In some circumstances, an incident or accident needs to be recorded and reported to the insurer in case it results in a future claim. Such situations may be a fall where someone is injured or a near miss where a serious accident was narrowly avoided. The attached form may be completed and returned to email@example.com
If you are uncertain as to whether an incident should be reported, it is a good idea to at least use the form to record the events while they are fresh in your mind. The form does not need to be comprehensively completed, but record what detail there may be.