Southern Network Services Ltd
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Power Isolation Application Form
Complete this form if you require power turned of at an Orion pole. This application does not allow for the removal of overhead power cables.
*
Indicates required field
The Address for the Isolation
*
Your First and Last Name
*
Your Contact Phone Number
*
Your Billing / Postal Address
*
Your Email Address
*
Is this Residential or Business
*
click the arrow and select an option
Residential
Business
Isolation Date between 07:30am & 09:30am
*
Will Someone be Onsite when We Isolate
*
click the arrow and select an option
Yes
No
Reconnection Date between 03:30pm & 05:30pm
*
Will Someone be Onsite when We Reconnect
*
click the arrow and select an option
Yes
No
Will any Electrical Work be Completed
*
click the arrow and select an option
Yes
No
click here to submit this REQUEST FOR AN ISOLATION
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