Fees & Forms

Forms

Please note

For those who may require accessible formats or assistance filling out a form, please contact our Customer Service Centre at 1-877-372-7233.

Request an Inspection (Existing Notification/Permit)

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed request:
By fax: 1-800-667-4278
By email: esa.cambridge@electricalsafety.on.ca
By phone: 1-877-372-7233
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9

Form Description Download

Request for Inspection

To request an inspection on an existing notification of work PDF Download   Word document Download

To Submit a New Notification/Permit

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed request:
By fax: 1-800-667-4278
By email: esa.cambridge@electricalsafety.on.ca
By phone: 1-877-372-7233
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9 

Residential

New Residential 

For new installations on a residential premise (includes: modular/prefab homes, multi-unit residential complexes [row-house, townhouse, semi detached house, duplex, triplex and quadruplex]) 

PDF Download     Download Spreadsheet

Residential Renovation 

For renovation of individual residential units, including multi-unit buildings consisting of 4 or fewer units, basement apartments, granny suites, detached outbuildings and rewires 

PDF Download     Download Spreadsheet

Apartments 

For new installations (new apartment building/retirement home) and renovations of apartment units, multi unit residential buildings (with common entrance) 5+ dwelling units and retirement home 

PDF Download     Download Spreadsheet

Industrial/Commercial/Agricultural

High Voltage 

For high voltage (primary) installations >750 Volts (Temporary and Permanent) PDF Download     Download Spreadsheet

Low Voltage

For low voltage (secondary) installations <=750 Volts (Temporary and Permanent) PDF Download     Download Spreadsheet

Renewable Energy

For renewable energy (solar, wind, other) installations 10 kw or less PDF Download     Download Spreadsheet

Neon Sign

For inspection of the wiring of signs & outline lighting installations (includes skeletal neon, outline lighting, and signs with remote transformers or ballasts) PDF Download     Download Spreadsheet

 

Entertainment

Permission to Show/Energize

For trade show exhibitors with unapproved equipment that wish to display but not to connect or provide electricity to the equipment or for trade show exhibitors that wish to connect and energize (provide electricity) unapproved equipment. PDF Download     Download Word document

Entertainment

For entertainment notifications/permits including all television, film, commercial, live performance, carnivals, or event productions including but not limited to live productions regardless of site or location. PDF Download     Download Spreadsheet

 

Other Notifications/Permits for Inspection

Re-Energize Electrical Service To energize electrical service to a site (non-occupancy, non-payment, fire, flood, explosion, lightning strike, other disaster, meter by-pass, grow op/meth lab) PDF Download     Download Spreadsheet
Retrofit Luminaires

ESA has a program for acceptance of retrofitted luminaires in Ontario – click here to view this guide.

A notification of work is required for each project site with retrofitted luminaires. Please note a completed application form must be submitted to process your request. An application cannot be completed over the phone.

PDF Download     Download Spreadsheet

 

Authorized Contractor Program Notifications/Permits

Authorized Contractor Program Small Job Form Res-HVAC (Heating, ventilation and air conditioning) For residential, single unit apartment & heating, ventilation and air conditioning (HVAC) installations, with invoice value to customer ≤ $750. PDF Download   
Authorized Contractor Program ICIA (Industrial/Commercial/Institutional/Agricultural) Small Job Form For commercial, industrial, agricultural installations with invoice value to customer ≤ $5500 or up to 50 new devices or up to 100 replacement devices. PDF Download   

To Request a Search of Records or Access Information

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed request:
By fax: 1-800-667-4278
By email: esa.cambridge@electricalsafety.on.ca
By phone: 1-877-372-7233
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9 

Record Search

This service generates a report for a specific address indicating if there are open/outstanding notifications of workpertaining to the address. If copies of correspondence, notes and/or specific details about any notifications (open or closed) for an address are required, please submit an Access to Information Request. 

PDF Download     Download Spreadsheet

Access to Information Request 

A Request for Access to Information is broader in scope than a Record Search and may involve specific information and notes recorded in a notification of work, and/or copies of ESA correspondence.
Please note a completed application form must be submitted to process your request. An application cannot be completed over the phone.

PDF Download     Download Spreadsheet

Licensing Related Forms

Form Description Download

Report Unlicensed Activity

Use this online form if you have reason to suspect that someone who is not a Licensed Electrical Contractor (LEC) is performing electrical work, or if you believe a Licensed Electrical Contractor not meeting the requirements of their licence, you can file a report here. PDF Download

Contractor Licensing

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed application forms, along with required documents and fee (if applicable):
By email: esa.licensing@electricalsafety.on.ca
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9
By fax: 1-888-251-7377 (Note: your photo cannot be faxed)

ECRA/ESA Electrical Contractor Licence Application 

Application Form and process on how to apply for an ECRA/ESA Electrical Contractor (EC) licence.

