Inspection Request Form

If you are in need of an electrical inspection, complete the form below and an Excelsior Electrical Inspection Services inspector will contact you within 24 hours to schedule the inspection.

Please do not use this form to request an emergency inspection.

Homeowner Information

Please provide the following information of the homeowner/owner of the property to be inspected.

Contractor Information

Please provide the following information for the electrical contractor performing the work.

Inspection Information

Please provide the following information regarding the inspection being requested.
Please provide additional information (For Services - ESR# and Power Company)
Scroll to Top