Electrical Service Request

If you need electrical help, fill the electrical service request form below. RCS Electrical Services will dispatch a technician to help you with your electrical problems.

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Electrical Service Request Form
Please note that all fields followed by an asterisk must be filled in.
Promotional Code
First Name*
Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Home Phone
Business Phone
Cell Phone*
Nature of Problem*
How Soon Do You Need Service?
Please enter the word that you see below.