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


TenantReleaseForm
Address:
Unit:
TenantName:
IamawarethatmylandlordisinstallingasolararrayontheaboveaddresswhereIam
currentlyatenantandresponsiblefortheelectricservice.Iamalsoawarethatthissolar
installationwillbeconnectedtotheXcelEnergyelectricmeterformy
specific
apartment/unit.Bysigningthisdocument,IgivepermissiontoXcelEnergytoexchange
myelectricmeterforanetmeter(onethatwillmeasurebothwhatIuseandwhat
energygoesbacktothegridfromthesolarsystem).Bysigningthisdocument,Ialso
allowXcelEnergyto
applythePVtarifftomyaccount,whichcarriesnoadditional
charges,butallowsforthesolarsystemtooperateinconjunctionwiththeXcelEnergy
electricutilityserviceandallowsforthesolarcredittobeaccountedforaccurately.
**ThisdocumentwillbeprovidedtoXcelEnergyasverificationofthetenantknowledgeandunderstandingofthe
solarproject.XcelEnergywillusethisdocumentasapprovalfromthetenanttoexchangetheelectricmeterforanet
meterandtochangethecustomertotheappropriatebillingrate.By
executingthisdocument,Tenantisauthorizing
landlordtosharethisinformationwithXcelEnergypursuanttoColoradoPublicUtilitiesCommissionRule1104.Code
ofColoradoRegulations(CCR)7231
TenantSignature:____________________________________________
Date:
LandlordSignature:____________________________________________
Date:
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