Application to Interconnect

Application to Interconnect

Member Contact Information

Name(Required)
Address(Required)

Installer Information

Name(Required)
MM slash DD slash YYYY
Address(Required)

Electrical Inspector Information

Name

Distributed Resource/Generator and Facility Information

Member Type(Required)

Is there an existing interconnected generator at this facility?(Required)
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    Installation Information

    MM slash DD slash YYYY
    MM slash DD slash YYYY

    Upload Documents

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                Certification

                The interconnection protection system is tested and listed for compliance with the latest published edition of Underwriters Laboratories (UL) 1741 including the anti-islanding test. The system (is / will) be installed in compliance with IEEE 929 and or IEEE 1547 as applicable, all manufacturer specifications, the National Electric Code and all local codes. No protection settings affecting anti-islanding have been or will be adjusted or modified.

                I hereby certify that, to the best of my knowledge, all of the information provided in this Application is true and correct and the generator will comply with the Interconnection Standard stated above.(Required)
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