Report a cycle hazard or incident

Taken a tumble? Had a close shave? Been bumped into? If you've had an accident or near-miss on your bike we need to know.

Fill out the form below to help us make cycling safer in Dunedin.

If the hazard or incident is difficult to describe online, please download pdf version of this form and send it to us along with a simple diagram to show what happened.

Cycle hazard form (PDF, 14 kb) (opens in a new window).

Your details

Fields marked with * are required.

First name*
Last name*
Address street number*
Address street name*
Suburb
City / town*
Contact phone number*
Email address
Are you happy to be contacted	Yes

Hazard / incident details

Fields marked with * are required.

Date and time	:
Location of hazard / incident*
What happened and why*
Did you strike something*	Not applicable Debris Drainage grate Opening car door Parked car Pothole Road works Other
Was another party involved*	Not applicable Bus Cyclist Motorcycle Moving car Pedestrian Truck
If other, please detail
Road type
Road surface
Light conditions
Did the police attend	Yes
Were you injured	Yes
Did you require medical attention

Last reviewed: 23 Aug 2009 5:04pm

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