This website is under development and is in beta form. Please provide any comments or suggestions you may have to improve this site via the Comments page.

banner01

Information submitted via this website is not a substitute for filing an official police report.  CTDOT will use information provided for informational purposes only.

Report an accident or crash

Your name (optional):

Your e-mail (required):

Date of accident:

Time of accident:

Dawn: Daytime: Dusk: Dark:

If dusk or dark, were you using some type of light or other illumination while riding? If so, please describe:

Road conditions (e.g., wet, dry, slippery, sandy, etc.):

Were you wearing a helmet? Y N

Intersection or roadway/sidewalk/trail segment:

Town:

Number of people involved:

Number of vehicles involved:

Types of vehicles involved:

Contributing cirumstances:

Were there any injuries?
Y N

If, yes, to whom (e.g., "bicyclist" or "pedestrian"):

Was there any damage to the vehicles or other property?
Y N

If yes, please describe:

Fault (if appropriate):

Hit an run (if motor vehicle involved)?
Y N

Was a police report filed?
Y N

Did you incur any costs as a result of the accident?

If so, approximately how much?

Other comment:

 

 

 

 

Home :: Bicycle Map :: Report an issue :: Agency/Advocacy Groups :: Plans/Guides :: Comments :: Site Map