Remote Cabin Off-Grid Power Declaration

Cabin Owner Name:
Cabin Address:
Contact Number:
Email:

Off-Grid Power System Details

Type of Off-Grid Power System (tick all that apply):
Solar PV
Wind
Hydro
Generator
Other
Provide brief description of the system:

Appliances Powered

Appliance Quantity Power Rating (W)

Declaration

I declare that the above information is true and complete, and that the cabin listed above is powered exclusively by the off-grid power system noted above with no connection to public electricity utilities.
Signature
Date