Our 24/7 spill reporting line is

800-579-2872

Please note that all fields marked with a red asterisk are required.

 

Your Contact Information
*Name:
*E-mail address:
Company Name:
*Call-Back Phone:
*Alternate Phone:


Spill Information
Material Spilled:
Volume Spilled: ex: 50 Gallons
Street Address, Hwy, Mile Marker Where Spill Occurred: ex: Highway I-80 Mile Marker 213, or 123 Cedar Street
City & State Where the Spill Occurred: ex: Sylvester, GA
Nearest LARGE City: ex: Atlanta, GA

Additional Information/Comments



Thank you for choosing Cura Emergency Services to provide for your emergency spill response needs. This web-based report form is provided for your convenience and has several redundancies built in to provide the highest level of reliability. However, if you do not hear back from us within 10 minutes of submitting this form for any reason, please call our 24/7 spill reporting line at
800-579-2872



Download the Client Authorization Form

This opens a form authorizing CES to open an emergency response project of your behalf. Please do not download unless directed to do so.