incident reportTell us what happened

Text

5PhotosYou can include images

Insert image Take photo

Up to 10 images, max 15 MB each.

If you are including images, the upload can take a moment.