First name:
Last name:
E-mail: I live in:	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
In what state is the hazard located?	Choose a State Outside US / Canada Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Province du Quebec Puerto Rico Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory
In what county is the hazard located?
I was traveling:	North South East West
The roadway is:	Please choose one Interstate City street Country road Off/On ramp Rural highway Frontage road Gravel road Parking lot entrance Parking lot exit In a parking lot
The roadway I was on is called:
The closest crossroad to this roadway is called
The hazard I encountered is:	Please choose one A pothole or chuckhole A crack in the road A very rough railroad track crossing A slick or slippery roadway surface Sand Gravel A limb of a tree hanging in roadway An animal carcass A stop sign missing A stop sign down A stop sign obstructed by an object A stop sign defaced An obstacle blocking roadway An object obstructing view A stop light not working A flashing light not working A bump Uneven pavement Unmarked speedbump Construction hazard Other Please explain in detail or give any other details you feel are important about what type of hazard you encountered:
The hazard is located:	Please choose one in the right portion of the lane in the center portion of the lane in the left portion of the lane in the median on the right shoulder on the NW corner on the NE corner on the SW corner on the SE corner intersection Other Please explain in detail or give any other details you feel are important about where in or near the roadway the hazard you encountered is located:
Comments:	Please give us any other detailed information you feel would help us in locating and indentifying the hazard you have brought to our attention:
Thank you again for being a part of a massive effort to make our roads, Interstates, streets and highways safer for all motorcycle enthusiasts nationwide. We are planning to expand our efforts as we gather information in the initial phases of the RoadHazard website. Ride safely and spread the word throughout the motorcycling community about our website.