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