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1. date of the accident

Enter the correct date of the accident.

2. Location

Enter the correct date of the accident.

3. Injured, even slightly

Indicate whether or not there are any injuries, even if only slight. The existence of injuries, even if only slight, is not applicable to the DME (Direct Indemnity to the Insured Person) system.

4. Material Damage

The IDS system only covers material damage not exceeding EUR 15,000.

5. Circumstances

Mark with crosses to indicate the circumstances under which the accident occurred. At the end, indicate the number of squares you have selected, as this information is very important in determining liability.

6. Insured/User:

Please provide the surname, first name, address, postcode and VAT number of the insured/taker.

7. vehicle

Please state the registration number of the vehicle.

8. Insurance Company

Please state the details on the vehicle's Green Card.

9. driver

Please indicate the information on the driver's driving licence.

10. Point of collision

Indicate with an arrow the point of initial impact.

11. Visible Damage

Indicate the visible damage caused by the accident.

12. my observations

Summarise the circumstances of the accident (e.g. Vehicle B did not stop at the STOP sign).

13. layout of the accident

Sketch the position of the vehicles at the time of the collision as well as the existence of traffic lights, upright signs, continuous dashes and other signalling or reference elements.

14. driver signatures

Ensure that the Friendly Declaration is signed by both drivers to enable the DME system to be triggered should the situation allow.