WSU Energy Program > Renewable Energy > Precertification Application

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Low Income Community Solar Precertification Application Administrator
Administrator Type*
First Name*	Last Name*
Company*
Street Address*
City:*	State*	Zip Code*
Email*	Phone*
System Owner / Operator (if different from Administrator)
First Name:	Last Name:
Company:
Street Address:
City	State	Zip Code:
Email	Phone:
System Location Information
Utility*
Street Address*
City*	State*	Zip Code*
Preliminary Solar Project Information
Project Name*	Capacity (kW_dc)*
Module(s) (Manufacturer, model)*	Number of Modules*

Inverter(s) (Manufacturer, model)*	Number of Inverters*
Energy Storage (Manufacturer, model) (If applicable)	Energy Storage (kWh) (If applicable)
Tilt/Azimuth*	Estimated Annual Production (kWh)*
Project Cost*
. Estimated Incentives
FITC ($)	MACRS ($)
Other Incentive (name)	Other Incentive ($)
Other Incentive (name)	Other Incentive ($)

Required Documents Please email the required documents to lowincomeCSP@energy.wsu.edu Utility Interconnection Agreement or equivalent Site Plan One-line Diagram Project Prospectus (Describe how the project will deliver continuing direct benefits to low-income subscribers.)
. Preliminary Project Participant Information One low-income service provider, or, two or more low-income subscribers Subscriber 1
First Name	Last Name
Street Address
City	State	Zip Code
Email	Phone
Subscriber 2
First Name	Last Name
Street Address
City	State	Zip Code
Email	Phone

. IMPORTANT NOTICE All information submitted in this application is subject to public disclosure. In addition, all energy performance and incentive payment information associated with this system (as collected by the Washington State University Energy Program) is subject to public disclosure.
. By agreeing below, I, the Solar Project Administrator, certify that the information provided in this Application is true, complete, and correct to the best of my knowledge and belief under penalty of perjury. understand that Subscriber information must be provided before certification, and that Subscriber(s) must meet applicable eligibility requirements authorize Washington State University Energy Program to contact the Technical Contact and/or System owner and the utility regarding precertification of this system (as needed). authorize the serving utility to release information regarding this application.

Administrator Name*

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WSU Energy Program

Renewable Energy

Low Income Community SolarPrecertification Application

Administrator

System Owner / Operator (if different from Administrator)

System Location Information

Preliminary Solar Project Information

Estimated Incentives

Required Documents

Preliminary Project Participant Information

Subscriber 1

Subscriber 2

IMPORTANT NOTICE

All information submitted in this application is subject to public disclosure. In addition, all energy performance and incentive payment information associated with this system (as collected by the Washington State University Energy Program) is subject to public disclosure.

By agreeing below, I, the Solar Project Administrator,

Low Income Community Solar
Precertification Application