DAMAGE INFORMATION REQUEST

State Form 54909 (R5 / 2-23)
INDIANA UTILITY REGULATORY COMMISSION – PIPELINE SAFETY DIVISION

Note: The person completing this form should only complete information known by that individual when completing the request.

Please click the link below to fill out the Damage Information Request Form.

Damage Information Request Form

Or mail to:
Indiana Utility Regulatory Commission
Pipeline Safety Division - Case Number
101 West Washington Street, 1500E
Indianapolis, IN 46204
Or fax to: 317-233-2410