Distributed Generation Interconnect Agreement Application
Applicant Information
Name
Company
Address
City
State
ZIP Code
Phone
Email
Project Information
Project Address
Utility Account Number
Type of Generator
Capacity (kW)
Interconnect Voltage
Proposed In-Service Date
Technical Information
Manufacturer
Model
Inverter (if applicable)
Phase
Additional Information
Applicant Certification
By submitting this application, I certify that the information provided is accurate and complete.