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Free printable motorcycle collision worksheet
Motorcycle Accident Intake Form for Law Firms: Rider, Roadway & Evidence Questions
Use a staged workflow to capture rider and passenger roles, motorcycle and vehicle details, roadway conditions, reported injuries, protective equipment, possible evidence sources, and an accountable attorney-review handoff—without turning intake into a fault, deadline, medical, or case-value decision.
Published by ClaimVela · Updated October 21, 2026 · This operational resource is not legal advice, medical advice, crash reconstruction, or a universal form. Have authorized counsel adapt every question, notice, consent, conflict control, routing rule, and collection step to the firm's jurisdictions and procedures.
Stage 0 · Safety and emergency routing
Put immediate safety before ordinary intake
If a caller reports immediate danger, a person still in traffic, a serious medical emergency, fire, a fuel spill, or another urgent condition, pause the questionnaire and use the firm's reviewed emergency-routing language. In the United States, the National 911 Program FAQ explains that 911 is for situations requiring immediate police, fire, or ambulance assistance. Intake staff should not diagnose, recommend treatment, or use this worksheet as emergency guidance.
Do not ask anyone to return to a roadway, approach traffic, enter unsafe property, inspect a vehicle, or retrieve an item for the intake record.
Stage 1 · Focused first contact
Open the inquiry with only what the firm needs now
Keep the first-contact form narrow enough to complete on a phone. Collect opening-control information, a short fact snapshot, and source-existence flags. Do not ask the rider to gather records, contact other people, or handle the motorcycle or gear.
01
Inquiry control and safe contact
Create one accountable prospective-client record and a permitted way for the firm to respond.
Inquiry ID, received date and time, source, channel, referral, and campaign
Caller name, injured rider or passenger, and their relationship if different
Phone, email, preferred method, safe contact times, and message restrictions
Inquiry-contact permission and the notice version, timestamp, and recorded action
Optional marketing consent kept separate from required intake contact
Preferred language, accessibility needs, and local time zone
Assigned owner, first-response target, and escalation owner — internal
02
People and opening-control entities
Identify only the participants and central organizations reasonably needed for duplicate and conflict review.
Rider, motorcycle passenger, other drivers, occupants, pedestrians, cyclists, and vehicle owners
Known employers, rideshare or delivery platforms, rental or leasing companies, and government entities centrally involved
Known name variations and the reported role of each person or organization
Current or prior attorney involvement concerning the collision
Known witnesses may be flagged as existing; defer broader contact details until the approved gate
03
Motorcycle collision snapshot
Record a short first-person account of when, where, and how the reported event occurred without deciding fault.
Collision date and approximate time, with estimates and unknown details labeled
Street, intersection, route, mile marker, city, state, lane, lot, or other best-known location
Short sequence in the rider's or caller's own words
Reported roles of the motorcycle and other vehicles or people
Whether another impact, loss of control, roadway condition, or event occurred in the same sequence
04
Injuries and immediate care
Capture reported symptoms and care so trained staff can use the firm's approved safety and review procedure.
Reported injuries, symptoms, affected body areas, and when symptoms began
Emergency response, transport, hospital, urgent care, or other care already received
Current safety or medical concern and whether emergency help or care is underway
Upcoming appointments or recommended follow-up reported by the caller
Work, school, caregiving, mobility, sleep, or daily-activity impact reported so far
05
Reports and source-existence flags
Identify what reportedly exists without directing retrieval, inspection, contact, access, or preservation.
Police, crash, incident, EMS, fire, or other agency response and report number already known
Whether the motorcycle, helmet, protective clothing, or other damaged items reportedly still exist
Current motorcycle and gear location, custodian, and condition as reported
Whether photos, video, witnesses, cameras, reports, towing, storage, or repair sources may exist
Whether insurance or other communications reportedly exist; defer details and copies until the approved gate
06
Next action and handoff
End the first contact with a clear internal owner, review priority, and permitted communication path.
