Materials Order Form

Materials Order FormJennifer Reece2022-02-01T12:25:05+00:00

For electrical or natural
gas emergencies,
call LG&E at 800-331-7370,
or KU and ODP at 800-981-0600.

Order Free Safety Materials

Where should we mail your FREE safety materials?
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Would you like a USB Drive or DVD?*

USB Drive

DVD
First Name*

Last Name*

Title*

Organization*

Mailing Address*

Check if this is a home address.
This is a home address.
City*

State*
Zip Code*

Phone*
Email*

How many employees in your organization:

0-5

6-10

11-20

21-50

51+

NA
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 (please explain below)
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?
LG&E, KU or ODP is committed to the safety of first responders like me.
Strongly agree Agree Neutral Disagree Strongly disagree
The information LG&E, KU or ODP provides is valuable for keeping first responders safe around electricity and natural gas.
Strongly agree Agree Neutral Disagree Strongly disagree
I expect LG&E, KU or ODP to provide first responders the information necessary to get their jobs done safely around LG&E, KU or ODP electric and natural gas infrastructure.
Strongly agree Agree Neutral Disagree Strongly disagree
The first responders at my organization use LG&E, KU or ODP safety information to work more safely around electricity and natural gas.
Strongly agree Agree Neutral Disagree Strongly disagree
The first responders materials provided by LG&E, KU or ODP help me and/or my coworkers perform their jobs more safely.
Strongly agree Agree Neutral Disagree Strongly disagree

Internal Use Only
ID

BRC Code

Date (mm/dd/yy)

Hidden
Project Category

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

For electrical or natural gas emergencies, call LG&E at 800-331-7370 or KU and ODP at 800-981-0600.

We are available upon request to assist with drills and exercises to prevent and prepare for natural gas emergencies. Please contact us at safety.info@lge-ku.com or dial 502-627-2087.

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For electrical or natural gas emergencies, call LG&E at 800-331-7370, or KU and ODP at 800-981-0600.

Order Free Safety Materials

For electrical or natural
gas emergencies,
call LG&E at 800-331-7370,
or KU and ODP at 800-981-0600.