Utility Contractors/Excavators Incident Report Form 2026

1. Click ‘Get Form’ to open the Utility Contractors/Excavators Incident Report Form in the editor.
2. Begin by indicating whether the incident resulted in damage by checking the appropriate box. This is crucial for categorizing the report.
3. Fill in your Company Name, CBYD Contractor Number, and Date at the top of the form. Ensure that all information is accurate to avoid processing delays.
4. Provide your Mailing Address and Email for correspondence. This ensures that you receive any follow-up communication regarding the incident.
5. Complete the 'Report Prepared By' section with your name and telephone number for accountability.
6. Document details about the utility involved, date and time of the incident, and CBYD Ticket Number. This information is essential for tracking purposes.
7. Circle the affected utility type and facility location as specified in the form. This helps clarify which services were impacted.
8. If damage occurred, select a primary cause from the provided table. Be sure to enter any applicable violation numbers as well.
9. In the COMMENTS section, provide any additional context or explanations necessary for clarity regarding the incident.
10. Finally, sign and date the form before submitting it to ensure it is officially recorded.

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