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Incident # (For Office Use) Maine Public Utilities Commission Date of Report: Underground Facility Incident Report Report Submitted By : Excavator Facility Operator Other Party AM / PM AM / PM AM.

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How to fill out the Bhcs Ltc 362 online

Filling out the Bhcs Ltc 362 form online is essential for reporting underground facility incidents effectively. This guide provides a structured approach to navigating the form, ensuring that all necessary information is accurately captured.

Follow the steps to fill out the Bhcs Ltc 362 online.

  1. Click ‘Get Form’ button to access the Bhcs Ltc 362 form and open it in your preferred online document editor.
  2. Begin by entering the report submitted by section. Indicate whether the report is from the excavator, facility operator, or other party by selecting the appropriate option.
  3. Fill in the incident details, including the date and time of the incident. Make sure to select AM or PM to specify the time accurately.
  4. Provide the date and time when the facility operator was notified of the incident, also specifying AM or PM.
  5. Indicate the date and time the site was made safe and whether service was fully restored, again noting AM or PM.
  6. Select whether Dig Safe was notified and enter the Dig Safe ticket number if applicable.
  7. Input the GPS coordinates and the exact location of the incident, including street address and town.
  8. Choose the type of facility affected from the options provided, such as telephone, electric, gas, etc.
  9. Specify what was damaged, such as service line or distribution line, and if applicable, indicate if there was no damage.
  10. Fill in the section regarding property ownership, stating whether it is a public right of way or private property.
  11. Describe the facility, including its type, size, material, and pressure levels, to provide context.
  12. Explain the activity that caused damage or a safety concern and mention any lack of precaution taken.
  13. Detail any damage that occurred, including the number of injuries and fatalities, and provide an estimate of property damage in dollars.
  14. Complete the excavator data section with the excavation company's information, including address and telephone number.
  15. Fill out the facility operator data, including the utility's name, address, and telephone number.
  16. Identify the probable cause of the incident by checking the appropriate boxes that apply.
  17. Add any additional comments that might be relevant for the incident report.
  18. Finally, declare that the information provided is true and complete by printing your name, signing the form, and providing your company details and telephone number.
  19. Once completed, save your changes, and download, print, or share the form as needed.

Complete your Bhcs Ltc 362 form online today to ensure swift processing of your incident report.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232