Information

  • S/O & Address

  • RSP

  • Prepared by : Tanu Allen 0220604999

  • Conducted on

  • Civil grade

  • Connect grade

Customer / Job Details

  • Name & Contact no

  • Type of installation?

  • Site instructions

H&S / SITE INFO

  • Dogs on site?

  • Locked gate?

BILLING INFO

  • Default metres

  • Actual metres (FAP - ETP)

  • If default distance is less than 30m, please explain why necessary to exceed 30m on actual distance

  • Internal Radial metres (ETP -ONT)

CIVIL WORK DETAILS

  • What work type is to be completed?

  • Distance of each work type?

  • Additional notes for civil tech

INTERNAL WORK DETAILS

  • Install connect type

  • Preferred location of ONT?

  • Preferred location of RGW?

  • Phone integration / copper cutover

  • Additional notes for install tech

PHOTOS

  • Photo of FAP

  • Photos - outline of works

Signed consent

  • I confirm that:
    - I have seen, read and understood this information and the end user terms and accept those terms; and
    - If I am not the owner of the property, I have obtained the consent of the owner for the installation works; and
    - I understand that there may be an impact on the operation of burglar and medical alarms, particularly monitored alarms. [Note: check with your alarm provider or telecommunications service provider]

  • I have read and agree to Enable's End User Terms

  • I understand and approve the methodology of works for my fibre install

  • Authorised signature :

  • Enable representative:

  • We will carry out the work in accordance with Enable End User Terms (http://www.enable.net.nz/about-enable/governance/ufb-reference-offer.html ).

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.