MEMBER UPDATE FORM

An explanation for each question is provided at the bottom of this page.
If you have any questions, please contact NC811 at 336-855-5760.

NOTE: Please fill out all fields marked in yellow. If you don't not fill these fields out, you will not be able to submit this form.

1. MEMBER CODE

2. COMPANY INFORMATION:
COMPANY NAME
TYPE OF FACILITIES
COUNTIES SERVICE IS PROVIDED IN

3. YOUR COMPANY'S MAIN CONTACT PERSON:
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS

4. BILLING INFORMATION:
PERSON TO SEND INVOICES TO
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS

The Center has the capability to send your invoices via email.
Invoices are sent as an attachment in an Adobe PDF file.

Please check here if you wish to receive your invoices by email.

Email address to send invoices, if different from above:
If you don't want to receive your invoices by email. then type in "NO" in the above email field.

5. DATABASE INFORMATION:
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS

5a. LOCATION OF RECEIVING EQUIPMENT
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS
ALTERNATE CONTACT NAME
ALTERNATE CONTACT PHONE

PRIMARY METHOD OF RECEIVING TRANSMISSIONS
Printer #

                                Or Email address

ALTERNATE METHOD OF RECEIVING TRANSMISSIONS (if available)
Printer #

                                Or Email Address

                b.)           OR NAME OF CONTRACT LOCATOR
                                (In order for NC811 to send transmissions directly to a Contract Locator,
                                they must also be a Member)

6. DESIGN / SURVEY RECEIVING INFORMATION:
DATABASE INFORMATION:
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS

6a. LOCATION OF RECEIVING EQUIPMENT:
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS
ALTERNATE CONTACT NAME
ALTERNATE CONTACT PHONE

PRIMARY METHOD OF RECEIVING TRANSMISSIONS
Printer #

                                Or Email address

ALTERNATE METHOD OF RECEIVING TRANSMISSIONS (if available)
Printer #

                                Or Email address

7. REPORT OF DAMAGE TO UNDERGROUND FACILITIES RECEIVING INFORMATION:
DATABASE INFORMATION
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS

7a. LOCATION OF RECEIVING EQUIPMENT:
NAME
TITLE
ADDRESS
CITY
STATE
ZIP CODE
PHONE
EXTN
FAX
EMAIL ADDRESS
ALTERNATE CONTACT NAME
ALTERNATE CONTACT PHONE

8. POSITIVE RESPONSE:
MEMBER CONTACT NAME
PHONE NUMBER
MEMBER EMAIL ADDRESS
Who will be posting the member responses:	Member Contract Locator
If Contract Locator, please list their name:
Which Response Method will be used:	Internet IVR / FTP
Please check here if you are a current user	Yes No

9. WEBTMS:
USER CONTACT NAME
PHONE NUMBER
MEMBER EMAIL ADDRESS
Please check here if you are a current user.	Yes No

10. EMERGENCY CALL BACK INFORMATION:
CONTACT NAME
CONTACT NUMBER
EXT:
TYPE OF CONTACT: (beeper, answering svc, etc.)

11. REMOTE TICKET ENTRY:
If your Company is not currently taking advantage of the free Remote Ticket Entry Program offered at North Carolina 811 and are interested in entering your locate requests online, please complete this section and a representative will contact you to schedule a time for training.
My Company is interested in entering our locate requests online.	Yes!
CONTACT NAME
CONTACT NUMBER
EXT:
EMAIL ADDRESS

FORM COMPLETED BY:
CONTACT NAME
PHONE NUMBER
EXT:
EMAIL ADDRESS

IF YOU HAVE ANY QUESTIONS, PLEASE CALL (336) 855-5760.

EXPLANATIONS
1.             Member Code: the member code is a combination of letters and numbers assigned to your company. Examples: ABC01, ABCZ01, ABC01S, ABC01D.

2.             Company Information: provide the company name, type of facilities (power, cable, water, sewer, etc.), and the counties your service is provided in.

3.             Company’s Main Contact: the main contact person needs to be someone who is able to cast votes and make decisions on behalf of your company in regards to NC811.

4.             Billing Information: provide the contact information of the person responsible for receiving invoices for transmissions, member dues, etc. In the event NC811 needs to contact your company in regards to an invoice, the person listed in this section will be contacted. Invoices can be emailed to your company and are sent as an attachment in an Adobe PDF file.

5.             Database Information: provide the contact information of the person that is responsible for maintaining and updating the database information on behalf of your company to our database department.

5a-b.       Location of Receiving Information: this will be the contact information for the person and location responsible for receiving the locate notifications. This will be the person notified if we are unable to deliver the notifications to your company. If your company has a contract locator, that is a member of the Center, that will be responsible for locating the underground facilities, please list their name in section b. You do not have to provide their contact information or address, the Center will have this on file.

6.             Design/Survey Receiving Information: if your company would like to receive Design / Survey notifications at a separate receiver from where your regular locate notifications are being sent, please provide the contact information here.

7.             Report of Damage to Underground Facilities: A separate database has been developed for the report of damages and any member that would like to have these notifications transmitted to a different work group, such as an operations or repair, can do so. These damage reports will be taken twenty-four hours a day, seven days a week and transmitted to members in the area of the damage. Our Customer Service Representatives will advise all callers that the damage must be reported directly to the damaged utility.

8.             Positive Response: Positive Response is a system housed at NC811 that will allow participating facility owners or their locating contractor to provide status of dig tickets sent to them by the Center. Status is then made available to the excavator for retrieval.

9.             WebTMS: WebTMS is a program designed to allow efficient and effective management of location requests. Ticket assignments are made for you. Emergency requests can be automatically moved to the front of the line. A map can be pulled to show which requests have not been worked. These can be color coded to show where the emergencies and short notices are. You have a visual of areas that may need to be reassigned to match force with workload. WebTMS is based on Microsoft’s .NET technology. This technology provides for ease of installation, a user-friendly interface and secure transmissions.   Location requests are received by email and automatically assigned to locators based upon criteria set by the user. When the request is completed, WebTMS will automatically provide responses to NC811’s Positive Response System. NC811 offers this at no cost to its members. Please complete this section if you are a current user or would like to begin using the system.

10.          Emergency Call Back: NC811 operates 24 hours a day 7 days a week. From 10:00 p.m. until 6:00 a.m. Monday thru Friday, 6:00 a.m. thru 8:00 a.m. Saturday and from 4:00 p.m. Saturday until 6:00 a.m. Monday, emergency location requests only are accepted. All emergency location requests are transmitted immediately. For those members wanting an emergency call back, a Customer Service Representative (CSR) will call a designated emergency number to inform your personnel that an emergency request is being sent. We will call an emergency number, beeper, answering service or machine to pass this information along to your company. If the CSR is unable to contact anyone within two attempts no further attempts will be made.

11. Remote Ticket Entry: Remote Ticket Entry (RTE) is an electronic application utilized via the internet to electronically process and transmit locate requests 24 hours a day, 7 days a week rather than having to call the Center. Training materials and technical support are provided free of charge. Tickets processed electronically are also randomly monitored for quality assurance purposes.

Click here to sumbit this Member Update Form