Preview Microsoft Word - Tenant Release Form.Doc

TenantReleaseForm



Address:

Unit:

TenantName:



IamawarethatmylandlordisinstallingasolararrayontheaboveaddresswhereIam

currentlyatenantandresponsiblefortheelectricservice.Iamalsoawarethatthissolar

installationwillbeconnectedtotheXcelEnergyelectricmeterformy

specific

apartment/unit.Bysigningthisdocument,IgivepermissiontoXcelEnergytoexchange

myelectricmeterforanetmeter(onethatwillmeasurebothwhatIuseandwhat

energygoesbacktothegridfromthesolarsystem).Bysigningthisdocument,Ialso

allowXcelEnergyto

applythePVtarifftomyaccount,whichcarriesnoadditional

charges,butallowsforthesolarsystemtooperateinconjunctionwiththeXcelEnergy

electricutilityserviceandallowsforthesolarcredittobeaccountedforaccurately.



**ThisdocumentwillbeprovidedtoXcelEnergyasverificationofthetenantknowledgeandunderstandingofthe

solarproject.XcelEnergywillusethisdocumentasapprovalfromthetenanttoexchangetheelectricmeterforanet

meterandtochangethecustomertotheappropriatebillingrate.By

executingthisdocument,Tenantisauthorizing

landlordtosharethisinformationwithXcelEnergypursuanttoColoradoPublicUtilitiesCommissionRule1104.Code

ofColoradoRegulations(CCR)723‐1



TenantSignature:____________________________________________



Date:



LandlordSignature:____________________________________________



Date:

HTML Preview Microsoft Word - Tenant Release Form.Doc page number 1.