Incident Reporting Form
Report E-bikes, Mountain Bikes, Campgrounds, etc.
Date
/
Month
/
Day
Year
Date
Approximate Time
Day of Week
State
1. Forest, Park or BLM District Name, etc.
2. Trail name and approximate location of incident
Campgrounds
Please provide as much detail as possible.
Describe Incident and Provide Pictures Below if Possible. Example: Was the non-equestrian party loud, careless, destructive, describe any activities or actions that made you feel unsafe.
How did the presence of the non-equestrian campers affect your visit to the campground?
How many horse campsites were occupied by parties without stock?
Campground Name
Agency Managing Horse Camp?
State
U.S. Forest Service
BLM
National Parks Service
Other
Is There A Campground Fee?
Yes
No
If yes, how much is the per night fee?
BCHA encourages members to notify either the camp host or agency staff of the presence of parties without stock occupying equestrian campsites. Was there a Camp Host on site?
Yes
No
If yes, did you speak to someone locally about this?
Yes
No
Mountain Bikes
Please provide as much detail as possible.
Describe Incident Here and Provide Pictures Below if Possible
E-Bike
Please provide as much detail as possible.
3. If E-Bike type: Class 1, Class 2, Class 3, Out-of-Class, Don't Know
4. Is E-Bike/Mountain bike use authorized by the land management agency on this trail?
Yes
No
5. If E-Bike use is authorized, what class of e-bike use is authorized?
Class 1
Class 2
Class 3
6. E-Bike brand, model and color.
7. How did you know it was an electric bicycle (and not a regular bicycle)?
8. Type of Incident: Positive Encounter, Biker Failed to Yield, Excessive Speed, Lack of Trail Etiquette
Positive
Biker Failed to Yield
Excessive Speed
Lack of Trail Etiquetter
Other Incidents
Please provide as much detail as possible.
Additional Information
Please provide as much detail as possible.
9. Was any person or your stock injured as a result of this incident?
Yes
No
If yes, please provide details here.
10. Was a report on the incident filed with law enforcement?
Yes
No
If yes, will you provide the report #
11. How did the incident affect your trail experience?
Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Zip Code
Attach pictures or documents
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