DIRT- Damage Information Reporting Tool
Please fill out this form as soon as possible after any damage occurs.
Contractor/Excavator
Your answer
Company
Your answer
Email
Your answer
Phone
Your answer
Name of person providing this information
Your answer
Type of contractor
Date of event
MM
/
DD
/
YYYY
Time of event
Time
:
Location of damage (fill out address or precise location in Other)
What type of facility operation was affected?
Type of excavation equipment
Type of work performed
Williams facilities contact person
Your answer
Additional information (At a minimum, please supply; contact info for individual responsible for damage, site/damage details, and whatever other information you feel is pertinent.)
Your answer
Submit
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