| River: | Illinois |
| Section: | 2 - Miami Bar to Oak Flat |
| Location: | |
| Gauge: | |
| Difficulty: | |
| Age: | 0 |
| Years Paddling: | |
| Private/Commercial: | Private |
| Boat Type: | Kayak - Unknown |
| Boat Manufacturer: | |
| Boat Model: | |
| Number of Occupants: | 1 |
| Number in Group: | 0 |
| Number of Victims: | 1 |
| Other Victim Names: | |
| Hazard Codes: | |
| Initial Report: | |
| Summary: | |
| Detailed Description: | |
| Conclusions: | |
| Report Status: | Reported |