Mont Belvieu, TX · Chambers County

No notary required

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. 1

    Download The Form

    Download the Accident Self Reporting Form.

  2. 2

    Complete The Form

    Enter the requested crash, vehicle, driver, insurance, and damage information.

  3. 3

    Sign And Date

    Sign and date the completed form; the document does not require notarization.

  4. 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.

Need something notarized?

This Accident Self Reporting Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.