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1-833-463-FAST (3278)
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Toggle Navigation
High Speed Cities
Alabama
Moundville
Louisiana
DeRidder
Grand Lake
Leesville
Moss Bluff
Oakdale
Westlake
Missouri
Knob Noster
La Monte
Nevada
Sedalia
Warrensburg
Nebraska
Arlington
Bellevue
Blair
Our Services
Internet
TV
Home Phone
Bundles
Business
My Account
Pay My Bill
Payment Options
Billing FAQs
Pay My Bill
Formtest
admin
2023-03-13T13:56:30+00:00
Report Information
Report Date
*
Company
*
Exchange
*
Billing #
*
Cable Located Requested?
*
Yes
No
Locate Completed
*
Yes
No
If locate not completed, why?
*
Damage Information
Damage Reported By
*
Type of Cable
*
Buried
Aerial
Location and Description of Damage.
*
Photos Attached
*
Yes
No
Upload Photos
*
Drag and Drop (or)
Choose Files
Damage Caused By
*
Date of Damage
*
Signature
Date
Contractor Name
*
Damager Address
*
Fastwyre Repair Information
Description of Material/Equipment Used
Quantity
Labor Required
Date
Employee
Reg Hours
OT Hours
Rental EQ Description
# of Hours
Hourly Rate
Was Outside Contractor Used for Repairs?
*
Yes
No
Repair Cost
*
Fastwyre Contractor Info
*
Air Fare Needed
*
Yes
No
Air Fare Cost
Per Diem Cost
Is Repaired Work Temporary or Permanent
*
Yes
No
Fastwyre Repair Information
Description of Material/Equipment Used
Quantity
Labor Required
Date
Employee
Reg Hours
OT Hours
Rental EQ Description
# of Hours
Hourly Rate
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