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Incident Form

The information contained in this form will stay confidential and will not be released from JBNZ. JBNZ will use this information for statistic purposes only and your name will not appear in any publications from the information supplied on this form. Thank you for helping the JBNZ help others in the prevention of incidents.

Accident Form

Sex

Type of Accident




Injuries

Fatalities

Cause of Accident



Damage to Boat




Safety Equipment Onboard








Visibility



River Conditions



Other Info



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