Incident & Accident Reporting Form

Please fill out the incident details accurately. Your report will be immediately dispatched to municipal traffic oversight authorities for rapid response.

1. Reporter Information

Enter your full name and reachable contact phone number

Name of the witness, reporter, or affected individual.
Phone number for safety officers to reach you if needed.

2. Incident Location

Select the district and nearest landmark where the incident occurred

A clear landmark, building, or street spot to pinpoint the scene.

3. Bajaj Vehicle Information If Known / Optional

If you noted the license plate or serial number, please provide it below

4. Incident Details & Description

Describe what happened, any damages, casualties, or specific concerns

5. Scene Evidence & Photos

Attach photos of the scene, vehicle damage, or location (Gallery or Live Camera)

0 Photo
Attach Clear Scene Photos

You can select photos from your device files or take live snapshots using your camera.

Your information is securely encrypted and submitted directly to Burao transport safety authorities.