Agricultural Facility Energy Use Reporting Form
Facility Information
Facility Name
Location
Contact Person
Contact Email
Facility Type
Farm
Greenhouse
Livestock
Processing
Storage
Other
Energy Consumption Details
Reporting Period
Total Energy Use (kWh)
Electricity (kWh)
Natural Gas (therms)
Diesel (gallons)
Propane (gallons)
Other Fuels (type and amount)
Energy Use Breakdown (optional)
Irrigation (kWh/therms)
Processing (kWh/therms)
Lighting (kWh)
Heating/Cooling (kWh/therms)
Notes / Comments