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Work Order Specification

Please complete and submit the following details prior to any site visit being undertaken by one of our electricians.

Billing Details

Company Name *

* Indicates required field

Billing To Name *

Billing Phone *

Fax *

Email *

Please Confirm Email *

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Ref/Order Number *

Site Details

Site Contact Name *

First

Last

Site Phone *

Site Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Order Details

Preferred/Agreed Date(s) for Visit *

Preferred/Agreed Timeslot for Visit *

AM PM

Have you previously engaged us for this job? *

Yes No

If 'Yes', how long did it take? *

Do you require thermal imaging at your facility? *

Yes No

Do you require test & tagging at your facility *

Yes No

Is there parking onsite? *

Yes No

If 'No', please specify nearest parking (costs to be reimbursed) *

Do you require an onsite induction? *

Yes No

Do you require us to wear an 'orange vest' onsite? *

Yes No

Please tick which certificates or insurances you require *

Workers Compensation Insurance Professional Indemnity Public Products Liability Insurance Contractor Accreditation Services (CAS) Green Card OH&S Statement

Special Instructions *

I agree to receiving marketing and promotional materials

Submit

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5 Caringal Pl, St Ives NSW 2075, Australia | 1300-4-A-SCAN (*1300 427 226)
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Home
Services
Areas Served
About Us
Thermal Images
Certificates of Currency
Regulations
Blog
Submit Works Order
Feedback
Contact Us
- Sample Report Request
- Sample Power Logging Report Request