Vyve Ops Drop Bury Request Form
Business Hours
Region:
*
Mid-South
Northwest
Southeast
System Mid South
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Shawnee
McAlester
NE-OK
Marble Falls
Mexia
Crockett
Corsicana
Stephenville
Decatur
Ballinger
West Lake
Durant
E-Arkansas
W-Arkansas
Panhandle
Skiatook
Avant
Sperry
Barnesdale
Hominy
Oilton
Collinsville
Yale
System South East
*
AL - Aliceville
GA - Douglas
GA - Statesboro
GA - Swainsboro
GA - Vidalia
GA - Waycross
NC - Brevard (FAN)
NC - Hendersonville (FAN)
NC - Forest City
NC - Franklin (FAN)
NC - Highlands
SC - Greenwood
SC - Seneca
TN - Tazewell
System North West
*
CA - Coarsegold
WA - Ephrata
WA - Moses Lake
CA - Mount Shasta
CA - Oakhurst
WA - Othello
CA - Yreka
CO - Burlington
ID - Sandpoint
KS - Abilene
KS - Atchison
KS - Clay Center
KS - Colby
KS - Fort Riley
KS - Garnett
KS - Goodland
KS - Hays
KS - Herington
KS - Meade
KS - Ottawa
KS - Peabody
KS - Wakeeney
MO - Central City
NE - Central City
WA - Ephrata
WA - Moses Lake
WA - Othello
WY - Douglas
WY - Glenrock
WY - Torrington
WY - Wheatland
Construction Status
New
Completed.
Date
*
-
Month
-
Day
Year
Date
Technician Status
In-House
Contractor
In-House Tech #
Contractor Tech #
Tech Number
*
Tech Name
*
First Name
Last Name
Supervisor
*
Supervisor Email
*
example@example.com
Tech Cell Number:
Tech Email
*
example@example.com
Tech Ops Manager Name
Tech Ops Manager Email
example@example.com
- Audit Information -
Date
*
-
Month
-
Day
Year
Date Picker Icon
Current Account #:
*
Commercial or Residential?
Commercial
Residential
Customer/Non-Customer Location?
Customer Location
Non-Customer Location
Customer Name
First Name
Last Name
Customer Phone
-
Area Code
Phone Number
Address of Current or Active Job:
*
Street Address(Please Check Spelling)
****Cross/Intersecting Street is Required****
City
State / Province
Postal / Zip Code
Detected Location
Service Tag Number:
What type of work order are you working on?
*
New Install (no drop existing)
Install / Upgrade / Downgrade /Trouble Call / DPB (drop is existing)
Type of Damage:
*
Customer Cut
Other Utility Cut
Signal Quality
What type of work form are you requesting?
*
Commercial Pre-Bury (Drop must be buried before install) 7 Day Turn Around
Commercial Drop Bury (Set up DPB for Contractor to Bury Drop) 7 Day Turn Around
Residential Pre-Bury (Drop must be buried before install)14 Day Turn Around
Drop Bury (Set up DPB for Contractor to Bury Drop)14 Day Turn Around
- Drop Bury Request -
Overall approximate linear footage of drop
*
Total footage of the path that needs to be buried
Is the drop a direct bury?
*
Yes
No, conduit existing
Was a push / pull attempted to replace the drop? If no please explain why with details.
*
Yes
No
Damaged Conduit
Details if No
Was a temp laid across the property?
*
Yes
No
Is the temp drop laid across pedestrian traffic area or vehicle traffic area
*
Pedestrian traffic area
Vehicle traffic area
Pedestrian & Vehicle traffic area
Non traffic area
Is a bore needed for the drop bury?
*
Yes
No
What type of bore is needed?
*
Alley (paved alley)
Driveway
Landscaping
Parking Lot
Road (Residential)
Road (County)
Road (State)
Sidewalk
Multiple of the above (provide pics of each)
Driveway Bore Options:
Single Driveway
Double Driveway (must be 18ft or greater to use this option)
Rough total footage of bore area
*
This is just the bore area not the entire drop. If multiple bore area's, add all area's together. All Bores over 16 ft will go to Construction.
Picture of bore area only
*
Click here to take picture
Limit to 5 total pictures
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What type of cable is needed?
*
RG-6
RG-11
Fiber
Flex 500
Call Before You Dig ticket number:
Underground Lines Visibly Marked:
White-Proposed Excavation
Pink-Temp. Survey Marks
Red-Electric
Yellow-Gas/Oil/Steam
Orange-Communication/Alarm
Blue-Potable H2O
Purple-Reclaimed H2O/Irrigation/Slurry
Green-Sewer/Drain
None
Did you verify the new drop bury route for known obstacles that the customer may be aware of and if customer is satisfied with the drop bury route?
Yes
No
Now that the customer agreed upon drop route, was the temporary drop route marked with white paint or flags for the contractor group to follow?
Yes
No
*Picture from Ped to House*
Upload Photos
Limit to 5 total pictures
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Additional Comments:
Please add Detailed Comments of the Request. The More information the better.
*TDR Screenshot*
*
Upload Photos
Limit to 5 total pictures
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Please add additional pictures here:
Click here to take picture
Limit to 10 total pictures
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Drawing Board
Draw on Image
Additional Comments:
Tech Signature:
*
Submit
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