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Complaint
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Requester Information
Your Name:
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Your Company:
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Your Phone Number:
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Your Email Address:
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Your Address:
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Your City:
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Your Zipcode:
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Was a locate requested from the call center:
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Yes
No
Ticket Number:
Ticket Date:
Violation Information
Alleged Violation/Damage:
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RCW 19.122.030 Must call for marking two (2) full business days prior to digging.
Other
Section Of Law Violated:
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Basic Description:
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Address of alleged violation:
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Alleged violation date:
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Alleged Violator
Company Name:
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Company Phone Number:
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Company Email:
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Company Address:
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Company City:
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Company Zipcode:
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Names of employees on site:
Other
Addional Information:
By submitting this form I acknowledge that the statements that I alleged are true and accurate to the best of my knowledge.
Submit Complaint Form
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