This form is currently designed to send the event data to North Carolina 811. This form is not a one-call ticket and is not transmitted to members. This is for data collection only. Your data will be held securely and will be released only by written request. You are free to distribute this form to anyone at your company who may register damage information. You must also contact the affected facility to arrange for repair. If your damage results in a life-threatening emergency, please call 911.
  • Note if you are an excavator please contact North Carolina 811 directly to submit a damage ticket

    ยง 87-126. (Effective October 1, 2014) Notification required when damage is done.
    (a) The excavator performing an excavation or demolition that results in any damage to a facility shall immediately upon discovery of the damage notify the Notification Center and the facility operator, if known, of the location and nature of the damage. The excavator shall allow the operator reasonable time to accomplish necessary repairs before completing the excavation or demolition in the immediate area of the facility. The excavator shall delay any backfilling in the immediate area of the damaged facility until authorized by the operator. The operator or qualified personnel authorized by the operator shall repair any damage to the facility.
    (b) An excavator who is responsible for an excavation or demolition where any damage to a facility results in the discharge of electricity or escape of any flammable, toxic, or corrosive gas or liquid, or that endangers life, health, or property shall immediately notify emergency responders, including 911 services, the Notification Center, and the facility operator. The excavator shall take reasonable measures to protect himself or herself, other persons in immediate danger, members of the general public, property, and the environment until the operator or emergency responders arrive and complete an assessment of the situation. (2013-407, s. 2.)
  • Part B - Date and Location of Event

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  • Part C - Affected Facility Information

  • Part D - Excavation Information

  • Part E - Notification

  • Part F - Locating and Marking

  • Part G - Description of Event