Cairns Bicycle User Group
CYCLISTS' ACCIDENT - INCIDENT EMAIL FORM

Or you may complete, print and mail to:-
Projects and Reports Officer, CBUG, 17 Gordon St, Earlville, Cairns 4870. Ph 07 4054 1756.


        Name and Age:  

             Address: 
                      
                      

       Email Address:  Please CC me: 
           Phone/Fax:
IF YOU WANT JUSTICE YOU NEED THE EVIDENCE 
WHAT TO DO IF YOU HAVE AND ACCIDENT OR INCIDENT:-

1. STOP. REMAIN CALM AND IN CONTROL.  Remove yourself from the road so 
   that you are safe, so that harassment can't continue. 
   Stop so dog can't chase you. etc.

2. DO NOT PROVOKE THE OFFENDER OR RETALIATE IN ANY WAY.

3. Get out your notebook and pen and WRITE DOWN:-

WRITE DOWN:                              
              Date/Time:  

Description of Offender:  

 Description of Vehicle:  

    Registration Number: 

               Location: 

   Road/Path Conditions: 

     Weather Conditions: 

DETAILS OF ACCIDENT:


WITNESSES:


Name of person submitting this form:      Date:
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