Medical Attention First

Call nearest rescue squad

Call State Police

Call JMU

Phone: 540-568-6911 (emergency) Phone: 540-568-6913 (non-emergency)

Call Susan Wheeler: Phone: 540-568-3727

Information to Obtain

Names of all parties involved with Insurance Company name and Policy number

Party Name
Party Phone#
Insurance Company Name
Insurance Policy#
       
       
       
       

Name of witnesses

       
       

Name of investigating police officers

       
       

Name of Rescues Squad Supervisor

 

Date, Time, Location of accident

 

Numbers for all Incident Reports filled out by Police Officers

   
   

If Complaint Sheet is filled out, ask Officer or Rescue Squad personnel for copy of that report.

If anyone is taken to medical care facility

Get Name of Facility

 

Examining Physician

 

Nurse Practitioners

   
INFORMATION SHOULD NOT BE IMPARTED TO OTHERS EXCEPT INVESTIGATING POLICE OFFICERS

Back to Top
Safety Plan
Anthony-Seeger Hall
821 South Main Street
Harrisonburg, Virginia 22807