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Cars and vehicles

Vehicle incident report

Each type of incident asks its own questions, and an injury shows an emergency notice. Free to use with FillKite.

Live demo

Vehicle incident report

Fill it in and press the button to see how it behaves. Nothing you type is saved or sent.

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Test mode: you can try this form, but nothing you send is saved or passed on.

Your name

What is in this form

  • Your name (required)
  • Phone (required)
  • Policy number (required)
  • What happened? (required)
  • Date (required)
  • Was another vehicle involved? (required)
  • Other driver’s name
  • Other vehicle’s registration
  • Was anyone hurt? (required)
  • Police reference number (required)
  • Describe what happened (required)

How the conditional logic works

This form shows or hides fields as people answer, so everyone sees only what matters to them.

  • “Was another vehicle involved?” appears only when “What happened?” is “A collision”.
  • “Other driver’s name” appears only when “What happened?” is “A collision” and “Was another vehicle involved?” is “Yes”.
  • “Other vehicle’s registration” appears only when “What happened?” is “A collision” and “Was another vehicle involved?” is “Yes”.
  • “Was anyone hurt?” appears only when “What happened?” is “A collision”.
  • A notice appears only when “Was anyone hurt?” is “Yes”.
  • “Police reference number” appears only when “What happened?” is “Theft”.

Use it on your site

  1. Install FillKite free from WordPress.org.
  2. Download this form with the button above.
  3. Go to FillKite → Import → From a FillKite file, choose the file and import it.

Questions

About this form

Is the vehicle incident report form free?

Yes. It works with the free FillKite plugin, and you can download it and change it as you like.

Is anything I type saved?

No. This demo runs in test mode: FillKite checks your answers like a real form, but nothing is saved and no email is sent.

How do I use this form on my site?

Install FillKite, download the form with the button on this page, then go to FillKite → Import → From a FillKite file and choose the file. After importing, open it in the builder, change anything you like and add it to a page.

Does this form use conditional logic?

Yes. 6 fields or notices show only when earlier answers call for it. “Was another vehicle involved?” appears only when “What happened?” is “A collision”.

What fields does it have?

It has 11 fields: Your name, Phone, Policy number, What happened?, Date, Was another vehicle involved?, Other driver’s name, Other vehicle’s registration and more.

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