Livable Roads for Rural Saanich (LRRS) Traffic Incident Form
This form can be used to report traffic incidents in rural Saanich that you have observed or been involved in. This information is being collected by LRRS to use in reports to support our work. This form is not meant to replace formal means of reporting to Saanich Police, or other official bodies. The intent is to capture incidents that may or not be recorded by Saanich to create a more accurate picture of the lived experience on these roads. The information that you enter on this form is held by LRRS and stored on Google. You may be contacted regarding your response (for instance, if you include a plate number and that same plate number has been reported multiple times). Your participation in this form is voluntary. A copy of your responses will be emailed to the address that you provided for your records.
Email address *
Your name *
Your answer
Your home address *
Your answer
Do you live in rural Saanich/Prospect Lake District? *
Date of incident *
MM
/
DD
/
YYYY
Approximate time of incident (please use 24-hour clock) *
Time
:
The address, or a detailed description, of where the incident took place *
Your answer
Type of incident *
Please select how you were using the road, as a *
What road were you on *
Please describe what happened *
Your answer
Description of the vehicle/driver *
Your answer
Plate number AND province (no spaces)
e.g., XYZ123BC
Your answer
Name of company (if it was a company vehicle)
Your answer
Did you report this to the Saanich Police? **If you got a plate number, please consider reporting to the police *
Would you like to have your email address added to the list to receive the LRRS Traffic Bulletin? *
Thank you for taking the time to make our roads more livable!
A copy of your responses will be emailed to the address you provided.
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