Step 1 of 4 0% Interconnection MemberName on Account(Required) First Last Contact Name(Required) First Last Account Number(Required) Phone(Required)Email(Required) Service(Required) Existing Service New Service Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address(Required) Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Generating Facility InformationFacility(Required) New Installation Modification New Owner of Existing Facility Type of Generator(Required) Solar Wind Other Location on Property(Required) Electrical Permit Number(Required) Aggregate Nameplate Capacity (kilowatts)(Required) Battery backup?(Required) Yes No Estimated Installation Date (mm/dd/yyyy)(Required) Month Day Year Estimated Interconnection Date (mm/dd/yyyy)(Required) Month Day Year Installed by:(Required) Equipment InformationGenerator InformationMake(Required) Model(Required) Nameplate Output Rating(Required) Inverter InformationMake(Required) Model(Required) Nameplate Output Rating(Required) Additional InformationCompliance(Required) IEEE 1547 IEEE 929 UL 1741 Transfer Switch Location(Required) Rating(Required) Lockable/Visible Disconnect Location(Required) Rating(Required) Interconnection Point(Required) Breaker Size(Required) File Upload & Required InfoFile Upload(Required)Please provide electrical schematics of entire system, digital photos, and generation expectations of the system. Please provide a copy of the electrical permit. Drop files here or Select files Max. file size: 300 MB. Required Information(Required) Engineering Deposit of $100 (We will reach out to receive this fee after form is submitted) Copy of Electric Permit from government agency Completed and Signed Interconnection or Net Metering Agreement One-Line Electrical Diagram - The one-line diagram, circuit diagrams Provided UL and IEEE listings on all equipment Onsite Testing and Inspection Approval before operation is permitted Select AllMember Signature & ConsentMember Consent(Required) I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.I hereby certify that, to the best of my knowledge, the information provided in this Application is true. I agree to abide by United Electric Co-op, Inc’s Net Metering Policy and Interconnection Agreement. Member Electronic Signature (Full Name)(Required) CommentsThis field is for validation purposes and should be left unchanged.
