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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
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Austria
Azerbaijan
The Bahamas
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Brazil
Brunei
Bulgaria
Burkina Faso
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Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
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Falkland Islands
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Fiji
Finland
France
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Gabon
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Georgia
Germany
Ghana
Gibraltar
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Marshall Islands
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Mayotte
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Northern Mariana
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Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Denmark
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13
Przebieg wypadku
Proszę opisać przebieg wypadku własnymi słowami (czas wypadku, miejsce wypadku, osoba zaangażowana itp.).
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14
Zostałeś ranny w wypadku?
TAK
NIE
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15
Proszę opisać swoje obrażenia.
Jeśli nie ma obrażeń, proszę pominąć ten obszar.
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