Fillable Customer Information Submit this completed form along with (City Water, Light, and Power)

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Customer Information Submit this completed form along with (City Water, Light, and Power)

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CWLP Solar Data Sheet
Customer Information
Customer Name
Contact Name (If Different)
Contact Phone
Customer Contact Email Address
Service Address
(Where Array is to be Installed)
Solar Company Info Electrical Contractor Info
Company Name
Company Contact Name
Contact Phone
Contact Email Address
PV Module Information
PV Module Make
PV Module Model Number
PV Module Wattage
Number of PV Modules to
be Installed
Total Array Size (kW)
Grid Connection Point
Electrical Panel
Meter Base
Inverter Information
Inverter Make
Inverter Model Number
Name of Person
Submitting Form
Date
After the PV array is installed and fully operational you must contact the CWLP Solar Program Administrator to conduct the
interconnection test of the system. This test ensures that the system will not energize utility wires during a power
outage. The system should be left in fully operational mode with the disconnect in the OFF position
Submit this completed form along with a filled out and customer signed Interconnection Agreement and Net Meter Contract and
a one-line drawing to: CWLP Solar Program Administrator, 1008 E. Miller St., Springfield, IL 62702, scott.hanauer@cwlp.com.
A
$400 check payable to CWLP should be submitted by mail at this time ($50 application fee, $150 net meter, $50
interconnection testing, $150 installation of meters). This check will be held by CWLP until project completion.
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Customer Information Submit this completed form along with (City Water, Light, and Power)

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Completed 22 July 2021

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