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In Loving Memory

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SHARE YOUR STORY

If you’ve lost an immediate family member in a traffic crash on California’s roadways, we encourage you to share your story here. It may be the spark that encourages others to make good driving choices and start saving lives.

* Required Fields

Crash Date:

Loved One's Name: *

About Your Loved One: *

Loved One's Age:

Hometown of Loved One:

Crash Location:

Crash Details: *

Contributing Factors

Distracted Driving
Impaired Driving
Motorcycle Fatality
Pedestrian Fatality
Seat Belt Use
Speeding
Young Driver
Hit-and-Run
Other

Upload Photo (PNG, JPG, JPEG) *

Your Name *

Your Email *

Your Relationship

User Agreement *

I confirm that I am an immediate family member (parent, sibling, spouse, child) of the person whose story I am submitting. By submitting this story, I understand that it will be viewable by visitors to this site after administrator approval.

Story approval will be emailed to the address provided and may be filtered to your spam inbox.

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