SSOCOF DATABASE ACTIVATION FORM - PDF

W
Document Sample
scope of work template
							                           SSOCOF DATABASE ACTIVATION FORM
 **Name (Please Print):           Your Name Goes Here                                                            of

 **Company (Please Print):        Your Company Information Goes Here
assumes total responsibility that the service area information is entered properly and is correct. Sunshine State One-Call
of Florida, Inc. (SSOCOF) assumes no responsibility for the information entered. The company doing the direct input
agrees to hold SSOCOF harmless from and against any and all claims or damages arising out of information entered by
the user of the application.

                                                 Description of Work
                                                                                One Form per CDC Only!!!

**Service Area Code (CDC):        Your Member Code Goes Here

Total Added Grids/Polygons:       6                          Total Removed Grids/Polygons:           2

Place(s) worked on:
             County(s):    Volusia
               Place(s):   Debary
    **Quad sheet name and number: (appears on lower left corner of map status bar when cursor is
    located over map – quad layer must be checked) quads below are samples – list all quads that you’ve
    made any additions and/or deletions to in this section.
     ORANGE CITY (SE)                  28081-H3-D            SANFORD (NE)                                28081-G3-B




To expedite receiving confirmation that your pending changes have been received and released into production, you must
supply your email address or fax number (if fax confirmation is required, please include your area code):
     **Fax Number or Email Address:

Please note that your grid/polygon selections will not go into effect until we receive this signed notice (fax it to 800-651-
8601 during regular business hours, excluding weekends and holidays. If you do not receive a response within 24
business hours of submitting this form, contact the ssocof database department at 1-800-651-6720.

     YOU MUST SIGN HERE                                                   YOU MUST PUT THE DATE HERE
         **Authorized Signature                                           **Date

  **Denotes Required Fields**                             Grid Activation Fax Line: 1-800-651-8601




Revised 03/25/03
                               SSOCOF Database Activation Form

 **Name (Please Print):                                                                                          of

 **Company (Please Print):
assumes total responsibility that the service area information is entered properly and is correct. Sunshine
State One-Call of Florida, Inc. (SSOCOF) assumes no responsibility for the information entered. The company
doing the direct input agrees to hold SSOCOF harmless from and against any and all claims or damages
arising out of information entered by the user of the application.

                                                 Description of Work
                                                                              One Form per CDC Only!!!
**Service Area Code (CDC):

Total Added Grids/Polygons:                                  Total Removed Grids/Polygons:
Place(s) worked on:
           County(s):

                  Place(s):
**Quad sheet name and number: (appears on lower left portion of the map status bar when the cursor is
located over map – quad layer must be checked)




To expedite receiving confirmation that your pending changes have been received and released into production, you must
supply your email address or fax number (if fax confirmation is required, please include your area code):

**Fax Number or Email Address:

Please note that your grid/polygon selections will not go into effect until we receive this signed notice (fax it to 800-651-
8601 during regular business hours, excluding weekends and holidays. If you do not receive a response within 24
business hours of submitting this form, contact the ssocof database department at 1-800-651-6720.



         **Authorized Signature                                                    **Date

         **Denotes Required Fields**                              **Grid Activation Fax Line: 1-800-651-8601**



Revised 3/25/03