CONTRACTOR INCIDENT REPORT
Date:_________________
Your Name/EC: ________________________Pager Number: _____________________
Contractor
Firm: __________________________________________________________
Name
of Contractor Employee: ______________________________________________
Name
of Customer: _______________________________________________________
Service
Order Number: __________________Repair Ticker Number: _______________
Date/Time
Report Received: ________________________________________________
Date/Time
Report Cleared: _________________________________________________
Disp/Cause
Codes: ________________________________________________________
Describe
incident in as much detail as possible.
Include number of customers affected. Any other information that you
think is pertinent.
_______________________________
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Thank you for your time and effort.
Working together we can make a difference and insure that OUR customers
get the service that they deserve.
Please
Fax Completed form to: CWA Local 7800 @
206-441-8789