Indiana Drunk-Driver Crash Victim Records Organizer

Prepared by Poynter & Bucheri, LLC · Reviewed by Donald Poynter, Indiana attorney · Last reviewed November 9, 2026
This paper organizer helps people hurt by a suspected drunk driver in Indiana and their families sort records they already have. Copy the headings into a notebook, or print this page and fill it in by hand. It is optional, not a required legal form or a way to submit a claim.
This resource is for injured victims and their families, not DUI or OWI defense.
Crash-records organizer: use only what you need
Keep the filled paper private. Do not add payment details, full government ID numbers, passwords or medical diagnoses. You can use a notebook instead. Leave out any detail you do not need.
Crash and report
Date: __________ Approximate time: __________
Location: __________
Responding agency: __________
Report number: __________ Date requested: __________
Case number / court, if known: __________
Providers and appointments
Provider / facility: __________
Visit date: __________ Next appointment: __________
Records requested / received: __________
Expenses and receipts
Date: __________ Expense: __________ Amount: __________
Paid by: __________ Receipt kept where: __________
Missed work
Dates / hours missed: __________
Work record kept where: __________
Vehicle, property and gear
Item: __________ Damage: __________
Photos or estimates kept where: __________
Insurance and claim contacts
Company: __________ Contact name: __________
Phone: __________ Claim reference: __________
Date / request / follow-up: __________
Witnesses and follow-up
Witness name and contact, if already shared: __________
Question / person to ask / date: __________
These headings do not show that a loss can be recovered or replace legal advice.
Finding official records
Indiana State Police links to electronic crash reports for a fee. MyCase is not an official court record and may contain errors. Official court records come from the court that keeps them.
Do I have to use every blank?
No. Use what helps you. Leave the rest blank. You can add more pages if you need space. Keep your notes in a safe place. Take a copy when you meet with a lawyer, if you choose. A list can help you ask clear questions, but it does not prove your claim.
Can I type into this page?
Use these headings on paper or in your own notebook. Don't send completed notes through our contact form; keep them on paper.
For other next steps, see first days and criminal case and injury claim.
Talk with the firm
You can call Poynter & Bucheri at (317) 780-8000 for a free case review. Ask about the terms of any work before you agree to it.
Poynter & Bucheri represents people injured in motor vehicle crashes in Indiana.
Our fee is only 25%* on motor vehicle accident cases.
No fee and no costs unless we recover for you. Calls answered 24/7 (office staff Mon–Fri 9–5; answering service after hours).
Free case review Call (317) 780-8000
*The 25% fee is 25% of the total recovery in motor-vehicle cases (car, truck, motorcycle, scooter, bicycle or pedestrian struck by a vehicle), including bar or host claims arising from them, settled prior to trial. If there is no recovery, the client owes no fee. Case costs and expenses paid by the firm are reimbursed from any settlement or recovery. This 25% fee is valid for 15 days after the date last advertised.
Poynter & Bucheri resource · 4202 Madison Ave., Indianapolis, IN 46227. This is a private law-firm resource, not a government, police or nonprofit site. General information only; not advice about your case. For a correction, use our contact form or call (317) 780-8000.