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CLOSE CALL, CRASH or HARASSMENT REPORT FORM
Have you had a close call, a crash or been harassd on Lebanon area roads? We need to know from both LVBC members and non-members.
Usually, Lebanon County is a great place to cycle; we have beautiful scenery and many quiet back roads. However, on occasion, some "bad apples" will ruin this experience.
Please share as much information as you can about a close call, crash or a harassment incident so that LVBC can keep a log of these incidents and demonstrate to the public, law enforcement and those responsible for providing safe road conditions for cyclists that this is an important issue to address,
YOUR NAME
ADDRESS
ADDRESS (line 2)
CITY
PHONE
E-MAIL ADDRESS
VEHICLE TYPE
LOCATION
DETAILED DESCRIPTION OF INCIDENT
DATE OF INCIDENT
TIME OF INCIDENT
STATE
ZIP
LICENSE PLATE (partial ok)
When finished, PLEASE REVIEW YOUR INFORMATION, then click the submit button. Your computer will reload the home page when your submission has been accepted.
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