Electric Bill Submission Form
Who referred you?
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First Name
Last Name
Customer Name (as per electric bill and/or property deed)
*
First Name
Last Name
Customer Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Customer Email
*
example@example.com
Customer Address (SoIar Install Location )
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If the Homeowner goes solar, what is the preferred financial goal:
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Lowest monthly payment
Biggest long term savings
What year was the house built? (solar install location)
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Does the Roof need to be repaired or replaced?
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Yes
No
How old is the Roof?
*
Who is the electric company?
*
Does the bill have 12 months of usage?
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Yes (enter kWh monthly usage below)
No (please get other months of usage by: 1) calling the utility with the homeowner to get12 months of usage info 2) ask/help homeowner to download 12 months of usage data from utility's website. 3) getting bills for the other 11 months.
Would you like to provide additional information for the proposal?
1. Upload electric bill (If possible, upload PDF file from electric company website) ..... 2. Upload well-light picture of the Main Breaker Panel (MBP) near the meter................ 3. Upload well-light picture of the breaker panel inside the house.
*
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