Service Authorization

Service Authorization

Name
This field is for validation purposes and should be left unchanged.
Jobsite Details
Business/Customer Name*
Date*
MM slash DD slash YYYY
Site Contact
Street Address*
Address Line 2
County*
City*
State*
Zip Code*
Phone Number*
Email Address
Generator Details
KW Rating*
Model Number*
Serial Number*
Problem/Reason For Request*
Payment Information and Authorization
Service Location Type*
Billing Address*
Please note that we charge 3.5% on all credit card transactions.
Preferred Way To Receive Final Invoice*
- Mail to Billing Address Above
- Mail to Different Address
- Email
- Must be uploaded to an Invoice Submission Portal
Street Address*
Address Line 2 City State / Province / Region ZIP / Postal Code Country
Invoice Submission Email Address*
Invoice Submission Web Portal Address*
By signing below you agree that this service call is performed pursuant to ESSE, LLC standard terms and conditions, which are available upon request. These will apply to this request and supersede all others now or attached to a subsequent service call and/or purchase order. Services provided may be chargeable, if not warranty in nature and therefore, agree that payment shall be issued at the time of service.

*Rates effective 01-01-26 and are subject to change

Normal Hours Pricing (Monday - Friday 7:00 AM - 6:00 PM)

Labor: $208 Per Hour | Travel: $208 Per Hour | Mileage: $3.40 Per Mile

Overtime Hours Pricing (Tuesday - Thursday 6:00 PM - 7:00 AM)

Labor: $312 Per Hour | Travel: $312 Per Hour | Mileage: $3.40 Per Mile

Weekend Hours Pricing (Friday 6:00 PM - Monday 7:00 AM)

Labor: $416 Per Hour | Travel: $416 Per Hour | Mileage: $3.40 Per Mile

Holiday Hours Pricing

Labor: $416 Per Hour | Travel: $416 Per Hour | Mileage: $3.40 Per Mile

Service Disposal Fee: $95.00
Name*
Date*
MM slash DD slash YYYY
Signature*
Captcha

Jobsite Details

Generator Details

Payment Information and Authorization