React 350 Impact Form - JTI John Thomas Inc.

REACT Accident/Damage Form

This form is for use by contractors to notify JTI of damages on REACT Crash Cushions on projects.
Please fill out this form as fully as you can.

Upload any pictures of damages below. If unable to upload, please email pictures to kbook@jtitraffic.com along with project information.

"*" indicates required fields

Name of Person Submitting Information*

First Last

Email*

Phone Number of Person Submitting Information*

REACT #

Project Number / PO Number

Date of Accident*

Time of Accident (Approximate)

Police Report Number

Short Description of Damage/Parts Needed*

Attach Any Pictures of Damage

Photos must include a clear picture of each side of the REACT, including front, left, and right views – and close-ups of any additional damage.

Max. file size: 32 MB.

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