Livonia, NY · Livingston County

No notary required

Electrical Inspection Application and Scope of Work

This application helps electrical contractors arrange an inspection by describing the project, property, utility service, and work to be inspected.

What this form is

The New York Electrical Inspection Agency application documents an electrical project and its inspection scope. Contractors can use it when arranging an inspection, though the worksheet does not state when the city requires it. It asks for contractor and project details, property and utility information, the type of service work, and a description of the job and equipment; additional pages may be attached.

Who needs it

Electrical contractors arranging an inspection can use this worksheet to provide project, property, utility, and scope-of-work information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is completed without a notary; the signer just signs and dates it, and the worksheet mentions no notarized attachment or sworn statement.

How to submit this form

  1. 1

    Download The Worksheet

    Download the Electrical Inspection Application and Scope of Work worksheet.

  2. 2

    Complete The Project Details

    Fill in the contractor, project, property, and applicable utility information.

  3. 3

    Describe The Work

    List the job scope and equipment to be inspected; attach additional pages if needed.

  4. 4

    Submit The Worksheet

    Check with the city department named on the form for current submission contact details.

Frequently asked questions

What is the Electrical Inspection Application used for?
The worksheet collects contractor, project, property, utility, and scope-of-work details for an electrical inspection by the New York Electrical Inspection Agency.
Who completes this electrical inspection worksheet?
The form requests electrical contractor information and a description of the job and equipment to be inspected, so it is intended for electrical contractors arranging an inspection.
Do I need a notary for the Electrical Inspection Application?
No. This worksheet is completed without a notary; the signer just signs and dates it. It does not mention a notarized attachment or sworn statement.
How do I submit the Electrical Inspection Application?
The worksheet lists the inspection agency's office address, email, and fax, but does not give submission instructions. Check with the city department named on the form for current contact details.

Need something notarized?

This Electrical Inspection Application and Scope of Work doesn’t need a notary — but if you have another Livonia form that does, a commissioned online notary can help.