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Name
Not required, will only be used if Cycle Sheffield need to obtain further information regarding incident
Contact email
Not required, will only be used to send or request further information regarding incident
Date and time of incident *
Time can be approximate
MM
/
DD
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YYYY
Time
:
Location of incident. *
The precise location (e.g. adjacent/ opposite house number/ such and such building/ about 10m before the City hall tram stop, etc whilst cycling from the direction of Smith St towards Fred St..)
Details of incident. *
Please describe in detail what happened .
Injuries and damage to bike (if any).
Did you report the incident and if so who to?
If you were injured we recommend you also report it to the police using 101, they should give you an incident number.
Any other relevant information.
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