EmailMe Form - SDP Damage Prevention MVP Nomination Form

Note: Only local UCC, State UCC and NC811 representatives can nominate an MVP.

Name of Nominator *

First Last

Nominator Email *

Nominator Phone *

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Name of Nominee *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Nominee Email *

Nominee Phone *

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Employer/Organization *

Manager/ Supervisor Name

First Last

Manager/ Supervisor Email

Manager/ Supervisor Phone

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Local UCC Affiliation

Local UCC position (if applicable)

Choose all that apply *

Hold down the control button on your keyboard to select more than one.

Explain reason for nomination *

Attends at least 50% of local/state UCC meetings.
Have made a presentation or spoken at a local/state UCC meeting. 
Has helped in reducing damages within their area. 
Has helped in reducing update/3hr tickets within their area. 
Encourages/participates in preconstruction conferences on large projects within their area.   
Participates in or sponsors a Damage Prevention Event. (breakfast/lunch).  
Has a company program for safety and damage prevention. 
Has invited NC811 to participate in their organization’s safety training events. 
Helps promote NC811’s Pipes Plus training events within their company or area. 
Has successfully completed a large construction project with minimal utility interruptions. (Confirmed by them or the master contractor).