Date *
Time *
Incident type * —Please choose an option—Collision with another kartCollision with a wallCollision with a person
Cause * —Please choose an option—Driving errorOther driverTechnical causeOther cause
If ‘Other cause’, please specify
Incident description *
First name *
Last name *
Personal ID number *
Phone number *
Email *
Police present * —Please choose an option—YesNo
Was the driver intoxicated? * —Please choose an option—YesNo
Were others injured? * —Please choose an option—YesNo
Severity of injuries * —Please choose an option—MinorSeriousFatal
