An elderly woman has died after being hit by a ute at a service station in New South Wales' south-west.

Emergency services were called to Cowabbie Street in Coolamon, 507km south-west of Sydney, after reports a woman had been hit by a ute.

Paramedics responded and treated an 83-year-old woman, but she unfortunately died at the scene from her injuries.

The driver, an 84-year-old man, was treated for shock and taken to hospital for mandatory testing.

Police have now commenced an investigation into the accident, with assistance from the crash investigation unit.

A report will be prepared for the coroner.

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