Work Request Form

Enter the details of the work you need to have completed. If we have worked with you before please enter the same email address to help up locate your records.
Enter your name (this is the person our account will be sent to). Client
Mobile
select
Australia, +61
We prefer to have your mobile and an email address so we can keep you informed about the job's statuses.
Email

Work Request Address
- Address
- Street
- Unit/Level
- State
- Suburb
  
  select
  
  select
- Select on Map
This is the address where the work is to be perfomed.

Work Request

Title Provide a brief description of problem. E.g. Install fan in bathroom.

Description

You can detail aspect of the job you think we need to know. Note if you need a quote.

If contact with 3rd person (e.g. a tenant) is required then include their name and contact here.

Priority
select
Low
Normal
Urgent
How urgent is the job? It helps us to prioritise our work. If the job needs attention today or tomorrow, set it as Urgent.

Due Date

Open the calendar popup.

Is there a 'must be done by date'? I.e. a special event or a date other trades need this work done by.

Preferred Time What time of day most suits you for us to contact you or schedule work?
Status

Save

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CTM Electrical Services

Work Request Form