ELECTRICITY & NATURAL GAS DATA REQUEST FORM
Legal Name
*
Contact Name
*
Contact Title
*
Contact Email
*
example@example.com
Contact Phone No.
*
Please enter a valid phone number.
Format: (000) 000-0000.
ELECTRICITY SITE ID LIST
ELECTRICITY = “00…” and NATURAL GAS SITE IDs - NATURAL GAS = “000…”
Rows
SITE ID (13 DIGITS)
SITE ADDRESS
SITE OPERATING NAME
1
2
3
4
5
6
7
8
Authorization Statement: I/WE HEREBY AUTHORIZE JOULES & WATTS TECHNOLOGIES INC TO REQUEST THE HISTORICAL USAGE FILES FOR THE SITE ID(S) LISTED ABOVE.
*
Authorization Statement: I/WE HEREBY AUTHORIZE JOULES & WATTS TECHNOLOGIES INC TO REQUEST THE HISTORICAL USAGE FILES FOR THE SITE ID(S) LISTED ABOVE.
*
DATE
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: