Temporary Certificate Application (ELECTRICIANS ONLY)

Your Trusted Electrical Inspector serving Suffolk & Nassau County, NY

At Long Island Electrical Inspectors, we’ve made it easier than ever to schedule an appointment. Thanks to years in this business, we’ve managed to streamline many standard industry practices. Now, all you have to do is complete the included form and our team will take care of the rest!

**PLEASE BE REMINDED**

Town of Oyster Bay applications MUST be submitted with the Building Permit Number AND a copy of the permit.

Town of Brookhaven applications MUST be submitted with the Building Permit Number.

REQUESTED BY

*Date:

*Company Name:

*License Number:

*Phone:

**Fax:

**E-mail:

Job Location:

*Name:

*Street Address:

*City:

*State:

*Zip Code:

Free Text

*Service Size (Phases):

*Service Size (Amps):

*Number of Meters:

*Type of Service:

*Underground or Overhead:

Additional Information (if option is not available above please put details here):

Free Text

*REQUIRED FIELDS

>IF ALL INFORMATION IS NOT SUPPLIED A TEMP WILL NOT BE ISSUED

>AS PER PSEG: All temps will be emailed directly to PSEG and the electrician will receive the temp number for reference. NO TEMPS WILL BE RELEASED DIRECTLY TO CUSTOMERS - NO EXCEPTIONS