Emergency Notification Message Form

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In addition to the normal message transmission to your receiver site, you can elect to receive a BACKUP MESSAGE for Emergency or Dig-up notifications.

EMERGENCY: When the caller states that the work to be performed is of an emergency nature.

DIG-UP: When the caller states that a line has been hit, cut, damaged or exposed.

PLEASE NOTE: Each additional message during normal business hours is currently billed at $1.00 per notification and each additional message outside of normal business hours is currently billed at no cost per single district notification. There will be charges for multiple notifications across districts.

We will follow up on all emergencies due for work being done within two (2) business hours with an additional automated message (in addition to the actual copy of the ticket) using one of the following methods below:

TEXT MESSAGE (Short Message Service or SMS)
A text message will be sent to the designated number(s) immediately after the request is completed. The text message will include the ticket number, type of ticket, start date and time, contact name and contact phone number, address/nearest intersecting street and city. If no address is provided, a line reading “CALL FOR LOCATION INFO” replaces the address/nearest interacting street and or city. For those using Smartphones, the text message can include a link that will direct the receiver to the complete ticket and map in the phone browser.

Sample text message:
FRM:
SUBJ: TKT 8551111
MSG: EMERGENCY
5/04/07 10:00AM
JOE PUBLIC @ 3167777777
123 MAIN ST at 1ST
WICHITA

Sample Smartphone message:
FRM:
SUB: TKT 12345678
MSG: TEST12
Seq No: 1
http://ks.itic.occinc.com/ABCD-123-EF4-5G6

AUTOMATED CALL

An automated call will be made to the primary or alternate contact number provided. These numbers must be to a phone number that is answered promptly by an individual who is familiar with the process. Members can choose to use a PIN or not use a PIN for access to the locate information (but use of a PIN must be requested on the attached form). Once a call is answered, the individual will be prompted to press 1 or enter the PIN (if one is assigned). The ticket information will be available once the individual enters the correct response. After collecting the appropriate information, the individual is prompted to confirm receipt of the message so that no further attempts are made for the current ticket. If no contact is made at the primary number, an automated call to the alternate contact number will occur after 5 minutes. After several failed automated call attempts, a live operator will intervene to complete the call process.

Sample automated call:

“Please enter your Iowa One Call pin number.” or “Please press 1 to continue.”

User enters correct pin number or presses 1

“Ticket 8551111.”

“Press 9 at any time to accept this ticket. Otherwise press 1 to repeat the ticket number, 2 for start time, 3 for contact information, 4 for location of work, 5 for marking instructions, 6 for ticket comments or press 8 for all ticket information.”

User enters 9: “Accepted”

“If you have any questions, please contact Iowa One Call at 800-292-8989. Thank you.”

Regarding receipt of automated emergency notification messages; I acknowledge, understand and agree to the following:

Iowa One Call will follow up on all emergencies due for work being done within two (2) business hours with an additional automated message (in addition to the actual copy of the ticket).
Delays and disruptions over third party telecommunications networks, servers or the Internet, all of which are used in providing backup messages, are completely beyond the control of Iowa One Call and One Call Concepts, Inc. (OCC). Iowa One Call and OCC do not guarantee the availability or reliability of such networks.
Iowa One Call and OCC shall not be responsible or liable for any loss, damage or expenses incurred directly or indirectly as a result of any difficulties experienced by a third party service provider.
I am the owner or legitimate user, or I have the consent of the owner or the legitimate user, of the phone/cellular phone I am registering for the backup message service. I am responsible for ensuring the method selected is capable of receiving backup messages during the time specified.

Daytime

Select ONE of the following for receipt of your "Daytime" emergency notification messages: *Text message with minimal ticket information onlySmartphone message with link to ticket and mapAutomated phone call

Primary Phone *

Carrier for text msg (i.e. Sprint) *

Contact Name *

Select a 4-6 numeric PIN# (optional)

Alternate Phone *

Carrier for text msg (i.e. Sprint) *

Contact Name *

Select a 4-6 numeric PIN# (optional)

After Hours

Select ONE of the following for receipt of your "After Hours" emergency notification messages: *Text message with minimal ticket information onlySmartphone message with link to ticket and mapAutomated phone call

Primary Phone *

Carrier for text msg (i.e. Sprint) *

Contact Name *

Select a 4-6 numeric PIN# (optional)

Alternate Phone *

Carrier for text msg (i.e. Sprint) *

Contact Name *

Select a 4-6 numeric PIN# (optional)

READ, ACKNOWLEDGED AND ACCEPTED:

Company *

CDC Code *

Name *

Title

Phone *

Email Address *

Date *

Signature *