Agricultural damage

First Name

Name

Address (street and number)

Zip code

Place

Telephone number

E-mail

Place

Street

Division

Section

Number

Surface

Current/planned crop

Problem Defective drainage Water nuisance - puddles Crop damage - yield loss Subsidence Other

Estimate of affected surface area

Brief description/remarks

Date of visit

For any questions or more information, contact Fluxys!
Community Relations
communityrelations@fluxys.com