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See and Be Seen Report Form
Report "near miss" incidents with the See and Be Seen form.
This form is not to be used to report criminal offenses.
Data collected from this form will be used for informational and policy planning purposes, allowing the City to identify patterns and solutions to improve Huntsville roadways, allocate traffic resources and encourage safe driving behavior.
Contact Information:
You might be contacted by a member of the Bicycle Advisory and Safety Committee, a City of Huntsville employee or the Huntsville Police Department about the incident you have reported.
1. First and Last Name:*
2. Email Address:*
3. Phone Number:*
Incident Location
This section collects basic information about where and when the incident occurred.
Where and when did this incident occur?
4. Location:*
Click the map to set the location. Click the map again to change it.
Address:
5. Date and Time:*
6. Who is reporting this incident?*
Bicyclist Involved
Pedestrian Involved
Witness to Incident
Other
7. Who was involved in this incident?*
Check all that apply
Pedestrian
Bicyclist
Motorcycle
Automobile
Large Truck
8. Did this incident occur on a _______?*
Check all that apply
Road WITH Bike Lane (if a bike was involved)
Road WITHOUT Bike Lane (if a bike was involved)
Road WITH Sidewalk (if a pedestrian was involved)
Road WITHOUT Sidewalk (if a pedestrian was involved)
Major Road or Highway
Residential Street
Greenway or Multiuse Path
Rural Road
9. Please provide a short description of the incident:*
Videos and Photos
If you have video or photos of the incident, you may upload files here. Please keep in mind that any photos and videos submitted may be reviewed by the Huntsville Police Department.
10. Upload a photo:
Please only upload images of the vehicle, license plate or driver. Photos must be under 10MB.
11. Link to a video
Copy and paste the URL to a video of the incident here. Please note, videos shared must be hosted on a separate website (Google Drive, YouTube, Imgur etc.)
12. If car tag information is available or known from witnesses, video, images etc enter it here::
Partial tag numbers like XXXXX99 or A99XXXX are acceptable.
By submitting this information, you certify that the information entered is accurate and truthful and understand that you may be contacted by the City of Huntsville for further information.