REACT Accident/Damage Form

SUPPORT FOR YOUR PRODUCT

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.

REACT Accident/Damage Form

"*" indicates required fields

Name of Person Submitting Information*
MM slash DD slash YYYY
Time of Accident (Approximate)
:
Max. file size: 32 MB.