Conflict-review owner and current status — internal
Prompt-review signal and approved escalation result — internal
Authorized reviewer and focused review question
Next action, owner, due date and time, time zone, and approved channel
Acknowledgement or follow-up delivery result without acceptance language
Conflict and authorization gate
Pause before sensitive or expansive follow-up
Before requesting detailed medical history, insurance records, communications, witness information, electronic data, documents, uploads, or broader entity details, complete the firm's conflict process and obtain approval from the role authorized to define what is reasonably necessary. Limit access while status remains unresolved. A submission is not conflict clearance, case acceptance, or an engagement agreement.
Firm-defined prompt review
Route reported signals; do not make legal conclusions
Train staff on the firm's authorized response before these facts appear. A signal may change routing or priority; it does not answer fault, governing law, deadline, causation, value, coverage, admissibility, or acceptance.
Immediate danger, emergency medical need, a person still in traffic, fire, fuel spill, or another urgent safety concern
Pause ordinary intake and use the firm's approved emergency-routing procedure. The form is not an emergency service and staff should not diagnose or give treatment advice.
A court, agency, insurer, government body, or other document states a response date
Keep the exact document and stated date in the firm's record, then route it promptly to an authorized attorney. Do not calculate a deadline or promise that a date is controlling.
The motorcycle, helmet, gear, video, roadway condition, electronic record, or another possible source may change or no longer be available
Record what reportedly exists, where it is, who reportedly controls it, and the reported status. Escalate internally under firm policy without giving retrieval, access, repair, handling, or preservation instructions.
A death, catastrophic injury, minor, multiple claimant, hit-and-run, government vehicle or roadway, commercial vehicle, or firm-defined urgent circumstance is involved
Send the known facts to the firm's authorized review owner. Treat the category as a routing input, not a conclusion about liability, law, coverage, value, or qualification.
The person has current or prior counsel or may have signed a representation agreement
Record the person's words and any already available documents, then request authorized review. Do not advise the person to end another relationship.
A duplicate, related inquiry, involved person, employer, owner, insurer, or other possible conflict input appears
Pause ordinary qualification, limit access under firm policy, and use the firm's conflict process. Intake staff do not clear conflicts.
Stage 2 · Gated follow-up
Build a source-aware motorcycle collision record
Ask these deeper questions only after the firm's conflict process and an authorized reviewer determine that the information is reasonably necessary. Keep observations, personal accounts, record contents, and unanswered questions visibly separate.
Rider, passenger, and riding context
Rider and passenger positions, reported roles, trip purpose, route, and destination
Reported experience, training, license or endorsement, and ownership only when reasonably necessary for authorized review
Helmet, eye protection, jacket, gloves, footwear, reflective material, or other protective-equipment use as reported
Rider and passenger statements kept in their own words with the source identified
Reported, confirmed, disputed, unknown, and not-yet-obtained details kept distinct
Motorcycle and involved vehicles
Motorcycle year, make, model, color, plate, state, VIN, ownership, and identifying features when documented
Other vehicle year, make, model, color, plate, owner, driver, employer, rental, rideshare, or delivery context when known
Reported points of impact, visible damage, fluid loss, deployed systems, cargo, accessories, or mounted devices
Tow, impound, storage, repair, salvage, insurer, or other current status reported for each vehicle
Source and accuracy label for each vehicle, owner, and status detail
Roadway, visibility, and sequence
Reported direction and lane position for each participant before, during, and after the event
Traffic signals, signs, speed limits, intersections, curves, sight lines, lane markings, shoulders, medians, or work zones
Reported weather, lighting, glare, visibility, surface, debris, gravel, pothole, drainage, construction, or other roadway conditions
Reported vehicle movements, braking, turning, merging, filtering or splitting, evasive action, impacts, and final positions
Source of every detail: direct observation, another person's statement, report, photo, video, or unknown
Injuries, care, and reported impact
Reported symptom onset, body areas, progression, and current condition
Emergency response, facilities, providers, diagnostics, prescriptions, and visit dates
Recommended care, scheduled appointments, barriers, and reported treatment gaps
Relevant prior symptoms, injuries, or incidents only when an authorized reviewer determines they are reasonably necessary
Reported work, school, caregiving, mobility, sleep, riding, and daily-activity impact
