Truck accident questionnaire

Share what you know. Mark uncertain details as unknown. Records are optional to begin a conversation; this form does not stop a deadline or establish representation.

Name *

Phone *

Email *

Do not give a recorded statement or sign anything from the trucking company's insurer before speaking with an attorney.

Crash location

Crash date

Crash time

Road and direction of travel

Nearest exit or mile marker

City and county

Truck and people

Your role

Type of truck

Company name on the truck door or trailer

USDOT or MC number, if seen or photographed

Trailer company name and number

Truck plate and state

What the truck was carrying, if known

Collision and evidence

Describe how the crash happened

Police agency

Police report number

Was anyone ticketed?

Did the truck driver say anything: tired, late, on the phone, did not see you?

Witness names and phone numbers

Do you have photos, video or dash-cam footage?

Was your vehicle towed, and where is it now? Do not repair or dispose of it yet.

Medical care and work

Injuries and current symptoms

Ambulance, hospital and treating doctors

Missed work and your job

Insurance and contact

Your own auto insurer and policy type

Has the trucking company or an insurer contacted you, requested a recorded statement or offered money?

Have you signed anything?

Do you already have a lawyer?

Best time and number to call

Additional details

Photos, video, dash-cam footage or records (optional)

Up to 10 PDF, image or MP4 files, 10 MB each. For larger videos, call to arrange private transfer. Do not include Social Security numbers.

(305) 748-3789

By submitting, you authorize phone or email contact about this request. Submitting does not create representation, stop a deadline, send a preservation letter or guarantee an outcome. Do not use this form for emergencies.

FREQUENTLY ASKED QUESTIONS

Truck accident questions

Truck claim FAQs

Should I call before all records are available?

Yes. Share the location, carrier identity and records you have. Electronic evidence can change or be overwritten; an attorney can discuss preservation. Calling does not itself create representation or guarantee a letter.

Does the firm handle cases along I-95 and statewide?

Yes. Josef Timlichman handles 18-wheeler and commercial truck cases throughout Florida, including Miami, Fort Lauderdale and Palm Beach. Based in Hollywood, Florida. Serving clients throughout Florida. Meetings by appointment only.