New Generation Account Application Form (greater than 12 kW)

Home Energy Efficiency & Generation Energy Generation Micro Generation ≤12 kW New Generation Account Application Form (greater than 12 kW) – Appendix 3

Residential Projects - Facility Address

This form is NOT required for non-exporting projects.

Service Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Applicant Information

Fill this section out if you have a residential project.

Customer Account Number

Applicant Name(Required)

First Last

Primary Phone Number(Required)

Date of Birth

Secondary Applicant Information (if applicable)

Fill out this section if there is a second person listed on the account.

Secondary Applicant Name

First Last

Primary Phone Number

Date of Birth

For a Commercial or Industrial Customers Only

Facility Service Address

Street Address Address Line 2 City Postal Code

Business/Company Name(Required)

Customer Account Number(Required)

Primary Phone Number(Required)

Secondary Phone Number(Required)

Program Type

Select a Program Type(Required)

FIT

MicroFIT

Net Metering

Non-Exporting Project

Other

Whether residential or commercial please select one that applies

Applicant Email Address(Required)

Whether residential or commercial, please provide a contact email address

Billing Address

Is the billing address different from the service address?(Required)

Yes

Street Number(Required)

Street Name(Required)

Unit Number(Required)

PO Box

City Name(Required)

Province(Required)

Country(Required)

Postal Code / Zip Code(Required)

Contract Holder Signature #1(Required)

Contract Holder Signature #2 (if applicable)

Date of Signature(Required)

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