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Report Type*
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Date of Incident*
Time of Incident*
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Type of Service*
—Please choose an option—Fixed Route Bus ServiceRIDES ADA ParatransitTaxiOther or N/A
Route Number*
Direction of Travel*
Vehicle Number
Location* (include street and cross street)
Employee Name/Description
Employee Position
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Comment*
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First Name*
Last Name*
E-mail*
Phone Number*
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