Monthly Membership Damage Reporting Fill out the form below to submit a damage report. First Name: *Last Name: *Email Address: *Phone:Reporting Company: *Month: *Please pic a month.JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear: *Please select a year.20242023202220212020201920182017Facility Owner Member Reporting: *Reporting Location: *Terminal Code: *Total Number of Locate Requests: *Type of LineMain:Service:Reported CauseNo Call or Ticket:Hit Marked Line:Line Marked Wrong:Other:Unknown: Submit Damage ReportPlease do not fill in this field. Monthly Membership Damage Reporting