I. Application Date:

 		 
 

_________________________________________

II. Information from your latest PG&E energy bill:

 		 

Name on bill:

______________________________________________________
(last, first)
   

Account Number:

__ __ __ --- __ __ -- __ __ __ __ ___
   

Mailing Address:

______________________________________________________
(street address)

_________________________________________

(City)

Service Address (if different):

______________________________________________________
(street address)

_________________________________________

(City)
   

Phone Number:

(__________)______________________________

(include area code)
   

III. Contractor or Vendor:

  

Company Name:

_________________________________________
   

Contact:

_________________________________________
   

Mailing Address:

______________________________________________________
(street address)

_________________________________________

(City, State, ZIP code)

Phone Number:

(__________)______________________________

(include area code)

IV. Estimated date of operation:

  

_________________________________________

V. Commercial / Residential Rate Schedule you anticipate using with the net metering rate?

  • E-1 Residential Service
  • E-7 Residential Time-of-Use Service
  • E-9 Residential Low Emission Vehicle Service
  • other residential rate: (___________)
  • A-1 Small General Service
  • A-6 Small General Time-of-Use Service
  • A-10 Medium General Demand Metered Service
  • other general service rate: (__________)

 

 

VI. Electric Service Provider

  
   

Will you purchase your energy through an Energy Service Provider (ESP)?

› Yes › No
   

If you checked "yes", ESP Name:

_________________________________________

(Note: E-NET service is applicable to any Direct Access customer where the customer’s ESP offers a net energy metering tariff. If you are purchasing your energy through an ESP , please confirm that your ESP offers an energy net meter tariff pursuant to CA Public Utility Code Section 2827 prior to submitting this application.)
   

VII. Generating Equipment Description

  
   

Generating Equipment that will be interconnected THROUGH AN INVERTER:

 		 

(List the information requested below for all inverters you propose to interconnect with PG&E’s distribution and transmission network. If the inverter may be shared by more than one generator, write "shared" on the same line as that generator under the manufacturer column and do not enter the inverter rating. Attach a list of additional equipment if applicable.)
 

Generator Type

(Solar / Wind / Hybrid)

Generator

Rating
(watts)

Manufacturer for Inverter used with Generator

Inverter

Model Number

Inverter Rating (watts)

1

          

2

          

3

          
   

Generating Equipment that will be directly interconnected WITHOUT AN INVERTER:

 		 

(List the information requested below for all generators you propose to directly interconnect without an inverter to PG&E’s distribution and transmission network. Attach a list of additional equipment if applicable.)
 

Generating Source(s)

(Solar / Wind / Hybrid)

Manufacturer for Generator

Generator

Rating
(watts)

1

      

2

      

3