NET METERING ANNIVERSARY DATE CHANGE FORM
Customer Name : ______________________________________________ ________________________
Date
Mailing Address: ______________________________________________
City, State, Zip: ______________________________________________
SUBJECT: NYS Standardized Contract for Interconnection of New Distributed Generation Units with Capacity
of 2 MW or Less Connected in Parallel with Utility Distribution Systems between ______________________
Customer Name
(“the Customer”) and Central Hudson Gas & Electric (“the Utility”). Letter agreement Modifying Anniversary
Da
te—Account Number ______________________. By signature of this Letter Agreement, the Utility and
Account Number
the Customer agree to change the reconciliation date to the requested month, ______________________.
Requested Month
T
he difference in the billing period that ends directly on or after twelve (12) months from the time the
customer contracted for this service (“anniversary date”) represents net sales to the Company, the Company will
pay the customer for this difference at the applicable rate under Service Classification No. 10. The customer
may make a one-time election to select an alternate anniversary date to be effective for all subsequent
payments, as applicable.
ACCEPTED AND AGREED: Completed applications can be mailed to:
_______________________________________
Customer Name (Please print) Central Hudson Gas & Electric
Attn: Customer Accounting
_______________________________________ 284 South Avenue
Customer Signature Poughkeepsie New York 12601
Date: _________________________________
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