Overhead Protection Application

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Important Information

A sketch is required to submit this form. Sketches drawn by hand or digitally generated are accepted but need to be scanned or saved as a PDF. If you are not able to submit the sketch as an attachment to this form, you will need to email the sketch to constructionscheduling@trico.coop. Additional questions or comments can be sent to constructionscheduling@trico.coop or call (520) 744-2944 ext.

Work Site Information

Company Name*

Location (Work Site)*

Work Site Contacts

Primary Contact Name*

First Last

Primary Contact Email*

Primary Contact Phone Number*

Secondary Contact Name*

First Last

Secondary Contact Phone Number*

Construction Information

Start Date*

End Date*

Will a crane or derrick be involved in the scope of the work?*

Yes

Please explain the scope of work:*

Additional Comments:

Upload Overhead/Excavation Sketch (see examples above)*

Drop files here or

Max. file size: 300 MB.