Reports, coverage, and communications
Responding organizations, report or incident number, officer, citation, exchange document, diagram, or dispatch reference
Known carriers, policyholders, claims, adjusters, and reported coverage information
Statements, forms, authorizations, releases, payments, estimates, offers, denials, or other communications received
Copies requested or collected only through the firm's approved secure process after authorization
Current or prior counsel and any representation-related document already available
Source inventory and attorney handoff
Motorcycle, helmet, protective gear, clothing, personal items, parts, debris, or other physical sources reportedly existing
Photos, video, nearby cameras, dashcam, body camera, witness, 911, dispatch, roadway, tow, storage, repair, or inspection sources reportedly possible
Phone, navigation, wearable, motorcycle, or other vehicle electronic data reportedly possible—without assuming it exists or is retrievable
Reported custodian, location, identifier, status, access path, and possible change or loss risk for each source
Authorized reviewer, focused questions, priority, internal next step, owner, and due time
Copyable printable template
Motorcycle Accident Intake Form — Operational Worksheet
Print this worksheet or translate its sections into the firm's reviewed intake system. Complete detailed or sensitive sections only after the approved conflict and authorization gate. This worksheet identifies reported facts and possible sources; it does not direct outside contact, evidence access, device download, inspection, repair, handling, or preservation.
A. Intake control — internal
Inquiry ID:
Received date, time, and time zone:
Source, channel, campaign, or referral:
Assigned owner:
Response target and escalation owner:
Duplicate and conflict-review status:
Acknowledgement delivery result:
Notice and consent version, timestamp, and recorded action:
B. Caller and safe contact
Caller name and preferred name:
Rider, passenger, or injured person and caller relationship, if different:
Phone and email:
Approved contact method, times, and message restrictions:
Inquiry-contact permission by channel:
Separate optional-marketing consent, if offered:
Preferred language and accessibility needs:
Current or prior attorney involvement:
C. Collision and roadway snapshot
Date and approximate time:
Exact or best-known location:
Rider or caller account in their own words:
Reported roles of the motorcycle, other vehicles, and people:
Whether another impact, loss of control, roadway condition, or event reportedly occurred:
Emergency and agency response already known:
D. People, motorcycles, vehicles, and organizations — opening identities first; broader details after approved gate
Riders, passengers, drivers, occupants, pedestrians, cyclists, and witnesses:
Motorcycle identifying details and reported owner:
Other vehicle identifying details and reported owner:
Known employers, platforms, lessors, companies, or government entities:
Reported role and source for each name:
Missing names or identifiers:
E. Rider, roadway, gear, injuries, and care — after approved gate
Rider and passenger positions and reported riding context:
Helmet and protective-equipment use as reported:
Direction, lane, traffic controls, lighting, weather, surface, and visibility as reported:
Reported vehicle movements, impacts, sequence, and final positions:
Reported injuries, symptoms, onset, and body areas:
Emergency response, transportation, facilities, providers, and visit dates:
Recommended or scheduled follow-up:
Reported work, school, caregiving, mobility, sleep, and daily-activity impact:
F. Reports, coverage, and communications — after approved gate
Responding organizations, report numbers, officers, citations, or exchange documents:
Known carriers, policyholders, claims, and adjusters:
Statements, forms, authorizations, releases, payments, offers, or denials:
Letters, email, messages, and other communications:
Existing documents and secure collection status:
Communication owner and approved response path:
G. Motorcycle, gear, and evidence-source inventory — after approved gate
Motorcycle, helmet, clothing, protective gear, personal items, parts, or debris:
Scene, damage, injury, roadway, signal, or property photos and video:
Phone, navigation, wearable, motorcycle, or vehicle electronic sources reportedly possible:
Reported custodian, location, identifier, status, and possible change risk:
Internal review owner and approved next step:
H. Attorney-review handoff — internal
Confirmed facts:
Reported or disputed facts:
Unknown and not-yet-obtained information:
Prompt-review signal and escalation result:
Legal, source, and collection questions for review:
Authorized reviewer:
Next action, owner, due date and time:
Disposition and communication delivery result:
Printable companion register
Motorcycle & Protective-Equipment Source Register
Use one row for each reported physical, documentary, human, or electronic source. Record what may exist, its identifier, the reported custodian and current location, its status, and the authorized internal next step. A row is a lead for review—not proof that a source exists, is complete, remains available, can be accessed, or has a particular legal effect.
