Service Order Request

Emailed requests for onsite service are processed 24/7.

If you require immediate assistance and would like to speak to a customer service representative, please call our 24/7 customer service group: Toll Free 1-800-466-7873.

Date

Account Number/Site Number/Functional Location (FLOC):

Company Name

First Name

Last Name

Phone

Email

PO

PO #

Type of Service Needed

Problem Description (Please include quantities; as requested)

Is Same Day Service REQUIRED (Same Day Fees may be applied at the discretion of the servicing branch)?

Location (Bldg. #)

Address

City

Postal Code

Country

Please include any additional email addresses you would like to be copied on your order confirmation.

Additional Email Addresses

I would like to receive information from Evoqua. Yes No