Fixed Electrical Wiring Inspection and Testing Quotation Form

Your Details

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Comment: Leave this field comment blank:

Company Name*:
Contact Name*:
Contact Telephone Number*:
Contact Email:
Website*:
Property Address*:
Postcode*:
Number of Floors*:
Number of Blocks:
Number of Flats*:
Approximate Sq Meterage*:
Has a legionella risk assessment been carried out ?*:	YesNo
Have you had an asbestos survey completed*:	YesNo
If yes, when was the last survey visit*:
How are the windows cleaned?
Cradle *:	YesNo
Anchor Points*:	YesNo
Cherry Picker *:	YesNo
Do you have any Boilers that work at over 100 degrees Centigrade *:	YesNo
Verification:	6 add 5 =  Fill in the result

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