PGS SOLAR & SMART HOMES
PLEASE FILL OUT FORM COMPLETELY
Agreement Date/Fecha de Acuerdo
*
/
Month
/
Day
Year
Date
Date Picker Icon
Primary Customer Name/Nombre
*
First Name
Last Name
Secondary Customer Name/Nombre
First Name
Last Name
Address/Domicilio
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number/ Numero de Telefono
*
-
Area Code
Phone Number
Email
*
example@example.com
Consultant/Representante
First Name
Last Name
Finance Company/ Financiera
Cash
Loanpal
Sunlight Financial
Dividend
Greensky
Hero
Benji
Pacefunding
E3
Total System Price/ Precio Total
*
Expected Commission/ Comision Esperada
Interest Rate/Interes
Estimated Tax Credit-Credito Estimado / 30% Del Precio Total
Amount of Panels/Cuantos Paneles
Solar Panel Brand/ Marca de Panel
Sunpower 320
Axitec 310
Silfab 300
Electric Bill/Factura
MSP/ Panel Electrico
MSP/ Panel Electrico
MSP/ Panel Electrico
Contract/ Contrato
3 Day Cancellation/3 Dias Cancelacion
Energy Disclosure Form
Usage Report/ Reporte de Kilowatts
Addt'l Products/Productos Addicionales
Windows/Ventanas
HVAC/ Aire Condicionado
Roof/Techo
Smart Home
Paperwork (Substantial 11 items)/Papeleo
Contract/Contrato
3 Day Cancelation/ 3 Dias Cancelacion
Disclosure English or Spanish
Bill/Factura
I.D./ Identificacion
Job Card
Installation Photos
Panel upgrade (If needed)
Inverter
Inverter with Serial Number
Mapping
PGS Office Use Only
Installer
Jorge Garcia
German
Francisco Perez
Office use only
CONTRACT SIGNED
SITE ASSESMENT
PAPERWORK COMPLETE
NOTICE TO PROCEED
PLANS SUBMITTED
PERMITS RECEIVED
MATERIAL ORDERED
ASSIGNED FOR INSTALL
INSTALLATION COMPLETE
SOLAREDGE COMMS
FINAL INSPECTION Approved & Finaled
INVOICE SENT
PAID
PTO Paperwork Submitted
PTO Granted
COMPLETE
Panel Upgrade
YES
NO
Cost Breakdown
Actual Rep Commission
Advance Paid
Balance
Final Commission Paid
Balance
Rep Commission status
Commission Draw
Commission Balance
Commission Paid
Notes
Installer Use Only
Job Card
Signed off Job Card
Installation Photos
Installation Photos
Installation Photos
Installation Photos
Installation Photos
Installation Photos
Installation Photos
Inverter Serial Number
SolarEdge Mapping
SolarEdge Communication
Material
Material
Material
Addt'l Notes
Solar Permit Design Services use only
PlanSet
Structural Calcs
Permit
Placard
PTO Approval
Addt'l Notes
Submit Form
Should be Empty: