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Fault Level Request
*
Mandatory Fields
Date of Submission:
*
(yyyy/mm/dd)
Requested Information:
*
Fault levels
Fusing information
Detailed transformer information
Other (Details in Comments section)
Transformer Information
Type:
*
New
Existing
Existing Veridian Equipment Number, if known:
(2 to 7 numbers - in yellow, typically found on outside of transformer or vault room door)
Customer Information
Name:
*
Street:
*
City:
*
Province:
ON
Postal Code:
*
Municipality:
*
Ajax/Pickering
Belleville
Brock (Beaverton, Cannington, Port Perry, Sunderland, Scugog)
Clarington (Bowmanville, Newcastle, Orono)
Gravenhurst
Port Hope
Uxbridge
Existing Veridian Account Number:
*
Veridian Contact Name:
(if a Veridian Technician is already involved in your project)
Requestor Information
Name:
*
Email:
*
Telephone:
*
Comments:
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