APPENDIX 2 :

Notes & Driver Exchange Form

DRIVER EXCHANGE OF INFORMATION FORM

The State of Florida Department of Highway Safety and Motor Vehicles Division of Florida Highway Patrol has created a “Driver Exchange of Information Form.” This form is useful in helping collect relevant and important information following an accident. It was created to assist all parties in making a thorough report to their respective insurance companies.

The form is below (find the original at http://www.flhsmv.gov/forms/driverexchange.htm ).

DRIVER 1

VEHICLE 1 OWNER

DRIVER 2

VEHICLE 2 OWNER

ACCIDENT INFORMATION

WITNESS INFORMATION

INVESTIGATING OFFICER