If you or a family member have
experienced a recent aquatic injury involving a consumer product (e.g., diving board, pool
cover, floatation device, etc.), please provide the following information and press the SUBMIT button. We will forward this data to the Consumer Product Safety
Please provide answers to the following
questions in the space below:
Name of victim (if different from
Victim's age at time of incident
Date of Incident
Describe product involved
Product Brand Name/Manufacturer
Is product involved still available?
Product model and serial number
When was the product purchased?