Zygg Vancouver E-Bike Theft Report
Please fill out form immediately after theft. Ensure information is accurate before submitting form as fraudulent claims may result in loss of any liability and prosecution to the full extent of the law.
Rider Details
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Theft Details
Date & Time you last saw the ebike:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date & Time you discovered the ebike was missing:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date & Time of the last picture you took of the ebike locked:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Please upload the MOST RECENT picture you took of your ebike locked.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Address or closest intersection where theft occured:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where exactly was the bike at this address (on street, in condo bike room, outdoor condo bike rack, inside my home etc.) ?
*
What locks were used to secure the ebike?
*
both the chain lock and rear wheel lock
only the chain lock
only the rear wheel lock
personal lock
no locks
What object was the ebike locked to and what was the material it was made from?
*
If there were there any pieces of broken lock/chain when you arrived at the scene please upload a picture.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you a Personal Rider or Delivery Rider?
*
Personal Rider
Delivery Rider
Were you on a delivery when the bike was stolen?
*
Yes I was on a delivery.
No I was not on a delivery
Which Model of bike do you have?
*
R - Velec R48
Qx/QT - Velec Citi 350
A - O2 Feel iVog
C- Cube Supreme Hybrid
Y - Yuba Fastrack
Are you missing any of the 2 rear wheel lock keys to the ebike that were provided by Zygg?
*
I am not missing any keys
I am missing one rear wheel lock key
I am missing two rear wheel lock keys
Are you missing the 1 battery key to the ebike that was provided by Zygg?
*
I am not missing this battery key
I am missing this battery key
Was the battery on the ebike when it was stolen?
*
No
Yes
Do you have the battery charger?
*
Yes
No
Other details around the occurrence:
0/500
Please select a date and time within the next 2 days to come in to drop off your bike accessories and discuss next steps and payment plans.
*
Other Contact Info
Contact names and number for CCTV images if applicable
0/500
Contact names and numbers of third party witnesses if applicable
0/500
Police Report
If you have submitted a Police report provide the file number in the field below. If you have not filed a police report, read the instructions that follow.
Police Report File Number:
We will be in touch with the information you need about the ebike in order to file a police report. When you receive this information, file a police report immediately in your municipality where the theft occurred. This can usually be done online or by calling the police non-emergency phone number. Once completed, record the file number for your case and provide it to Zygg via text, email or in person.
*
I confirm I have read the above statement and will submit a police report immediately.
Signature
*
Continue
Continue
Should be Empty: