Have you had an accident, "near miss" or other incident?

The LBC Board wants to compile data on incidents that our members have with motorists. The incidents can be negative or positive experiences for you. Use the form below. When complete, press the submit button and it will be sent to Bill Hoffman.

Bill may ask your permission to use your report as a teaching tool in the Pedaller. If Bill asks to use your report, he will ask you if you want your name used.

Your Name:
Address:
(line 2 of address):
City, State, Zip:   
Phone:
E-mail:
What Happened?

What action(s) did you take during the incident or afterwards?




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