Call 811 before you dig

In case of emergency, call 911 and BGE at 800.685.0123.

Order Free Safety Materials

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How many kits do you require?

How many kits do you require?*

(Please refer to the previous page to see what is included in each kit.)

Where should we mail your FREE safety materials?

First Name*

Last Name*

Title*

Organization*

Mailing Address*

City*

Check if this is a home address.

This is a home address.

State*

Zip Code*

Phone*

Email*

How many employees in your organization:

0-5

6-10

11-20

21-50

51+

What is the nature of your organization? (Check all that apply)

Police

Fire

EMS

Search/Rescue

Sheriff

Volunteer Fire

Combined Fire/EMS

Highway Patrol

Other

Other organization (please explain)

How will you use these safety materials? (Check all that apply.)

Safety meeting

New recruit

Other

Other uses (please explain):

What do you feel are the most important topics that need to be covered in safety materials?

How much do you agree with each of the following statements?

BGE is committed to the safety of first responders like me.

Strongly agree	Agree	Neutral	Disagree	Strongly disagree

The information BGE provides is valuable for keeping first responders safe around electricity and natural gas.

Strongly agree	Agree	Neutral	Disagree	Strongly disagree

I expect BGE to provide first responders the information necessary to get their jobs done safely around BGE’s electric and natural gas infrastructure.

Strongly agree	Agree	Neutral	Disagree	Strongly disagree

The first responders at my organization use the BGE safety information to work more safely around electricity and natural gas.

Strongly agree	Agree	Neutral	Disagree	Strongly disagree

The first responders materials provided by BGE help me and/or my coworkers perform their jobs more safely.

Strongly agree	Agree	Neutral	Disagree	Strongly disagree

Internal Use Only

BRC Code

Date (mm/dd/yy)

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project_category

school

contractor

first responder

other

Call 811 before you dig

In case of emergency, call 911 and BGE at 800.685.0123.

Order Free Safety Materials

The 2023 program is now closed. Please check back in 2024 for the new program.

Call 811 before you dig

In case of emergency, call 911 and BGE at 800.685.0123.

Order Free Safety Materials

We are not accepting orders for this program at this time. Please check back soon.