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To request a service call, please fill out the form below and we will contact you within
24 hours to confirm an appointment time. 
 

Contact Information

Occupancy Type

Residential
Commercial
Location

Description

EMERGENCY SERVICE
If you can not wait for regular office hours and you need service immediately, please call us
at 845-942-4874. High priority will be subject to emergency rates.

Billing Address

Work Location

Upload Photo(s) or Video

Upload Photo(s) or Video

Office Use Only

Prepared By:________________________________________________
Date of Call:___________________Time of Call:__________________
Code:__________________________Service Type:_________________
HUSH Ticket Number:______________________________________
Notes:_____________________________________________________________________________________________________________________
 

HUSH Electrical Contracting is located in Rockland County, NY. We are a full service electrical contractor specializing in residential, commercial, industrial and government.

~SERVICE CALL REQUEST~

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