Account Number ICP (From Power Account)
*
Name of Person Making Request For Investigation
*
Address (Street or Rapid Number)
*
Email
example@example.com
Phone
*
Fax
Cell Phone
Type of Installation
*
House
Workshop
Pump
Dairy Shed
How long has the problem existed?
What is the nature of the problem?
*
Lights flicker
Lights dim
Computer switch off
Motor keeps switching off
Motor will not start
Cooking times vary
When is the problem apparent? (certain times, or days of the week)
Do your neighbours have similar problems?
*
Yes
No
Comments
Approximate age of installation
*
Ownership Type
*
Own
Rent
Lease
Please Confirm
*
I understand that if the problem is part of my service line or within my installation, there may be an attendance charge.
Submit
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