Net Metering Exit/Termination Document

Date of Submission:

Customer Name: Service Address: Account Number: Contact Details:

Details of Termination

Effective Date of Termination: Reason for Exit/Termination:

Declaration

I hereby request to exit/terminate my participation in the Net Metering Program with the details provided above. I understand and acknowledge the terms and conditions of the Net Metering Exit/Termination process as set out by the utility provider.