Unauthorized Construction Over Utility Line Report Form
Report suspected or confirmed construction activity over, near, or damaging a utility line. Please provide accurate details to assist with incident response.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Incident Location (Address or Description)
*
Type of Utility Line Involved
*
Please Select
Electricity
Water
Gas
Telecommunications
Sewer
Other
Description of Construction Activity
*
Urgency Level
*
Emergency (Immediate Danger)
High (Potential Damage or Service Disruption)
Moderate
Low
Date and Time Observed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Upload Supporting Evidence (Photos, Documents, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Follow-Up Method or Additional Instructions
Submit Report
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