EICR Compliance Form
Name of Landlord/Property Owner
*
First Name
Last Name
Address of property the EICR applies to
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Reference No of UNSATISFACTORY EICR (usually top right hand corner)
*
Reference No of SATISFACTORY EICR
*
Name of contractor who carried out the remedial works
*
Address of contractor
*
Street Address
Street Address Line 2
City
State / Province
Post Code
Is the contractor registered with TESC?
*
Yes
No
TESC registration No.
*
Which body is the contractor registered with?
*
Registration No.
*
Upload Satisfactory EICR
*
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EICR Submission
Submit 1 x EICR Compliance Form
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Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
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