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交通事故简易协议书

2024-06-26 来源:客趣旅游网

交通事故简易协议书

本协议为参考模板,内容有不尽之处,建议使用前咨询冼洪永律师(13923203231)。

协议书

时间:    年    月    日    时    分。           天气、能见度:                 

事故地点:                                                                                                                                               

 

当事人基本信息

A车

B车

姓名


姓名


身份证号


身份证号


驾驶证号


驾驶证号


联系方式


联系方式


住址


住址


车辆号牌


车辆号牌


发动机号


发动机号


车架号


车架号


保险公司


保险公司


保险单号


保险单号


 

双方协商情况:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

 

特别约定:本协议一式两份,双方同意由此产生的任何纠纷由佛山市禅城区人民法院管辖。

 

当事人(签名、捺印):                     当事人签名(签名、捺印):

时间:

 

 

 

 

 

事故大致方位图(注明标线、车辆四至位置、道路情况):


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