If you see someone digging and do not see any marks, please complete this form and we will investigate.

USE THE TAB KEY TO GO FROM FIELD TO FIELD. PRESS THE SUBMIT BUTTON TO SEND THE FORM WHEN COMPLETED.
Fields in white are required
Contractor's Name
Contractor's Street Address
Contractor's City
Contractor's State
Contractor's Zip Code
License Plate Number of contractor's vehicle
Exact location of excavation:
Borough/Town
Street Address
City:
State:
Zip:
Two adjoining intersections
Date excavation was witnessed
Time
Any other unusual improper activities observed? Yes No
Explain
Was any One Call notice given for this work? Yes No
Ticket#
If 'Yes', was notice in compliance with prescribed time limits?
No - Under 2 Business Days
No - Over 10 Business Days
In the event additional information would be required and to enable us to send you a copy of the formal complaint issued to the contractor and enforcement agencies, please provide us with the following information
Your name Date
Street Address
 City:
State:
 Zip:
Email Address:
  
Contact phone number (area code first)
Fax number (area code first)
This information will be kept confidential at your request.
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