Appointment Request Form
Your Name
*
Onsite Contact Name
*
Company Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Onsite Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
(Required for confirmation. Appointments are made once a confirmation email is received from KUA with a date and time)
What type of appointment are you requesting? A choice is required.
*
Conduit Inspection
Transformer Pad Inspection
Pull in Secondary Wires
Install Conduit in Transformer
Other
Additional Comments/Request
Appointment Location Address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Transformer / Junction Box Number
*
ex.16957 (Enter “N/A” if NOT pulling in secondary wire and/or installing conduit in transformer.)
Amount of time needed?
*
30 minutes
1 hours
2 hours
3 hours
4 hours
Please verify that you are human
*
Appointments are made once a confirmation email is received from KUA with a date and time.
Submit
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