Waukesha Electric

Service Project Inquiry Form

Please provide as much information as possible so we can best respond to your needs.

* required fields

*NAME:
TITLE:
*COMPANY:
*ADDRESS:
*CITY:	*ST: *ZIP:
*PHONE:
FAX:
*E-MAIL:

What is your timing need on this request?
Immediate
Next few weeks
Next few months
Specific date range - please specify:

Address and location of equipment (substation, remote location or other company divisions):


Equipment Type (i.e. Transformer, LTC, etc.) and description including manufacturer, model and, if applicable, serial no., voltage and vintage (if available):


Briefly describe desired services and/or problem you are experiencing:


Recent test results, if available (types of electrical tests, oil samples, etc.):


How do you prefer to receive a response: E-mail Phone
If you prefer we call you, please be sure you've given us your phone number above.

What is the best time to reach you?

Emergency Service Available 24/7/365:

888-365-24X7
(that's 888-365-2497)