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This is an Incident Report, not an insurance claim. An insurance claim, to the extent the injured rider is covered, is filed through the rider's bicycle club.
Accident reporting is a joint project of the bicycle clubs in The Villages. Its purpose is to capture injury related details to improve cycling safety in The Villages. Please complete this Incident Report form - in detail - for accidents requiring professional medical treatment for a cyclist that occurred on club rides in Sumter, Lake or Marion counties.
Non-Members will initially see a contact information collection form. This information is needed so that any necessary follow-up inquiries can be accomplished. Once the Non-Member contact information is submitted, the Incident Report will be displayed.
After completing this Incident Report form, contact the injured cyclist's Club Ride Director to initiate a claim.
Incident Report Form