NEW MEXICO 811 UPDATE FORM FOR MEMBERS
THIS FORM IS FOR EXISTING UTILITY MEMBERS ONLY.
All members are required to provide updated information to NM811 on an annual basis.
This form requires a minimum of 4 seperate contacts, unless a rural water user.
For questions, please call our member help desk at (505) 254-7310 or membership@nm811.org
THIS FORM CANNOT BE USED TO CHANGE WHERE YOU RECEIVE YOUR TICKETS. IF YOU NEED TO CHANGE WHERE YOU RECEIVE YOUR TICKETS YOU NEED TO EMAIL
membership@nm811.org
Company Name
Company Code.
You can find this on your 811 tickets, or on your billing. it is typically a 4–8-digit lettered code, and is needed for all communications, or requests to the 811
Physical Address
Company Main Phone Number
** NEW REQUEST**
This Number is published on the NM811 website. This number should be answered outside of general business hours, in the event of an emergency. THIS NUMBER IS WHAT 811 Call agents see, and give out to callers who ask for a number to your utility - Do not use a general customer service number, unless it is answer 24 hours a day
Primary Contact: MANGEMENT OR VP LEVEL - Cannot be listed twice.
This is the person who is responsible for maintaining your membership with New Mexico 811. This person has the authority to answer questions and resolve problems. This contact will also be used for communications from the Board of Directors, and whom we will contact in the event of an outage or planned maintenance at NM811.
Type of Change:
Add to existing contacts:
Delete existing and replace with:
Name
Title
Mailing Address
Where you would like to receive mailed information from NM811.
Phone
Alternate
Fax
Email
Billing Contact: This is your accounts payable or processing center where your membership invoices should be sent. Please provide at least 2 emails
Type of Change:
Add to existing contacts:
Delete existing and replace with:
Name
Billing Address
Where you would like to receive invoices or information regarding billing.
Phone
Alternate Number
Fax Number
PO Number (Optional)
Email
GIS/Mapping Contact: This is your primary mapping contact, and cannot be the same as your Primary Member Contact
Type of Change:
Add to existing contacts:
Delete existing and replace with:
Name
Phone
Email
Ticket/Output Contact: This is your primary ticket/locating contact or supervisor, and should be different from the Primary member ContactThis contact would also facilitate customer service issues reported to the one call regarding locates.
***PLEASE NOTE
This WILL NOT CHANGE ticket output info. This is for contact info, not ticket transmissions.***
IF YOU NEED TO CHANGE WHERE YOU RECEIVE YOUR TICKETS YOU NEED TO EMAIL INFORMATION@NM811.ORG
Type of Change:
Add to existing contacts:
Delete existing and replace with:
Name
Phone
Email
Damage Prevention Contact - This Field required for any gas or oil related companies
Type of Change:
Add to existing contacts:
Delete existing and replace with:
Name
Email
Phone
Digital Signature
The information provided is true and correct.
Title
Ms
Miss
Mrs
Mr
Date
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DD
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YYYY
Number
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