Accident Claim Form Template for Nigeria

1. Third Party Details: Information about other parties involved in the accident - used when another vehicle or party was involved

2. Employment Impact: Details about time off work and loss of earnings - used when the accident has affected the claimant's ability to work

3. Vehicle Details: Specific information about vehicles involved - used for motor vehicle accidents

4. Property Damage Assessment: Detailed description of property damage - used when claiming for property damage beyond personal injury

5. Previous Claims History: Information about any previous accident claims - used when required by the insurer

6. Additional Expenses: Details of other costs incurred due to the accident - used when claiming for additional expenses beyond primary damages

1. Schedule A - Medical Records: List and copies of all relevant medical reports, diagnoses, and treatment records

2. Schedule B - Photographic Evidence: Photographs of injuries, damage, and accident scene

3. Schedule C - Expense Records: Receipts and documentation of all expenses claimed

4. Schedule D - Witness Statements: Formal statements from witnesses to the accident

5. Appendix 1 - Police Report: Copy of official police report if applicable

6. Appendix 2 - Sketch of Accident Scene: Diagram showing the layout of the accident scene and positions of parties involved