Violation Complaint Form

Complaint Process Information

Section 58-36-120 (Penalties)

Please note the purpose of this form is to report a violation of the South Carolina Underground Facility Damage Prevention Act.

Any person who violates any provision of this chapter shall be subject to a civil penalty not to exceed one thousand dollars for each violation. Actions to recover the penalty provided for in this section shall be brought by the Attorney General at the request of the injured party in the proper forum in and for the county in which the cause, or some part thereof, arose or in which the defendant has its principal place of business or resides. All penalties recovered in any such actions shall be equally divided between the state’s general fund and the Office of the Attorney General.

Complaint Form for Submission to the Attorney General

Initiated Stakeholder*

Please indicate which group you are with.

Name*

Please provide your name.

Email*

Please provide a valid email.

Phone*

Please provide a valid phone number.

Where did the incident occur?*

Was an investigator on site?*

Yes

Please specify if there was an investigator.

Accused Stakeholder*

Please indicate which group you are with.

Accused Name*

Please provide the accused name.

Accused Email

Accused Phone*

Please provide a valid phone number.

Accused Address

Violation*

Please choose at least one violation.

Violation 2

Violation 3

Was a locate notice created with SC811 for this location?*

Yes

Please indicate if a notice was created.

Was there damage associated with this incident?*

Yes

Please indicate if a damage happened.

Was this incident associated to a pipeline damage?*

Yes

Please indicate if a pipline was damaged.

Was the fire department notified?*

Yes

Please indicate if the FD was notified.

What was the date of the incident?*

Please specify the date of the violation.

Description of incident:*

Please describe the incident in better detail.

Please list names and contact information for any other involved parties, to include the owner of the damaged facilities; all contractors and subcontractors involved in the excavation that led to the damage; the owner of the project that gave rise to excavation project.

Please attach any relevant images.(hint: you can add multiple images by using ctrl or shift on your keyboard)

Please add at least one photo to help your claim.

Please review the form for missing information. If some details are unknown, provide as much information as you can.