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Cyclist Complaint Online Form

Queensland Police Service Cyclist Complaint Form.

Only use this online service if:

  • you have a valid and current email address.
  • You are the informant in this matter.
  • You have witnessed the incident.

Otherwise please contact Policelink on 131 444 or report the matter to your local police station.

Subject to operational requirements, you will receive a reply to your nominated e-mail address within 48 hours which will contain your Queensland Police reference number.

Privacy

The Queensland Police Service collects information to assist in performing its statutory functions and responsibilities. Information provided will be used to process your application, create a Police Report, and/or resolve your complaint, compliment or query. You may be required to provide a personal identification number such as drivers licence or passport number to assist in verifying your identity. Your personal information will be managed in compliance with the Information Privacy Act 2009.

There is the provision on some Online Forms to opt-out of providing any personal information. In these instances, the QPS will not collect, store, or use any personal information, and the above stipulations do therefore not apply.

View full Privacy Statement.

    1. Agree   Disagree
As you have not agreed to the Privacy Statement, you cannot continue. As an alternative, please telephone Policelink on 131 444 or visit your local Police Station.

* indicates required fields
Cyclist Complaint Form Queensland Police Logo
    1. * Yes   No
    2. As you have indicated that property has been damaged or person/s injured, this matter cannot be reported online using this form. Please report this matter to your local police station in person.
    1. * Agree   Disagree
    2. You cannot continue with submitting this form.
  1. Informant Details
    1. * Queensland Driver Licence / 18+ Card
      Australian Driver Licence / 18+ Card
      Passport
      None of the above
    1. *
      1. *
      2. *
      3. *
      1. *
      2. *
    2. If you cannot supply one of the numbers above, you cannot proceed with this form. Please contact Policelink on 131 444 or report the matter to your local police station.
    1. *
    2. *
    3. * Please use the following date format (DD/MM/YYYY).
    4. * Male   Female
    5. Address Details
    6. * example: 18 or 4/5 Smith Street
    7. *
    8. *
    9. *
      • *
    10.  
    11. *
    12. *
  2. Location and Time of Incident
    1. Between dates and times the incident occurred
    2. * Please use the following date format (DD/MM/YYYY).
    3. *
    4. Please use the following date format (DD/MM/YYYY).
    5. * Be specific e.g. include street name, suburb, nearest intersection and any other detail to assist.
  3. Vehicle Details
    1. * Yes   No
      • Note: To assist Queensland police with any enquiries, please describe the vehicle in as much detail as possible including its registration, if known.
      • e.g. Toyota, Ford, Holden, Suzuki
      • e.g. Corolla, Falcon, Commodore
      • If partial registration is known please add, e.g. Last three letters are SWP.
      • * e.g. a sedan with mag wheels and a damaged headlight.
  4. Report Details
    1. Note: Please describe in as much detail as possible the actions of the vehicle and descriptions of any persons involved.
    2. * e.g. There was no oncoming traffic and plenty of room along the road however the vehicle overtook my bicycle within one metre.
    3. * e.g. The driver was a Caucasian male, mid 30s, wearing a blue and white shirt. He was wearing white sunglasses and had a moustache.
    4. * Yes   No
    5. *
    6. * Yes   No
    7. *
    8. * * e.g. Social media links, Facebook, YouTube. e.g. Video camera details.
  5. CCTV Footage Details
    1. * Yes   No
    2. If video footage is available, please copy to a storage medium such as a CD, DVD, USB etc. and store in a safe place for collection by police if required.
  6. Photographs of Incident
    1. * Yes   No
      • Please note: It is important to capture the name of the person who took the photograph(s) of the incident as Police may request a signed statement from that person stating they took the photograph(s).”
      • * Yes   No
      • *
    1. Please note: File size limits apply and all photographs need to be either in a jpg, jpeg or png format and other documentation to be either PDF, Microsoft Word or Excel. There is a limit of 5 photographs with the size of each file limited to 1MB. If you attempt to upload a photograph greater than 1MB an error message will appear and the photographs/documents will need to be re-attached. Please only attach the most relevant photographs.

      If you have any trouble uploading the photographs upon receipt of your official Queensland Police reference number you can e-mail the photos to policelink@police.qld.gov.au. Please ensure to provide the reference number, your name, date of birth and address in the e-mail.

      Please note if you added an attachment and get an error after submitting the form, you will have to re-attach the photo/document






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