Blasting Complaint Form

Complainant's Name
Complainant's Address
Complainant's Address
Location of Blasting Site
Location of Blasting Site
Please complete the following only if you are alleging damage.
Was any property damaged as a result of the blasting in question?
Was a Pre-Blast Survey done on this property prior to the start of blasting?
Were you notified by the blasting company within 24 hours prior to the blasting?
Do you have any before or after documentation, such as pictures or video?
Pursuant to R.I.G.L 11-18-1, I declare under the pains and penalty of perjury that the statements and information provided herein are true as of the date of this complaint. I am also aware that there are significant penalties for submitting false information including fines, penalties, and imprisonment.
Yes
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.