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Electrical Appointment Request Form

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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:

 

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