Electrical Service Work Order Form
Order date
-
Month
-
Day
Year
Date
Order taken by
First Name
Last Name
Starting date
-
Month
-
Day
Year
Date
Job name
Job number
Job address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of job
Please Select
Day work
Contract
Extra
1
Install
Repair
Replace
Inspect
Troubleshoot
Rough wire
Finish wire
Temporary service
2
3
4
5
6
7
8
Light fixture(s)
9
10
11
12
13
14
15
Switch(es)
16
17
18
19
20
21
22
Receptacle(s)
23
24
25
26
27
28
29
Service panel
30
31
32
33
34
35
36
Air conditioner(s)
37
38
39
40
41
42
43
Generator
44
45
46
47
48
49
50
Kitchen
51
52
53
54
55
56
57
Dining room
58
59
60
61
62
63
64
Living / family room
65
66
67
68
69
70
71
Bedroom
72
73
74
75
76
77
78
Sub-panel
79
80
81
82
83
84
85
Circuit breaker(s)
86
87
88
89
90
91
92
Fuse(s)
93
94
95
96
97
98
99
Antenna wire
100
101
102
103
104
105
106
Cable TV wire
107
108
109
110
111
112
113
Telephone wire
114
115
116
117
118
119
120
Smoke detector(s)
121
122
123
124
125
126
127
Door chime(s)
128
129
130
131
132
133
134
Ceiling fan(s)
135
136
137
138
139
140
141
Baseboard heater(s)
142
143
144
145
146
147
148
Range
149
150
151
152
153
154
155
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