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Division Fleet and Surplus Services Division
Accident Procedures & Form
- Call the police and obtain emergency medical care for any injuries.
- Secure the following information:
- Names, addresses and phone numbers of all vehicle occupants and any injured people.
- Location injured people are taken.
- Name and address of vehicle owner and driver.
- Vehicle license number and description, including make, model, color and any other pertinent information.
- Names, addresses and phone numbers of all witnesses.
- Name of the law enforcement agency and case number.
- Do NOT make any admission of fault, or any statement concerning the accident, except to law enforcement or Risk Management personnel.
- A) What to do if the state vehicle injures someone or damages someone else’s property:
As soon as possible, report the accident to Gallagher Bassett Services Inc. by faxing the MN Motor Vehicle Accident Report Form found in the Claim Reporting Guide at this link http://www.admin.state.mn.us/risk/insurance/Documents/Motor_Veh_Acc_Rpt.pdf to Gallagher Bassett Services Inc. at (763) 416-8979. If you do not have access to a fax, contact Gallagher Bassett Services Inc. at (763) 416-8911or (866) 489-5797. Gallagher Bassett Services Inc. is on call 24/7.
B) What to do if there is damage to a state vehicle:
- Determine if the state vehicle is insured for damage to it by contacting your finance division. If not, get direction from them on what to do with the vehicle.
- If the vehicle has full coverage through Risk Management, send the MN Motor Vehicle Accident Report Form located in Claim Reporting Guide to Erica.Richards@state.mn.us or fax to Risk Management at (651) 297-7715.
NOTE- Agencies with full coverage include, but are not limited to, Fleet and Surplus Services, the DNR, MSOCS, and the Metropolitan Airport Commission.
Contact Risk Management for more information on Accident Reporting
Department of Administration - Risk Management Division
310 Centennial Office Building, 658 Cedar Street, St. Paul, MN 55155
Voice: (651) 201-2590; TTY (MN Relay Service): (800) 627-3529; Fax: (651) 297-7715
http://www.admin.state.mn.us/risk/contact.html
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