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Customer Information
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 Your Comments, what occurred?

 Detailed information about the incident may be necessary, please fill out the following information

When the incident occurred?
Date:

Time:

Where the incident occurred?
Location (i.e. Transit Station, Closest Intersection etc):

The Route and/or Vehicle?
Route Number:

Route Destination (i.e. Downtown, Lincoln Fields, Orléans etc.):

Vehicle number

What direction was it travelling?
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