Public Utility Accident Form

Form Template

This app digitizes the Public Utility Accident Form used by the Public Utility Commissions to report accidents involving workers or the public.

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Language: English
Country: United States of America

Police departments, law enforcement authorities, utility services, or anyone in a position to report utility pole accidents, can complete and send reports right from their mobile devices.

Public utility traffic accident reports are streamlined and digital to make accident reports easier and more accurate. Information fields include date and location of the motor vehicle accident, persons injured, causes and circumstances of accident, fatality, occurrences of unusual nature and injuries. Even capture the signature of the reporting party. This generic traffic accident report can be modified quickly to fulfill the reporting standards set forth by your specific commission.

This accident form for public utilities can be sent, saved and stored on the GoCanvas Cloud or a convenient PDF file. Another app that could be helpful is our utility pole inspection form.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

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