Send A Video
Please ensure all parts of this form are completed, as this acts as our licence to use the material you are submitting. Please review our terms of service before summitting your content.
Name
*
First Name
Last Name
Your E-mail
So that we can get back to you, leave blank if you don't want to be contacted about your submission
Incident information – please fill in with as much detail as possible: - What exactly happened leading up to, during and after the incident? Please Give a Location (Road Number , town etc)
*
Date of Incident
*
Upload File
*
Upload a File
You can upload any type of file. Max: 300 MB
Cancel
of
Do you own the copyright? we can only accept content if you own the copyright.
*
Yes
No
I consent to using my name and town/place of residence in the media: (If you click no we will keep you anonymous
*
Yes
No
Is there any legal action ongoing regarding your incident?
*
Yes
No
Signature
*
SUBMIT YOUR CONTENT
Should be Empty: