Las Vegas
Quality & Safety
Tech Name
*
First Name
Last Name
Ticket Number
*
Customer Name
*
First Name
Last Name
Billing #
*
-
Area Code
Phone Number
CBR
*
-
Area Code
Phone Number
Address
*
Job Description
*
Customer Contact
*
BUZZED
TEXT
CALLED
CUSTOMER HOME
Select all that apply
CTL Hold Times
Service Type
*
GPON Install
GPON Repair
Self Install
HSI Full
HSI Repair
Bonded Install
Bonded Repair
Pots Install
Pots Repair
CTL Records
*
Records Updated
No Changes Made
NID Placment
*
New NID
Existing NID
GPON NID
N/A (BT)
Grounding
*
New Ground
Existing Ground
Drop
*
New Buried
New Areial
Existing Areial
Existing Buried
Ranger Seal
*
Replaced
Not Needed
PPE
*
Cones
Safety Boots
Protective Eye wear
Vest
Hard Hat
Climbing Belt
Select All That Apply
Photos
*
Browse Photos
Applicable Photos
Cancel
of
Geolocation
*
Submit
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