The accident time is 1.

The accident site is located in the vicinity of the railway station.

A name, the name of the vehicle, the driver's license number, the address, the telephone number, the telephone number, the telephone number, the telephone number, the number, the number, the number, the address and the address.

Mode of pportation, vehicle number, vehicle number, insurance company name, or certificate of insurance No.

B name, the name of the vehicle, the driver's license number, the address, the telephone number, the telephone number, the telephone number, the telephone number, the number, the number, the number, the address and the address.

Mode of pportation, vehicle number, vehicle number, insurance company name, or certificate of insurance No.

Accident facts:

The litigant A was driven by the "Tiu" and "B".

because

The parties sign: A____________; B;

Compensation agreement:

1. the parties jointly drive the accident vehicle to the A side insurance company for the claim procedure.

2. A agrees that the B vehicle will be repaired within the day.

3. the party A agrees to compensate the party for B accident losses.

Party signature: A____________; B____________.

Explain:

1. before removing the scene, the parties should first fill in the above part of the accident fact.

2., after the withdrawal of the scene, negotiate compensation.

3. if the parties concerned do not withdraw from the scene on the grounds of the fact and the cause of the accident, or if they fail to reach an agreement in the negotiation of compensation, they shall promptly report to the police for processing.

4. if the parties fail to reach an agreement or reach an agreement, the other party may file a civil action directly to the people's court with the agreement of the parties themselves to solve the traffic accident.