Request an Inspection

This form is completed by a client or on behalf of a client to obtain information relating to an inspection request.

Product Inspection vs Product Certification*

Yes No

Do you know the difference between inspection and certification? Product inspection is an alternate approval process for electrical products permitted by Canadian Jurisdictions by means of the SPE-1000 Model Code. It should only be used when Product Certification is not practical. The use of this process is limited to the requirements listed in the Scope section of the SPE-1000 Model Code.

Description of Product*

Quantity*

Product Make

Product Model

Authority Having Jurisdiction*

Contact Information (Requestor)

First Name*

Last Name*

Requestor Email Address*

Person Requesting Inspection *

500

Company*

Phone Number *

Address*

Is the site of inspection different than the address listed above?*

Yes No

Contact Information (Site of Inspection)

First Name

Last Name

Email of Contact (Site of Inspection)

Company2

Phone Number of Contact (Site of Inspection)

Site Address

How did you hear about Averifica?

Terms and Conditions Agreement *

I am an authorized representative for the Client, and I have reviewed and agree to be bound by the terms and conditions for this service.

By checking the box above and submitting the form you confirm that the above statement is true and that you agree to be bound by the terms and conditions for this service.