Distributed Energy Resource Interconnection Form
Applicant Information
Name of Applicant / Company
Contact Person
Email Address
Phone Number
Mailing Address
Project Location
Project Site Address
City
State
ZIP Code
Distributed Energy Resource Information
Type of Resource
Solar PV
Wind
Battery Storage
Hydro
Other
AC Capacity (kW)
DC System Size (kW)
Inverter Manufacturer/Model
Interconnection Voltage (V)
Brief Project Description
Interconnection Details
Connection Type
New
Upgrade
Anticipated Interconnection Date
Additional Comments