Accident Report

If you've been in an accident while wearing a Trauma Void EQ3 Helmet, please complete our Accident Report and a member of our Customer Service department will follow up with you.

ACCIDENT REPORT FORM

Date (MM/DD/YYYY) and Time of Accident:
Location of Accident (city/town and state):
Name of Rider/Handler Involved:
Date of Birth of Rider/Handler Involved:
Please provide a detailed description of the accident :
Model of Helmet Purchased:
Date of Helmet Purchased:
Place of Purchase (name of vendor):
Contact Information - First and Last Name:
Address :
Phone Number:
Email: