Membership Application

Section 3: Locate Request Receiving Information
Required - Select the preferred mode for receiving locate request tickets.*

E-MailContract LocatorFTP SiteTicket Management System
Email Address*
example@example.com
Contract Locate Company*
Company name
Locate Company IT Contact*
Name
Locate Company IT Contact Phone*
Locate Company IT Contact Email*
example@example.com
FTP Address*
FTP Username*
FTP Password*
FTP Remote Directory*
SFTP*

YESNO
IT Contact*
First, Last
IT Contact Phone*
IT Contact Email*
example@example.com
Ticket Management System Name*
IT Contact*
Ticket management integration contact
IT Contact Phone*
IT Contact Email*
example@example.com
As a member, when you place a locate request within your own notification area as an excavator, you will receive an excavator email and a member email. Would you like to suppress the member notification for your own locate requests placed as an excavator?*

YesNo

Section 4: Hours of Operation
24 Hour Monitoring - Select "Yes" if locate requests (emergency & non-emergency) will be monitored and responded to 24/7.*

YesNo
Are your business hours the same Monday through Friday?

YesNo
Monday through Friday:
Open

:HourMinutesAM/PM Option
Close

:HourMinutesAM/PM Option
Mon Open

:HourMinutesAM/PM Option
Mon Close

:HourMinutesAM/PM Option
Tues Open

:HourMinutesAM/PM Option
Tues Close

:HourMinutesAM/PM Option
Wed Open

:HourMinutesAM/PM Option
Wed Close

:HourMinutesAM/PM Option
Thurs Open

:HourMinutesAM/PM Option
Thurs Close

:HourMinutesAM/PM Option
Fri Open

:HourMinutesAM/PM Option
Fri Close

:HourMinutesAM/PM Option

Section 5: Operating Hours Emergency Ticket Email
Optional Service - Receive an additional notification by email for emergency locates placed during the operating hours selected above? (email address MUST differ from Section 3)

YesNo
Operating Hours Emergency Notification Email
example@example.com

Section 7: Survey / Design Requests
Optional Service - Receive an additional notification by email for survey & design request tickets. (email address MUST differ from Section 3)

YesNo
Survey Request Contact
First Name, Last Name
Job Title
Survey Request Contact Phone
Phone Type
Extension
Survey Request Contact Email
example@example.com

Section 8: Service Area Information
Over time, utility infrastructure expands to serve more Alabamians.The contact below will have access to submit service area updates through the AL811 mapping portal.
Mapping Contact*
Job Title*
Mapping Contact Phone*
Phone Type*
Extension
Mapping Contact Email*
example@example.com
Notification Area Mapping Contact Address Same As...*

Physical AddressMailing Address