Pipeline Incident Report Form
This form has been designed to help the public report their observations of pipeline construction noncompliance and pollution incidents. At this time it will be monitored by the ABRA's Pipeline CSI, Mountain Valley Watch, Trout Unlimited, and West Virginia Rivers Coalition. You may be required to sign in to a Google account to utilize this Pipeline Compliance Surveillance Initiative onlin form. Please direct any questions or concerns you have to pipelineincident@gmail.com or one of the above listed monitoring organizations and we will get back to you as soon as possible.

Remember, other options for reporting an incident through us are via email at CSI@abralliance.org or by calling our hotline at 1-877-GO2-ABRA (1-877-462-2272).

Your personal information will be kept confidential and will not be shared with any third-party or government agency without your explicit consent.

Email address *
Observer Information
Last Name
First Name *
Phone Number *
Please enter a valid 10-digit phone number using only numbers and no special characters (parentheses, periods, hyphens, etc).
Date of Observation *
MM
/
DD
/
YYYY
Time of Observation *
Time
:
Location
What are the 3 most important parts of pipeline monitoring? Location, location, location.
Project (select one) *
County *
State *
Stream Name (if applicable)
Latitude (Decimal Degrees preferred)
Longitude (Decimal Degrees preferred)
Location Description *
Description of Observation *
Please describe what you observed, being as specific as possible.
Evidence
Photo (upload up to 10 photos)
Photo Descriptions (please list your photos by file name and indicate what they depict. Also please be sure to turn on the GPS location services on your smartphone or camera before taking photos if possible.) *
Thank you for joining us!
A copy of your responses will be emailed to the address you provided.
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