Instructions for Form 700-010-12 "Utility Conflict and Damage Report" - Florida

Form 700-010-12 Printable Pdf
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This document contains official instructions for Form 700-010-12, Utility Conflict and Damage Report - a form released and collected by the Florida Department of Transportation. An up-to-date fillable Form 700-010-12 is available for download through this link.

Instruction Details:

  • This 2-page document is available for download in PDF;
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Instructions for Utility Conflict and Damage Report
(Form # 700-010-12)
(All fields are self-explainable with the exception of the “Drop-down” fields listed below.)
Header Information – Self-Explainable
Part A – Contractor or Agency Involved
Contractor/Agency Information – (Select from
Drop-down list)
Part B – Facility Damaged
Enter dates for Damage Occurred and Damage Repaired – (Select date and time from
Drop-down calendar.) You will need to input appropriate time.
Duration of Outage – Calculates time difference between Damage Occurred and
Damage Repaired. (Example: 2 days, 3 hrs, 35 mins.)
Type of Facility Damaged – (Select from Drop-down list) -
Type of Facility Material Damaged – (Select from Drop-
down list) -
1
Instructions for Utility Conflict and Damage Report
(Form # 700-010-12)
(All fields are self-explainable with the exception of the “Drop-down” fields listed below.)
Header Information – Self-Explainable
Part A – Contractor or Agency Involved
Contractor/Agency Information – (Select from
Drop-down list)
Part B – Facility Damaged
Enter dates for Damage Occurred and Damage Repaired – (Select date and time from
Drop-down calendar.) You will need to input appropriate time.
Duration of Outage – Calculates time difference between Damage Occurred and
Damage Repaired. (Example: 2 days, 3 hrs, 35 mins.)
Type of Facility Damaged – (Select from Drop-down list) -
Type of Facility Material Damaged – (Select from Drop-
down list) -
1
Location of damaged Facility –
(Select from Drop-down list)
The facility is – (Select from Drop-down list) -
Part C – Locating and Marking
Type of Locate Used – (Select from Drop-down list) -
2
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