A service of Bike PGH and MapHub.org

Report a Bicycle Accident Full functionality is available by joining MapHub.org's FREE online mapping service. Go to www.maphub.org to sign up. Information submitted through this form will be individually handled by a Bike PGH representative. By joining MapHub you can view your submittal in real time and participate in an online community of cyclists and supporters. Contact Name: Include Email and Phone if wanted Type: Vehicle Collision Road Collision Combination Vehicle/Road Location: Street Address or Intersection Name of Crash: A title for what happened Description Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 Time: 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am Helmet Worn: Were you wearing a Helmet? Yes No Obeying Laws: Were you obeying all traffic laws? Yes No Bike Lights:: If dark, did you use bike lights? Day Yes, Rear Yes, Front Yes, Both No Police Report: Did you file a police report? Unnecessary Yes No Hit and Run: If vehicle, did the car leave? Not a Hit and Run Yes No My fault?: Was the accident your fault? Vehicle: If hit, describe vehicle Injury: List any injury Cost: Was their a financial cost? Compensation: Did you receive a settlement?