Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. EasyGO fare card serial number

Question Title

* 4. Date the issue occurred

Date

Question Title

* 5. Time the issue occurred:

Time

Question Title

* 6. What bus route were you on when the issue occurred?

Question Title

* 7. What stop were you at when the issue occurred? Provide the four-digit stop number. If you don't know the stop number, provide the address/intersection and the direction you were travelling.

Question Title

* 8. Do you know the number of the bus? If so, please provide it:

Question Title

* 9. What type of payment was it?

Question Title

* 10. Please describe what happened. Include any messages you saw displayed on the farebox.

T