TIF - Temporary isolation

Company name*
I'm completing this form on behalf of the onsite contact
Onsite contact

TRUEFALSE
Electrical Worker’s Registration Number*
On-site contact full name*
On-site contact number
On-site contact email
example@example.com
Submitter’s full name*
Submitter's contact number
Submitter's email*
Onsite address*
Onsite ICP*
Please note: Powerco requires three working days’ notice to process your application. The isolation and reconnection work must be conducted within business hours (Monday to Friday).
Date of isolation*

DayMonthYear
Date
Date of reconnection*

DayMonthYear
Date
Start time*
End time*
Start time Hidden
End time Hidden
⚠️ Please select a time between 8:00 AM and 5:00 PM.
Your chosen time is outside business hours.
Notes
Please verify that you are human*
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Should be Empty: