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Electrical Safety Inspection

413-241-6909

Electrical Safety Inspection

Name:

Email:

Phone:

Address:

City:

State:

Zip Code:

Property information

Type of Property

Single Family Home

Condo/Townhouse

Multi-Family

Rental Property

Commercial Property

Approximate Age of Home

Under 10 Years

10-25 Years

25-50 Years

Unsure

Have you experienced any of the following:

Flickering Lights

Tripped Breakers

Warm or Hot Outlets

Burning Smell

Buzzing Sound

Power Surges

Rodent Damage

Outlets Not Working

No GFCI Protection

None of the Above

Scheduling Request

Preferred Day:

Monday

Tuesday

Wednesday

Thursday

Friday

Preferred Time:

Morning

Afternoon

Evening

Pets in Home

Yes

CUSTOMER AUTHORIZATION

I understand this inspection is a visual safety evaluation and does not include repairs unless separtely authorized.

Signature

Date

SMS Consent

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