Small Business Building Energy Certification Form
Business Information
Business Name
Contact Person
Phone Number
Email
Business Address
Building Details
Building Type
Retail
Office
Restaurant
Warehouse
Other
Year Built
Total Floor Area (sq ft)
Number of Floors
Occupancy Rate (%)
Energy Use Information
Total Annual Energy Consumption (kWh)
Energy Provider
Type of Energy Used
Electricity
Natural Gas
Solar
Other
Existing Certifications
Certifications Held
Certification Expiration Date
Additional Information
Comments / Notes