Customer Information
First Name
Last Name
Phone Number
Fax/Phone Number
E-mail Address
Mailing Address
Location
Address
Cross Street
State
Region
District
County
Route
Special Case
County Sequence
Begin Log
End Log
Direction
Offset
Asset
Information
Repair Activity
Condition
Priority
Traffic Control
One Call Ticket#
One Call Effective Date
One Call Expiration Date
Entered in SWIFT
Removed from SWIFT
Police Report #
Enforcement Agency
Notes
Environmental Status
Environmental Notes
Estimate Information
Man Hours
Material 1
Length
Width/Diameter
Height/Depth
Weight
Material 2
Length
Width/Diameter
Height/Depth
Weight
Material 3
Length
Width/Diameter
Height/Depth
Weight
Material 4
Length
Width/Diameter
Height/Depth
Weight
Ticket Information
Entered By
Ticket Opened Date
Ticket Number
Ticket Iteration
Iteration Date
Ticket Status
Completed Actual
Completed Required
DWR#
click if multiple