First Name
*
Last Name
*
Phone Number
*
Email
*
Business Name
*
Street Address
*
Town/City
*
Postcode
*
Job Address (if different to above)
Street Address
Street Address Line 2
City/Town
State / Province
Postcode
How many Consumer Units* do you have similar to the ones in the images?
*Otherwise known as Distribution Boards, Circuit Boards, or Fuse Boxes (see images below).
How many individual circuits* do you have?
*Count the individual circuit breakers/trip switches/fuses in each unit (see images below).
Further information
Please attach a previous EICR inspection report (optional)
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