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Lincoln Police Department

100 Old River Road Lincoln, RI 02865

(401) 333-1111

Self-Reporting Accident Report

Date of Report

Date Picker

Date of Accident

Date Picker

Vehicle #1 Operator Information

Full Address

Vehicle #1 Owner Information

Full Address

Vehicle #1 Operator: Describe what happened - indicating the location of damage, extent and circumstances of the accident below

Vehicle #1 Operator: Sign Here

Choose how to sign

Vehicle #2 Operator Information (if known)

Full Address

Vehicle #2 Owner Information (if known)

Full Address

Please attach any additional information, below, as desired (you will have the ability to take photos if using a smartphone). There is a 250 MB limit per attachment.

Copy of Drivers License

Copy of Insurance Card

Picture(s) from the Scene

Diagram or Sketch

Screenshot of Location on Map