Are the backup sensor holes already cut out?

Yes. The sensor cutouts come pre-drilled and ready for your factory sensors or aftermarket units. You won't need to drill or cut into the bumper yourself.

Will this work with my factory tow hitch?

This bumper is engineered around factory tow package geometry, so your existing hitch mounts and operates without clearance issues. Test fit before final install to confirm alignment with your specific setup.

Do I need fasteners to install this?

Fasteners are not included. You'll need hardware that matches your original bumper attachment method — check your vehicle's service manual or your current bumper installation for the correct specs.