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Tell Us Your Story . . .
Your travel mode at the time of the event ...
Bicycle
Car
Truck
Pedestrian
Other
Other
When did the event happen?
Less than a month ago
One to six months ago
Six to 12 months ago
A year ago
More than a year ago
Other
Other
Where did the event happen? (provide cross streets or an exact of a location as possible.)
Was law enforcement called? If so was was the end result after law enforcement became engaged?)
No
Yes
Yes
Your Story
0/85 characters
If you would like, upload a photo of the event, the location, photo bike or car, or a photo of yourself. (50 MB limit)
Create a user name - something like "daily bike commuter" or "father of three" or "Folsom resident"
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Administrative use only
Your name
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Your email address
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Phone number
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I give the 50 Corridor Transportation Management Association permission to share my story as part of the Campaign for Peaceful Coexistence. I understand submitted stories will be published at the discretion of the TMA.
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I understand and agree
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