EM WAY INC ACCIDENT REPORTING FORM
IF THIS IS AN EMERGENCY PLEASE CONTACT 911. Otherwise contact our office at ext 302, or ext 444 after hours.
Please be sure to complete the report below to the best of your abilities. Keep in mind, that you are required to get the "Other Parties" information and by not doing so may leave you fully liable for all damages.
Send any additional items (police reports and pictures) to Jim, our Director of Operational Safety.
Email - email@example.com
Phone ext - 302