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Ric-Man Construction Florida Inc
About Us
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Development Projects
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For Sale/Lease
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About Us
Leadership
Services
Development
Projects
Construction Projects
Development Projects
Collaborative Delivery
For Sale/Lease
Subcontractors
Careers
Safety
Utility Damage and Repair Reports Form
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Utility Damage and Repair Reports…
Status
Open
Billed
Denied
Paid
Invoice amount
Invoice Date
MM slash DD slash YYYY
Picture of the Invoice
Max. file size: 2 GB.
Date
MM slash DD slash YYYY
Picture of the denial letter
Max. file size: 2 GB.
Date
MM slash DD slash YYYY
Check Number
Select Option
RMCF
Insurer
Locate Ticket #
Foreman Email
Project
Date
MM slash DD slash YYYY
Time Broken
Called In
Weather
Utility Co
Type & Sign of Utility
Staked Out?
Location (street address)
Station
O/S from B.L
Describe Extent of Damage
Explain Work Being Performed and How Damage Occurred
Describe Inaccuracies or Factors Leading To Break
Repairs
Time Utility Co. Arrived
Time Repair Completed
Manpower
Equipment
Material
Delays Resulting From Break Incl. Our Labor Equipment
Extra Work Resulting From Break Incl. Our Labor, Equipment, & Material
Signature
Name
Date
MM slash DD slash YYYY
Untitled
Sketch On Back
Plan Sheet
Pictures
Upload Sketch
Max. file size: 2 GB.
Upload Pictures
Drop files here or
Select files
Max. file size: 2 GB, Max. files: 10.
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