Re-instated Pole (form 5.4)

This form is for units that have been found, this includes any enviropoles that have been recorded as missing or units that may have been relocated by the customer when their assets (litter bins/ street poles) have been removed and the enviropole was originally attached.

Date*

Date

Service Technician: (please select)*

Customers name:*

Customers site name if different:

Site address:*

Discovered Unit Details

Bar-code No. if known

Location details where found*

Detail any information on previous location and new found location.

Additional Comments

Attach images of site

Select File