Newsletter Sign-up Weather Advisories Owner's Bill of Rights Printer Friendly Format Translate This Page
 
House #
 
Street Name
 
  Borough
 
 
 
Electrical Appointment Request Form

To allow this form to work, you need to enable JavaScript from your browser:

1. From your browser, click the Tools menu, select Options
2. In Firefox 1.5 or later, click Content
3. Check (to enable) Enable JavaScript and Enable Java.
4. Close and restart your browser.

For Mac Users: This request form may not function property with your Safari web browser.
We are hoping to resolve this problem soon. In the meantime, please download the free Mozilla Firefox web browser in order to use this form in the interim. For more information on Mozilla Firefox please visit http://www.mozilla.org/. To download the current version of Mozilla Firefox for Macs, please click on the following link: http://www.mozilla.org/en-US/firefox/all.html.

You will receive an e-mail confirmation with details pertaining to your inspection request within three (3) business days.

          Date:                       * = Required Field

 

1 Appointment Requester Data

 
Contact Person*
Company Name*
Contact Number*
-  
Contact Person E-Mail*
 
 

2 Job Data

 
Borough*
 
Address*
 
Application No. / Complaint No.*
 
 
 
 

Bin No.*

If multiple Inspections to be performed at a same location, please provide job number(s)

 

3 Inspection Data

 

Type of Inspection (Check all that apply)*
 Amusement Ride   New Buildings   Complaint   Elevator

 Escalator   Rehabilitation   Sheds   Sign Tag Inspection

 Advisory Board   Calendar Number*

 C of O Inspection Update

 C of O C of O Invoice Number

You can find this number by entering your Job number in BISWeb. Once you are in Application Data, click on Fee / Accounting Overview and then Payment History.

 Violation Violation Number *

Other

Inspection Date Preferred* - Date Format: 'MM/DD/YY'
All preferred dates should be within the next 10 business days.
Option 1:      Option 2:      Option 3:

 

Please enter the letters you see in the graphic below (required):
(letters are not case-sensitive)

     Listen to and enter into the text field the digits you hear 

 Get new image
What is this?   

   
Next