ELECTRICAL WORKS REQUEST EWR Form

Work Site Details

Customer or business name*

Customer Contact*

Site Type

Factory

Suite

Tenancy

Shop

Other

Unit/Floor/Shop

Street Number

Street Name

Lot

Suburb

Existing Meter Number

Has contact been made with Projects Group?

Yes

Project Number

Name of person at Distributors Projects Group to contact

Description of All Works (including coincidental works taking place)

CES No.

Work Requirements

Premise type

Commercial/Industrial

Residential

Unmetered Supply

Builders Supply Pole (BSP)

Builders Supply in the Permanent Position

Private Cables on

Public Land

YesNo