New Installation Form (Form 5.1)

Please fill out this form upon completion of any new installations.This form can be used for multiple units in 1 site.If there are multiple sites, (different physical address) please use a separate form for each.Ensure you number each unit installed and the number corresponds to the correct bar code.
Date*

DayMonthYear
Date
Service Technician: (please select)*
Customer name:
Tafe NSW Site
Customers name:
Customers Site name if different:
COM Bin Type

Existing WMU from CoM is SB1New WMU 2nd contract is SB2
Install Type
Site address:
Installation Details
Barcode No #1
Location Details #1*
Type of Installation Installation 1*

Standard InstallNon Standard InstallOther
Please attach photo of completed installations Location 1

Select File

Cancelof
Barcode No #2
Location Details #2
Type of Installation Installation 2

Standard InstallNon Standard InstallOther
Please attach photo of completed installations Location 2

Select File

Cancelof
Barcode No #3
Location Details #3
Type of Installation Installation 3

Standard InstallNon Standard InstallOther
Please attach photo of completed installations Location 3

Select File

Cancelof
Barcode No #4
Location Details #4
Type of Installation Installation 4

Standard InstallNon Standard InstallOther
Please attach photo of completed installations Location 4

Select File

Cancelof
Barcode #5
Location Details #5
Type of Installation Installation 5

Standard InstallNon Standard InstallOther
Please attach photo of completed installations Location 5

Select File

Cancelof
Service requirements*

Twice WeeklyWeeklyFortnightlyMonthlyCustomer to self cleanOther
Additional Comments
Should be Empty: