City of Durant tower or facility climbing / access
This is to be completed by requester or Steve Gray / City Water Plant each time access is needed. Non city personnel are not to be given keys without the city managers approval.

Steve's office phone is 580/924-1487. After hours (7 AM to 3:30 PM) call the Durant Police Department non emergency number: 580-924-3737. These types of requests are generally made for telecommunications purposes but may be for other reasons.
Which tower is access to be considered? *
Tower name / location / otherwise describe where access is needed
First and last name of requestor *
Company / organization office phone number *
Company / organization cell phone number
Company mailing address *
City, State, Zip code
Company fax number
Company email address
Explain why, when and duration of access *
Insurance (vehicle, workman's comp and general liability) certificates along with climbing training certification on file at City Clerks Office @ 300 W. Evergreen, Durant, OK? *
If insurance certificates are not on file they must be before access is granted.
Access granted by *
This would be a city of Durant representative who would unlock the facility and check facility after access is complete to assure everything is properly installed and secured.
Never submit passwords through Google Forms.
This form was created inside of City of Durant. Report Abuse