*WE CANNOT PROVIDE AN ESTIMATE WITHOUT A DRAWING* PLEASE READ TO ENSURE THAT YOUR REQUEST FORM IS NOT RETURNED TO YOU FOR BEING FILLED OUT INCORRECTLY AND TO ENSURE YOU RECEIVE QUICK SERVICE. Below is a copy of our Request Form for Line Protection. Please fill out and return with a drawing or photos of your work area. Please include on the drawing and request form, details of exactly where the lines that need to be covered are located and where any equipment will be set-up (i.e. scaffolding, lifts, ladders, etc.). Powerline Utilities needs to be aware of the distances that you will be working from the wires and the measurements of the equipment to be used. Drawings can be hand drawn and need to show the work area. If your form is not filled out correctly a proper estimate cannot be provided and your form will be returned to you. Powerline Utilities will determine the length of the wire that needs to be covered based on the information that you have provided. Please note, if you require service work on the property before the line protection can be installed you must call Toronto Hydro at 416-542-8000. After submitting your request, please allow up to 5 business days to receive your contract. Once we receive the signed contract back, the line protection will be installed within 15 business days, or 1-2 business days if you have paid the 20% surcharge. Powerline Utilities Limited 28 Underwriters Rd . Toronto, On. M1R 3B3 (416) 609-0007 [email protected] Fax (416) 609-2220 Powerline Utilities Line Protection Request Form *YOU MUST ATTACH A DRAWING WITH YOUR REQUEST* Please allow 3 to 5 business days to receive your contract Yes Is this a change to an original request? No Property Owner: Phone: Authorized Contractor: Contractor Contact: Phone: Site Contact: Phone: Additional Contact: Phone: Email Address: Site Address: Nearest Major Intersection : Indicate Building Usage: 1) 2) Residential Commercial Apartment/Condo Other Duration of Request: * Contracts will be based on number of days Proposed Start Date: * Installation dates cannot be guaranteed Are you currently waiting for Toronto Hydro to complete service work at the property? Yes No *If you answered yes Powerline Utilities will not go to the property to install Line Protection until we receive confirmation that Line Protection can be installed. There are charges if we show up to the site and cannot complete work. Please provide a detailed description of the work to be completed on the Property. Please make sure to include a description of all equipment and any erections that will be used near the wires (ie. Scaffold, ladder, lift etc.) with their measurements and the approximate distance they will be from the wires: Closest distance to wires: What type of work are you doing: How will you be completing the work: Will you be using scaffolding: Yes No Height: Depth: Length: Where on the property will you be working: Powerline Utilities reserves the right to return any request which is unreadable or lacks the information required to provide an accurate estimate. If an isolation or relocation is required your information will be passed onto Toronto Hydro.