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

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;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Florida Department of Transportation.

ADVERTISEMENT
ADVERTISEMENT

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

Download PDF

Fill PDF online

Rate (4.5 / 5) 23 votes
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
Page of 2