Job Information Form (RPG)
Step
1
of
5
20%
Company
This field is for validation purposes and should be left unchanged.
General Information
Job Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Technician Name
Full Name
Job Completion Date
(Required)
DD slash MM slash YYYY
Advise date/time for validation testing
(Required)
Rubbish
Do you require a skip bin?
(Required)
Yes
No
When do you want the skip bin to be delivered?
(Required)
DD slash MM slash YYYY
What size of skip bin do you require?
(Required)
Select the skip bin size.
4m³ (4 CUBIC METRE SKIP BIN)
6m³ (6 CUBIC METRE SKIP BIN)
8m³ (8 CUBIC METRE SKIP BIN)
10m³ (10 CUBIC METRE SKIP BIN)
12m³ (12 CUBIC METRE SKIP BIN)
15m³ (15 CUBIC METRE SKIP BIN)
30m³ (30 CUBIC METRE SKIP BIN)
Number of skips required?
(Required)
Estimated m³ of rubbish
(Required)
Please enter a number less than or equal to
50
.
Preferred position of the skip
Do you require tyre collection?
(Required)
Yes
No
Do you require a tip run?
(Required)
Yes
No
Details about tip run
(Required)
Rooms over 75ug Structural
Will you be removing any electrical air flow items?
(Required)
Yes
No
Do you require any official electrical lock out?
(Required)
Yes
No
What date do you require the electrical lock out?
(Required)
DD slash MM slash YYYY
Will you be removing any structure/walls?
(Required)
Yes
No
Do you require any Asbestos testing prior to work commencing?
(Required)
Yes
No
Do you require any trades prior to work commencing?
(Required)
Yes
No
Which trades do you require?
(Required)
Plumber
Electrician
Cabinet Maker
Painter
Locksmith
Security
Welder
Roofer
Mason
Scope of work?
(Required)
Do you require any additional labour?
(Required)
Yes
No
Is it for
(Required)
Decontamination
Rubbish Removal
Number of people required
(Required)
Which dates and hours required?
(Required)
Travel Details
Rental Vehicle
Do you require a rental vehicle?
(Required)
Yes
No
Type of vehicle required?
(Required)
Car/Sedan
SUV/Minivan/4x4
Wagon/Estate
UTE or Similar
Commercial Van
Commercial Truck
Pick-Up Location
(Required)
Pick-up Date
(Required)
DD slash MM slash YYYY
Pick-up Time
Hours
:
Minutes
AM
PM
AM/PM
Drop-off Date
(Required)
DD slash MM slash YYYY
Drop-off Time
Hours
:
Minutes
AM
PM
AM/PM
Flight Details
Do you require flights?
(Required)
Yes
No
Flying from
(Required)
Flying to
(Required)
How many seats do you want to book on this flight?
(Required)
Please enter a number from
1
to
10
.
Departing Date
(Required)
DD slash MM slash YYYY
Returning Date
DD slash MM slash YYYY
Do you require any extra luggage booked?
(Required)
Yes
No
How much extra luggage do you need to book with this flight?
(Required)
Preferred Flight Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Accomodation Details
Do you require any accomodation to be booked?
(Required)
Yes
No
Where do you want your accommodation?
Check-in Date
(Required)
DD slash MM slash YYYY
Check-out Date
(Required)
DD slash MM slash YYYY
Number of rooms required?
(Required)
Please enter a number from
1
to
10
.
Number of beds required?
(Required)
Please enter a number from
1
to
20
.
Any additional room preferences?
Will you require any additional travel funds for this job?
(Required)
Yes
No
Explain why do you need extra funds?
(Required)
How much money should we put on the travel card?
(Required)
Equipment Details
Do you require equipment hire?
(Required)
Yes
No
What equipment do you want to hire?
(Required)
When do you want equipment hire?
(Required)
MM slash DD slash YYYY
Delivery or collection preference?
(Required)
Please note that delivery is not always possible on short notice
Any other request or anything that you want to add