| River: | Blackwater, North Fork |
| Section: | Rt. 219 to confluence with Blackwater River |
| Location: | Double Indemnity |
| Gauge: | 1.6 |
| Water Level: | High |
| Difficulty: | V |
| Accident Code(s): | Vertical Pin |
| Injury Code(s): | Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg, Broken Leg |
| Age: | 30 |
| Experienced/Inexperienced: | Experienced |
| Years Paddling: | >10 |
| Private/Commercial: | Private |
| Boat Type: | Kayak - Creek Boat |
| Boat Manufacturer: | Pyranha |
| Boat Model: | Mountain 300 |
| Number of Occupants: | 1 |
| Number in Group: | 1 |
| Number of Victims: | 0 |
| Hazard Codes: | Rocks that cause blunt trauma |
| Report Status: | Reported |