Request the support of a Qualified Electrical Worker (QEW) using the form below.
Enter a brief description of the work requested. You may enter a more detailed description in the last field if needed.
Input the date that the the work should be completed by (if applicable).
Low - QEW support will not impact deadlines or the ability to complete work; Medium - Work is delayed pending QEW support; High - Critical deadlines are dependent upon QEW support
Equipment/Work Site Location
Where is the equipment or electrical work site located? Please provide the building and room number if onsite or full address if offsite.
Is this request for an item that can be easily transported to the electronics technician shop?
Result of EESP Inspection?
Is the support you're requesting a result of an Electrical Equipment Safety Program (EESP) inspection?
LBNL AHJ Barcode #
If this request is based on an EESP inspection, please provide the Quickbase tracking number if available.
Provide your name or the name of the contact person for this request.
Provide a phone number for the contact person.
Provide an email address for the contact person.
Select the Division that the request is for.
Accelerator Technology and Applied Physics
Advanced Light Source (ALS)
Environmental Energy Technologies (EETD)
Human Resources & Workforce Diversity
Information Technology (IT)
Materials Sciences (MSD)
National Energy Research Scientific Computing Center (NERSC)
Nuclear Science (NSD)
Physical Biosciences (PBD)
If needed, you may enter a more detailed description for your request.
Send me a copy of my responses
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