Non-Compliance Reporting Form

If you witness an alleged Code 753 violation, please fill in as much information as possible and submit to New York 811. Upon submission, New York 811 will forward your allegation to the NYS PSC. Additionally, New York 811 will forward this Non-Compliance Form to the Company committing the alleged infraction (less your contact information).

    Information regarding Company committing alleged Code 753 infraction:

    All fields marked with an asterisk ( * ) are required.

    Company's Name *

    Company's Street Address *

    Company's City *

    Company's State *

    Company's Zip Code

    License Plate Number of Company's vehicle

    Information regarding Location of Excavation or Demolition, if any:

    Exact location of excavation *

    Borough/Town *

    Street Address *

    City *

    State *

    Zip Code

    Nearest Intersection *

    Information regarding alleged Non-Compliance:

    Date Non-Compliance Was Witnessed *

    Time

    Alleged Non-Compliance: *

    Explain

    Any other unusual improper activities observed?

    YesNo

    Explain

    Was a One Call Notice given for this work?

    YesNo

    If yes, Ticket #

    If yes, was the Notice of the Excavation or Demolition
    in compliance with prescribed time limits?    YesNo - Under 2 Business DaysNo - Over 10 Business Days

    Did every Utility Operator denoted on the Ticket respond to
    the Notice of Excavation or Demolition, via APR, prior to the
    stated commencement date on the ticket?    YesNo

    Explain

    In the event additional information would be required and to enable us to send you a copy of the formal complaint issued to the company and enforcement agencies, please provide us with the following information.

    Your Name *

    Your Company's Name (if any)

    Mailing Address *

    Street Address

    City

    State

    Zip Code

    Email Address *

    Contact Phone Number *

    Your contact information will be forwarded to the NYS PSC.