Accident / Incident Report Form

Introduction

This form is to enable you to provide all relevant details concerning Loss, Damage or Personal Injury sustained in either an incident on Preston City Council owned land or a Motor Vehicle accident with a Preston City Council vehicle.

Please ensure you fill in as much as possible and sign and date at the end.

All fields marked with an * are required.

We will use your information for processing your claim for compensation and in a manner compatible with GDPR.

Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice.