First Name:
Last Name:
Company name:
Telephone Contact #:
E-mail:
Information about the facility
Measure Tool: Drop markers on each corner of your building to get its approximate size. Click on the first marker to close the current shape and start a new shape.
Facilities Tool: Click on the map to mark your facilities. Double-click a marker to remove it.
Power Feeds Tool: Click on the map to mark the location of your power service feeds. Double-click a marker to remove it.
Address:
Approximate Square Footage:
Number of Separate Buildings:
Number of Power Service Feeds into facility:
Highest voltage inside facility: 240 vac 480 vac 4160 vac More than 10,000
Are you the acting representative of the company listed above? Yes No
Are you a contractor doing work for the facility above? Yes No
Important!
Incoming voltage?
How many Main Breakers 50 Amps and above?
How many switch gears?
How many Main Motor Control Centers (MCCs)?
How many MCC Buckets?
How many Disconnects?
How many Transformers?
How many Bus Taps/Plugs?
How many Electrical Panels?
Other Panels?
Total Panels