PDF Download

Customer Account Application

Apply for a customer credit account with ESA.

PDF Download

Linking multiple accounts with an Electrical Contractors Licence

Fill out this form to link multiple ESA accounts for the same business under one Electrical Contractor Licence (owned & operated under the same name, in different locations).

PDF Download

Inspection Notifications Transfer

Use this form to transfer Notifications to another Licensed Electrical Contractor.

PDF Download

Notice of Change to Information

Use this form to change information for a licence, i.e. address, directors/officers, owners, partners or preferred correspondence method.

PDF Download

Licence Replacement

Complete this form to replace a lost or destroyed licence.

PDF Download

Notice of Change to Designated Master Electrician

Use this form to report the loss of, or change to your designated Master Electrician.

PDF Download

 Master Electrician

Please note that forms cannot be submitted directly through the website to the Licensing Department.

Submit your completed application forms, along with required documents and fee (if applicable):
By email: esa.licensing@electricalsafety.on.ca
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9
By fax: 1-888-251-7377 (Note: your photo cannot be faxed)

Master Electrician Licence

Application Form and process on how to apply for a Master Electrician (ME) licence.

PDF Download

Master Electrician Examination Information Package

Master Electrician Examination information package.

PDF Download

Master Electrician Examination Application

Fill out this form to complete the Master Electrician Examination.

PDF Download

Interpreter Attendance Request for Master Electrician Exam

If an individual requires an interpreter during the Master Electrician Exam, they must submit this form for approval a week prior to the exam date.

PDF Download

Designated Master Electrician Acknowledgement of Responsibility - Schedule A

Acknowledge responsibility for the personal planning and direct supervision of all electrical work carried out on behalf of the electrical contractor.

PDF Download

Master Electrician Examination Transfer Request

Complete this form if you need to transfer to another exam date/time.

PDF Download

Notice of Change to Designated Master Electrician

Use this form to report the loss of, or change to your designated Master Electrician.

PDF Download

Notice of Change to Information

Use this form to change information for a licence, i.e. address or preferred correspondence method.

PDF Download

Licence Replacement

Complete this form to replace a lost or destroyed licence.

PDF Download

 

Roadway/Traffic Lights and Signals

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed request:
By fax: 1-800-667-4278
By email: esa.cambridge@electricalsafety.on.ca
By phone: 1-877-372-7233
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9 

Owner Application

Owner application for periodic inspection of electrical maintenance work performed on roadway electrical systems. PDF Download

Contractor Application

Contractor application for the inspection of electrical maintenance work performed on roadway electrical systems. PDF Download

 

Product Safety

Product Safety Reporting

Use this online form to make an enquiry, report an injury, or file a complaint about a product safety issue.

link

 

Local Distribution Companies

Please note that notification forms cannot be submitted directly through the website to the Customer Service Centre. 

Submit your completed request:
By fax: 1-800-667-4278
By email: esa.cambridge@electricalsafety.on.ca
By phone: 1-877-372-7233
By mail: 400 Sheldon Dr., Unit 1, Cambridge, ON, N1T 2H9 

Serious Electrical Incident Reporting

Form used by local distribution companies (LDCs) to notify ESA of any serious electrical incident. Word document Download

Other Authorized Contractor Program Forms

Please note that notification forms cannot be submitted directly through the website to the ACP Office.

Submit your completed request:
By fax: 1-800-667-4278
By email: substation.reports@electricalsafety.on.ca
By Fax: 1-800-249-7667

Substation Maintenance Condition Report

Form to be completed in its entirety, within 14 days of shutdown, for all substation maintenance jobs & all situations where equipment replacements (equivalent rating/characteristics) are completed under Authorized Contractor Program even if a full preventative maintenance is not done.

PDF download   Word document   

Low Voltage Service Maintenance Condition Report

Form to be completed in its entirety, within 14 days of shutdown, for all low voltage service maintenance filed under Authorized Contractor Program. PDF download   Word document

Plan Review Forms

Please note that forms cannot be submitted directly through the website to the Plan Review Department.

To Submit your completed request:

Print and send by mail or courier to:
Electrical Safety Authority
Plan Review Department
400 Sheldon Drive, Unit #11
Cambridge, ON
N1T 2H9

By email: plan.review@electricalsafety.on.ca
By fax: 1-800-957-2738 or local 519-624-3570

Click for instructions to assist you with how to fill out the Plan Review forms shown below.
 

Plan Review Submittal Form

Each submittal to ESA Plan Review must contain a completed Plan Review Submittal Form. It provides us with the minimum basic information on the submitting customer and planned electrical design. Page 1 must be completed in its entirety. Section 1 of Page 2 must be completed for all submittals while Sections 2 through 8 are to be completed when applicable. PDF Download

Grounding Study Submittal Form

This form must be completed and include all grounding studies for the design of high voltage station ground electrodes. PDF Download