Motorcycle, sidecar, parts, debris, cargo, accessories, or other physical source
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Helmet, protective clothing, gloves, boots, eye protection, wearable, or personal item
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Scene, roadway, traffic-control, lighting, surface, construction, maintenance, or property source
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Photo, video, nearby camera, dashcam, body-camera, or other recording source
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Police, crash, fire, EMS, 911, dispatch, towing, storage, repair, or inspection record
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Witness, passenger, responder, property owner, business, road authority, or other reported custodian
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Phone, navigation, wearable, motorcycle, or involved-vehicle electronic source reportedly possible
Reported item / identifier
Reported custodian / location
Status / accuracy / change risk
Internal owner / approved next step
Accuracy labels
Show the status and source of every important fact
Confirmed
Supported by a record the firm has reviewed or directly verified through an approved process.
Reported
Provided by the caller or another identified source but not independently verified.
Disputed
Accounts, identifiers, or records differ; retain each version and its source without resolving the issue in intake.
Unknown
The person does not know or the information is unavailable; never replace it with an assumption.
Not yet obtained
A possible source or document has been identified but the firm has not received or reviewed it.
Intake guardrails
Keep fact capture separate from legal and technical judgment
Do not decide who caused the collision or label a rider, driver, owner, road authority, manufacturer, or organization legally responsible.
Do not treat helmet or gear use, lane position, lane filtering or splitting, speed, licensing, citations, visibility, roadway conditions, or an unknown fact as proof of negligence, causation, admissibility, or case value.
Do not direct the person to return to the roadway, inspect, repair, move, alter, retrieve, download, or dispose of a motorcycle, vehicle, helmet, gear, device, data, or other possible source.
Do not direct the person to enter property or contact an adverse party, witness, insurer, agency, business, camera owner, tow yard, repair shop, road authority, or other custodian.
Do not promise automatic evidence preservation, report or telematics retrieval, title or registration lookup, helmet-law or lane-splitting analysis, crash reconstruction, or access to any source.
Do not calculate a filing, notice, insurance, government, preservation, or other deadline or legal window from intake facts.
Do not diagnose an injury, attribute medical causation, recommend treatment, or estimate damages, settlement range, acceptance likelihood, or outcome.
Do not state or imply that a submission creates representation, confidentiality beyond applicable duties, privilege, conflict clearance, or case acceptance.
Mobile completion
Keep the opening form short enough to finish
Use a single-column layout, visible labels, short question groups, explicit unknown options, and the appropriate mobile keyboard. Preserve answers after validation errors. Let the person defer uploads and sensitive detail rather than blocking the first submission on a slow connection or while they are dealing with transportation, care, or safety needs.
Privacy and communication
Minimize first; protect what follows
Explain why sensitive information is requested, separate inquiry contact from optional marketing permission, and record the notice version and consent action. Use secure transmission, private storage, role-based access, revocable collection links, retention rules, and delivery-failure visibility. Avoid placing sensitive narratives or attachments in routine notification email.
Primary sources for policy design
Use official sources within their actual scope
Prospective-client duties
The ABA Model Rule 1.18 commentary discusses when communications may become a consultation and limiting an initial consultation to information reasonably necessary for the representation decision. It is model-rule guidance, not a universal intake rule; apply local law and the firm's counsel-approved procedure.
Limit unrequested prospective-client details
ABA Formal Opinion 510 discusses reasonable measures to limit information received from a prospective client, including clear instructions not to provide more information than requested before the lawyer decides whether to proceed. The opinion is nonbinding ethics guidance; local rules, law, and facts control.
