Service Isolation Form - Elexicon Energy

Make a Business Service Request

Please complete and submit this form for any primary/substation isolation outage requests for maintenance. Completion of this form does not guarantee an appointment. An Elexicon representative will contact you to review the details of your request and confirm your appointment date and time. A minimum three (3) week lead-time for isolation requests is required.

"*" indicates required fields

Please note that we require a minimum of two business days notice when cancelling an isolation.

A. Customer

Company Name*

Address*

Street Address Address Line 2 City Province Postal Code

Contact Name*

First Last

Telephone Number*

Cell Number

Email Address*

B. Contractor

Company Name*

Address*

Street Address Address Line 2 City Province Postal Code

Site Contact Name*

First Last

Telephone Number*

Cell Number

Email Address*

C. Project Details

Project Location*

Bill Costs For Outage To:*

Customer

Contractor

Purchase Order Number

Purchase Order Issued By

Date of Outage*

Requested Isolation (Start) Time (24-Hour Time)*

Requested Restoration Time (24-Hour Time)*

Switch Number (if available)

Reason for Outage

Elexicon staff cannot operate customer equipment (44kV switches, etc.) due to liability issues and therefore, the customer is required to have their contractor operate customer equipment. If requested to operate customer owned equipment, Elexicon staff have the right to refuse and your isolation may be cancelled. The customer is required to apply their own working grounds. Please ensure that you have the necessary operators on site to avoid any work delays or appointment cancellations.

Phone

This field is for validation purposes and should be left unchanged.