Electrical contractor application Contractor Connect Scheme

Level of accreditation applying for

Full

Restricted

Company trading name

Electrical contractor licence number

Company Nominee(s)

Company nominee

Electrical worker number

Company nominee

Electrical worker number

Company nominee

Electrical worker number

Electrical contractor contact details

Office phone

Mobile

Employee declaration

I agree to abide by the terms and conditions of the Contractor Connect Scheme

My company will implement a management plan that complies with the scheme requirements

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The Contractor Connect Scheme is administered by the Western Australian Inspectors on behalf of Western Power. Queries can be made on (08) 9359 7552.