EmailMe Form - Positive Response Request Form

Positive Response Request Form
Positive Response is a system housed at North Carolina 811, Inc. and allows
participating facility owners or their locating contractor to provide the status
of locate tickets sent to them by North Carolina 811, Inc. Status is then made
available to the excavator for retrieval.

Name Of Facility *

The facility name is the name that will be heard on the IVR system or viewed on the web by the person requesting status of the ticket. For example: the member code displayed on the ticket received by the member would be shown as ABC01, but the actual member name that is heard or viewed when checking Positive Response is ABC Utilities.

Facility Type
(i.e., gas, electric, water) *

Member Contact Name *

Prefix

First *

Last *

Suffix

Phone Number *

###

####

Email *

Your member code(s) as shown on tickets you receive *

Who will be posting the member responses *

If Contract Locator, their name and codes they respond to

Which Response Method will be used *

Date form completed *

YYYY

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