ACORD 12 Instructions

ACORD 12 (2/95) – Exchange of Information Form

ACORD 12 is designed to be part of a “kit” with ACORD 11, Auto Accident Information Form, and ACORD 13, Witness Card. The “kit” should be given to the auto insurance policyholder for the glove compartment of the insured vehicle.

ACORD 12 can be filled out by the driver(s) and given to the other driver(s) involved in the accident.