Requester Information

• Your Name: *
• Your Company: *
• Your Phone Number: *
• Your Email Address: *
• Your Address: *
• Your City: *
• Your Zipcode: *
• Was a locate requested from the call center: * Yes   No
• Ticket Number:
• Ticket Date:

Violation Information

• Alleged Violation/Damage: * RCW 19.122.030 Must call for marking two (2) full business days prior to digging.
  Other
• Section Of Law Violated: *
• Basic Description: *
• Address of alleged violation: *
• Alleged violation date: *

Alleged Violator

• Company Name: *
• Company Phone Number: *
• Company Email: *
• Company Address: *
• Company City: *
• Company Zipcode: *
• 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