Compilations

This field is hidden when viewing the form

Drag and drop a video file to upload*

TOGETHER WE CAN MAKE CYCLING SAFER, ONE VIDEO AT A TIME.

Click here, or drag and drop your video file to upload.

Select file

This field is hidden when viewing the form

Incident location

_{Enter the address of the Incident or click on the map. Drag the marker to re-position the location.}

This field is hidden when viewing the form

Tell us about your incident

This field is hidden when viewing the form

Incident date*

This field is hidden when viewing the form

Incident time

: HH

MM

This field is hidden when viewing the form

Incident title*

This is shown to the public.

This field is hidden when viewing the form

Incident description*

This is shown to the public.

This field is hidden when viewing the form

I have an additional video file to upload

I have an additional video to upload

This field is hidden when viewing the form

Drag and drop your additional video file

This field is hidden when viewing the form

I want to attach a message to be shared privately

I want to attach a message to be shared privately

This field is hidden when viewing the form

Private - Incident title

This is a private field.

This field is hidden when viewing the form

Private - Incident description

This is a private field.

This field is hidden when viewing the form

Incident details

This field is hidden when viewing the form

Incident type*

Crash
Close call
Close pass/Bad driving
Bad road/path
Animal encounter

This field is hidden when viewing the form

Type of Crash

This field is hidden when viewing the form

Type of Close call

This field is hidden when viewing the form

Type of Close pass

This field is hidden when viewing the form

Type of Bad road/path

Bad path
Bad road
Blocked bike path
Dangerous intersection
Obstacle
Other dangers

This field is hidden when viewing the form

Type of Animal encounter

This field is hidden when viewing the form

Injuries suffered

No Injury
Minor
Moderate
Serious

This field is hidden when viewing the form

Vehicle registration plate

This field is hidden when viewing the form

Have you reported this Incident to authorities?

Yes
Not yet (will do right after submitting this UpRide)
No, not appropriate

Authorities might include Police, Government or directly contacting the involved business for a commercial vehicle.

Did reporting the Incident result in a positive outcome?

Yes, it was referred to a Magistrate/Judge
Yes, a fine was issued
Yes, a warning was issued
Yes, issue was resolved
Not sure, waiting on an outcome...
No, it was dismissed

What was the charge?

What was the fine/penalty?

A monetary fine of:

A number of demerit points:

Why didn't you report it?

This field is hidden when viewing the form

More details

This field is hidden when viewing the form

Review

This field is hidden when viewing the form

E-mail address*

E-mail address Confirm e-mail

What would you rate the severity of this incident?

1 star = Least severe. 5 = Most severe.

This field is hidden when viewing the form

What camera was your incident filmed on?

This field is hidden when viewing the form

I’ve read and accept the terms & conditions, and I consent to Upride on behalf of Cycliq storing and managing my data.

Read the video incident guidelines before submitting your incident.

Stop, Look and Listen

State

Sort by

Compilations from ACT, Down Under

Incident location

Tell us about your incident

Incident details

More details

Review

Send feedback to UpRide

Select your location

Stop, Look and Listen

State

Sort by

Compilations

Compilations from ACT, Down Under