Mont Belvieu, TX · Chambers County
Accident Self Reporting Form
This form lets a person involved in a vehicle crash report its details to the Mont Belvieu Police Department when an officer did not investigate.
What this form is
Use this form to report a vehicle crash that was not investigated by a police officer. It asks for information about the crash, the vehicles and drivers involved, insurance, damage, and the people involved, along with a description of what happened.
Who needs it
A person involved in a vehicle crash that was not investigated by a police officer can use this form to report it.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Accident Self Reporting Form.
- 2
Complete The Form
Enter the requested crash, vehicle, driver, insurance, and damage information.
- 3
Sign And Date
Sign and date the completed form; the document does not require notarization.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Accident Self Reporting Form for?
- It allows a person to report a vehicle crash that was not investigated by a police officer and provide details about the crash, vehicles, drivers, insurance, and damage.
- Who can use this form?
- A person involved in a vehicle crash that was not investigated by a police officer can use the form to report the incident.
- Do I need a notary for the Accident Self Reporting Form?
- No. The form is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the Accident Self Reporting Form?
- Submit it to the city department named on the form; check the city website for current contact details.
