Electrician Client Intake Form

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Electrician Client Intake Form

0% About You

What is your name?
What is your phone number?
What is your address?
What is your email address?
What is your role in getting these repairs done (homeowner, landlord, foreman, janitor, etc.)?
What is the address of the location that needs electrical repairs?
How many people are in the location that needs electrical work?

0% About Your Project

What type electrical work do you need done (home, business, farm, new construction, etc.)?
Are there any open wires or dangerous situations?
Have you or anyone else done electrical repairs in this location before? What type of work was done?
What type of electrical box do you have?
How accessible is your box (closet, crawl space, behind locked door, etc.)?
What is your timeframe for having this work completed?

Ask the right questions to get your project started in the right direction.

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Want another format? Try one of these:
Electrician Client Intake Form - Word Template
Electrician Client Intake Form - Excel Template

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