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Dig Safely New York, Inc.


5063 Brittonfield Parkway, East Syracuse, New York 13057
Ticket Number:   Today's Date:
      /       /          

Information about you...

Company ID:   Phone:  
Your Name:   Type: Contractor   Member  Homeowner
Company Name:  
Address:  
City:   State:   Zip:  
Fax:   E-Mail:  
Industry:  

Information about the job...
Remember to give at least two full working days notice!

Field Contact:   Field Phone:  
    Field Fax:  
Work Start Date:
      /       /          
Time:
      :       am pm
Site Information
State: County:

Place:

  City   Town   Village
Address:  
 
Nearest Intersection Left:  
Nearest Intersection Right:  
Describe area to be staked out:  
Type of work:

 

Means of excavation:

  Blasting? Yes
No

Comments / additional info / special instructions on back

Remember, non-member utilities must be contacted separately.

1-800-962-7962