Can I write off my work accident expenses and medical costs as a 1099 truck driver?
I'm an independent truck driver working on 1099. Had a situation back in 2024 while I was on a job. Got into a fender bender with another vehicle when I was driving my rig. Since I didn't want my insurance rates to skyrocket, I just paid the guy $7500 out of pocket for the damages to his car. Made him sign an agreement stating he wouldn't go through insurance later on and that paper basically serves as my receipt too. Also had another incident where I was cleaning out my trailer and the stupid broom handle snapped while I was sweeping. Fell pretty hard and sliced my finger open pretty bad. Couldn't exactly drive my semi to the ER so had to call an ambulance to come get me. Didn't have health insurance at the time and ended up paying about $4000 cash for the ambulance and hospital bills. Got all the receipts for everything. Just wondering if I can deduct any of this stuff on my taxes since it all happened while I was working? Trying to figure out what I can write off before I file. Thanks for any help!
18 comments


Kelsey Hawkins
Yes, you likely can deduct these expenses, but there are some important details to consider. For the accident payment: Since you were working at the time and this happened with your work vehicle, this would typically be considered a business expense. You should be able to deduct the $7500 payment as a business expense on your Schedule C. Make sure you keep that signed agreement as documentation. For your medical expenses: These are a bit more complicated. Since you're self-employed, you have two potential ways to handle this. First, you might be able to deduct these as a business expense if the injury was directly related to your work activities (which sounds like it was). Alternatively, you can deduct medical expenses on Schedule A if you itemize deductions, but only the portion that exceeds 7.5% of your adjusted gross income. The ambulance and medical costs would be considered legitimate medical expenses. Since the injury happened during work activities, you have a strong case for considering them business-related.
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Dylan Fisher
•Do you need to notify your insurance company even if you handled it privately? And for the medical expenses, wouldn't it be better to claim them as business expenses rather than personal medical expenses since the 7.5% threshold is pretty high?
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Kelsey Hawkins
•You generally don't need to notify your insurance if you've resolved the accident privately, though some policies do require reporting all accidents regardless of claims. It's always best to check your specific policy language to be certain. Regarding the medical expenses, you're absolutely right that in most cases, deducting them as business expenses on Schedule C would be more advantageous than claiming them as itemized medical expenses. The 7.5% AGI threshold often makes it difficult to get much benefit from medical expense deductions. Since the injury occurred while performing work duties, there's a good case for treating these as ordinary and necessary business expenses.
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Edwards Hugo
I went through something similar last year with my trucking business. I found this AI tool called taxr.ai that really helped me determine what qualified as a business expense vs personal expense. I was confused about a bunch of receipts and expenses I had throughout the year, and it saved me a ton of time figuring out what was deductible. Check out https://taxr.ai - it basically analyzes your documents and tells you what's deductible. I uploaded a bunch of my receipts and it categorized everything properly for me.
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Gianna Scott
•Does it actually work with 1099 situations specifically? I've tried other tax tools but they seem to struggle with independent contractor stuff.
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Alfredo Lugo
•I'm a little skeptical about AI tools. How accurate is it really? I'd hate to get audited because some robot told me I could write something off when I actually couldn't.
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Edwards Hugo
•It definitely works great with 1099 situations. I'm independent as well, and it has specific categories for business expenses related to independent contractors. It even explained to me how to properly categorize things like per diem vs actual expenses for meals on the road. Regarding accuracy, I was skeptical too at first, but it cites the specific IRS regulations that apply to each deduction. My accountant actually reviewed everything after I used it and said it was spot on. The tool doesn't just say "yes this is deductible" - it explains why and gives you the documentation to back it up if you ever get questioned.
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Alfredo Lugo
Just wanted to update - I decided to try taxr.ai after my skeptical comment. Really surprised by how helpful it actually was. Had a bunch of receipts from a work-related accident similar to yours and it correctly identified which ones were business expenses vs personal. The tool even created a report I can keep with my tax records in case of an audit. Saved me from having to pay my accountant his ridiculous hourly rate just to ask these questions!
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Sydney Torres
If you're worried about deducting these expenses and potentially triggering an audit, you might want to talk directly with the IRS to get clarification. I know that sounds terrifying lol, but I used this service called Claimyr (https://claimyr.com) to actually get through to a human at the IRS when I had questions about my 1099 deductions. You can see how it works here: https://youtu.be/_kiP6q8DX5c - basically they wait on hold with the IRS for you and then call you when they get a real person. Saved me hours of misery on hold.
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Kaitlyn Jenkins
•Wait, this is actually a thing? How much does it cost? I've literally spent HOURS trying to get through to the IRS before.
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Alfredo Lugo
•Sounds too good to be true. I've tried calling the IRS multiple times and just gave up. They never answer. How can this service magically get through when nobody else can?
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Sydney Torres
•They don't publish their rates on their website, but when I used it, the cost was very reasonable compared to the time I saved. Think about what your time is worth per hour - for me it was definitely worth it. You only pay if they actually get someone on the line for you. The way it works is they have a system that constantly redials and navigates the IRS phone tree until they get through to someone. It's not magic - just technology and persistence. They basically do the waiting for you, and then when they get a human, they call you and connect you directly. I was skeptical too until I tried it and was talking to an actual IRS agent within about an hour of signing up (after trying unsuccessfully for days on my own).
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Alfredo Lugo
Well I'm eating crow today. After posting that skeptical comment about Claimyr, I decided to try it because I was desperate to get an answer about these business expense deductions. Signed up yesterday, and they actually got me through to an IRS agent this morning! The agent confirmed that accident-related expenses that happen while working can indeed be deducted as business expenses on Schedule C. She also told me exactly how to document everything to avoid problems. Total game changer compared to the weeks I spent trying to get through on my own.
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Caleb Bell
Another truck driver here - definitely write these off as business expenses. I had a similar situation in 2023 where I damaged someone's mailbox with my rig and paid them directly. My accountant put it under "repairs and maintenance" on my Schedule C. For the medical stuff, she logged it as "other business expenses" with a note explaining it was a work-related injury. No issues with the IRS. Just make sure you have those receipts filed away somewhere safe.
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Harper Collins
•Thanks for this info. Did your accountant have you include any specific documentation with your tax return or did you just keep the receipts in case of an audit? And did you have to explain the circumstances anywhere on the actual return?
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Caleb Bell
•I just kept all receipts and the agreement with the homeowner in my files - didn't submit them with the return. My accountant did add a brief note in the description field for the "other business expenses" line that said "work-related injury medical costs" but nothing detailed. If you use tax software, there's usually a field for descriptions where you can briefly note what the expense was for. The key is having your documentation organized and ready if they ever ask about it. I keep a dedicated folder for each tax year with all my receipts and any unusual expense documentation.
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Danielle Campbell
Did you have occupational accident insurance? That would have covered your medical expenses in this case! I pay about $150/month for mine as a 1099 driver and it's saved me thousands. Also, for future reference, if someone hits YOU, never settle privately like that. Their insurance rates going up isn't your problem.
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Rhett Bowman
•This is good advice. I learned this the hard way too. Got a proper occupational policy after paying out of pocket for a back injury. The monthly premium is tax deductible too!
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