DISASTER RECOVERY INFORMATION FORM
In the event of a disaster at the North Carolina One-Call Center, Inc.
please contact the following:
Member Code:
Emergency Contact Information:
Contact Name:
Phone Number:
include area code
Extension:
Fax Number:
include area code
Email Address:
Alternate Contact Name:
Alternate Contact Phone Number:
Form Completed By:
Name:
Title:
Phone Number:
include area code
Please contact Leslie Brady at (336) 855-5760 with any questions you may have.