NHTSA MMUCC 6th Edition
NHTSA describes the Model Minimum Uniform Crash Criteria as a voluntary guideline for a minimum standardized set of variables in state and law-enforcement crash-data systems. Its person, vehicle, and event organization can inform neutral vocabulary, but MMUCC is not a required law-firm form, a fault framework, a legal standard, or a substitute for the actual report and jurisdiction-specific review.
NHTSA crash-investigation context
NHTSA explains that the Crash Investigation Sampling System collects detailed research data from a representative sample of crashes. Its description helps distinguish the variety of person, vehicle, scene, and record sources that may exist, but CISS is a research program—not a law-firm preservation guide, a public report service for every crash, or a liability rule.
NHTSA Event Data Recorder overview
NHTSA's Event Data Recorder page describes EDRs as devices installed in some motor vehicles that can record technical information for a brief period around a crash. Treat EDR data as a possible source only. Do not assume a motorcycle or another vehicle has an EDR, that data remains available, or that the firm can access it.
Data minimization
The FTC's general business guide, Start with Security, recommends not collecting personal information a business does not need, retaining it only for a legitimate need, and limiting access. It is practical design guidance—not a compliance safe harbor or a substitute for legal, ethical, privacy, and security review.
This resource intentionally does not supply jurisdiction-specific helmet, lane-filtering or lane-splitting law, deadlines, notice requirements, preservation instructions, consent language, conflict clearance, causation analysis, liability analysis, medical advice, valuation, or case-acceptance criteria.
Frequently asked questions
Building a reliable motorcycle accident intake form
What should a motorcycle accident intake form collect first?
Start with safe contact information, the people and organizations needed for opening controls, the crash date and location, a short account in the rider's or caller's own words, a reported injury and care snapshot, whether the motorcycle, protective equipment, reports, or other possible evidence sources exist, and an assigned next action. Detailed medical, insurance, communications, and source collection should wait until the firm's conflict process and an authorized reviewer determine what is reasonably necessary.
What rider and roadway facts belong in motorcycle collision intake?
Record each person's reported role, direction and lane of travel, traffic controls, lighting, weather, surface or roadway conditions, visibility, vehicle movements, impacts, and final positions when known. Label the source of each detail and keep confirmed, reported, disputed, unknown, and not-yet-obtained information separate rather than turning the record into a fault conclusion.
How should intake handle the motorcycle, helmet, and protective gear?
Record what reportedly exists, its present condition, where it is, and who reportedly controls it. Do not direct the person to return to the roadway, inspect, repair, move, alter, retrieve, or dispose of the motorcycle or gear. Route any decision about inspection, collection, access, or preservation to an authorized reviewer using the firm's approved procedure.
Should intake decide whether helmet use, lane position, or lane splitting proves fault?
No. Intake may record reported helmet or protective-equipment use, lane position, lane filtering or splitting, speed, licensing, citations, and visibility as facts or possible research questions. Laws and legal significance vary by jurisdiction, and authorized attorneys remain responsible for legal analysis, causation, admissibility, and liability decisions.
What evidence sources can a motorcycle accident worksheet identify?
Possible sources may include the motorcycle and gear, scene and damage photos, witness information, police or agency records, nearby or vehicle video, tow or storage records, repair information, phone or device data, and vehicle event data when reportedly present. The worksheet should identify possible sources, custodians, locations, status, and change risk; it should not promise that a source exists, remains available, or can be obtained.
Does submitting a motorcycle accident intake form create representation?
A form should not promise or imply representation, confidentiality beyond applicable duties, conflict clearance, or case acceptance. Use firm-approved, jurisdiction-appropriate notices and keep the matter labeled as prospective-client work until the firm's authorized engagement requirements are complete.
Turn the worksheet into accountable intake
Keep motorcycle inquiry facts, follow-up, sources, review, and retained-matter handoff in one workflow.
ClaimVela helps PI firms receive inquiries, assign ownership, collect structured facts and documents, prepare attorney review, collaborate securely, and carry retained matters forward without rebuilding the record. Attorneys remain responsible for conflicts, legal judgment, deadlines, qualification, collection decisions, and every representation decision.