SUBMIT A REPORT
What type of occurance did you have?
Please tell us in as much detail as possible what exactly happened:
When did this occur? (Please give as much detail as possible)
YEAR: SEASON: MONTH: DAY: TIME OF DAY OR NIGHT: WEATHER CONDITIONS:
Where did this occur? (Please give as much detail as possible)
PROVINCE/STATE: COUNTY/TOWNSHIP: CLOSEST CITY/TOWN: CLOSEST ROAD/HIWAY:
Any witnesses? If yes, can they be contacted as well?
Is there anything else you can remember?
Your information: (Your information will be kept confidential, except for use by our reserchers/investigators and unless you specify otherwise.
NAME: EMAIL: PHONE NUMBER:
Would you like your name to be kept confidential?
Can we contact you by email or phone?