Switching Recertification

Applicant's legal first name ^*

Applicant's last name ^*

Contact number ^*

Email ^*

Depot or company name ^*

Job location and address ^*

Pay or Network Authority Card number ^*

Name of Formal Leader (WP only) or Manager ^*

Recertification reason ^* Select one Additional switching authorisation Recertification Incident action On job assessment

Switching levels you need recertified (subject to existing restrictions) - select at least one:

Option 1 ^* Select one LV (LOU) - previously Levels 1 & 4 HV (HOU) - previously Levels 2 & 5 Zone Substation (ZS) - previously Levels 6 or 8 Transmission Lines (TL) - previously Levels 7 and/or 9 Transmission Substation (TS) - previously Level 10

Option 2 Select one LV (LOU) - previously Levels 1 & 4 HV (HOU) - previously Levels 2 & 5 Zone Substation (ZS) - previously Levels 6 or 8 Transmission Lines (TL) - previously Levels 7 and/or 9 Transmission Substation (TS) - previously Level 10

Option 3 Select one LV (LOU) - previously Levels 1 & 4 HV (HOU) - previously Levels 2 & 5 Zone Substation (ZS) - previously Levels 6 or 8 Transmission Lines (TL) - previously Levels 7 and/or 9 Transmission Substation (TS) - previously Level 10

Option 4 Select one LV (LOU) - previously Levels 1 & 4 HV (HOU) - previously Levels 2 & 5 Zone Substation (ZS) - previously Levels 6 or 8 Transmission Lines (TL) - previously Levels 7 and/or 9 Transmission Substation (TS) - previously Level 10

Option 5 Select one LV (LOU) - previously Levels 1 & 4 HV (HOU) - previously Levels 2 & 5 Zone Substation (ZS) - previously Levels 6 or 8 Transmission Lines (TL) - previously Levels 7 and/or 9 Transmission Substation (TS) - previously Level 10

Proposed date of next switching schedule - Option A ^*

Proposed date of next switching schedule - Option B