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Transport Canada

Incident Reporting: Report an Aviation Incident

Privacy Statement
Provision of the information requested on this form is voluntary. The information is being collected for the purpose of responding to your query/comments. The information collected is described in a personal information bank entitled Aviation Occurrence Information Sources, TC PPU 014. Personal information that you provide is protected under the provisions of the Privacy Act. The Act provides you with the right of access to your information.
Disclaimer
Information submitted through this mechanism will be forwarded to a technical expert for review. Please note, however, that feedback on issues submitted through this means cannot be provided.

Should you wish information on Transport Canada Civil Aviation programs, services or other feedback mechanisms, please contact the Civil Aviation Communication Centre at services@tc.gc.ca or
1-800-305-2059.
Items marked with an asterisk (*) are mandatory items.
General Information:

*
*
 ex. (555)555-5555

 ex. (555)555-5555

Occurrence Information:
*
*
*
 
(yyyy-mm-dd)
*
 ex. 18:12
(24 hour, local)

Aircraft/Vehicle Information:
Aircraft/Vehicle Number 1
Route:
Persons Involved:









Aircraft/Vehicle Number 2
Route:
Persons Involved:









Persons Involved (Total):




*
Date Modified:
2012-11-20