Churchville, NY · Monroe County

No notary required

Electrician’s Report

Churchville Municipal Electric’s report collects service, property, equipment, and load details from electricians requesting new or modified electrical service.

What this form is

Electricians use this report to provide information for new and existing requests for electrical service from Churchville Municipal Electric. It asks for the service address, property and contact details, service type and size, equipment to be connected, and meter cabinet requirements. The form states that third-party electrical inspections are required for all service upgrades and modifications.

Who needs it

Electricians requesting new or modified electrical service provide this report with details about the property, service, equipment, and electrical loads.

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 report is signed and dated without a notary; third-party electrical inspections are required for all service upgrades and modifications.

How to submit this form

  1. 1

    Download The Report

    Download the Electrician’s Report for Churchville Municipal Electric.

  2. 2

    Complete The Form

    Enter the service address, contact and property details, service information, equipment, loads, and meter cabinet requirements.

  3. 3

    Arrange Required Inspection

    The form states that third-party electrical inspections are required for all service upgrades and modifications.

  4. 4

    Sign And Submit

    Sign and date the report, then submit it to the city department named on the form.

Frequently asked questions

What information does the Electrician’s Report request?
It requests the service address, property and contact details, service type and size, equipment to be connected, electrical loads, and meter cabinet requirements.
Who completes the Electrician’s Report?
Electricians requesting new or modified electrical service provide the report. It includes fields for the electrician’s name, address, phone number, signature, and date.
Do I need a notary for the Electrician’s Report?
No. The report is signed and dated without a notary. The form says third-party electrical inspections are required for all service upgrades and modifications.
How do I submit the Electrician’s Report?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Electrician’s Report doesn’t need a notary — but if you have another Churchville form that does, a commissioned online notary can help.