Section 5
Guidelines for Certified Inverter Based Generators
Residential Projects 20 kW or less
Interconnection Application


* - Indicates that a field is required

1. Interconnection Customer

* Company or Last Name, First Name of Customer:
* Customer (Last Name, First Name):
* Contact Person (Last Name, First Name):
* Street Address:
* City: * State: * Zip:

Mailing Address (if different):
City: State: Zip:

* Customer's Eversource Account Number (on the customers Eversource bill):
* Meter Number (on the customers Eversource bill):
* E-mail Address:
* Phone Number:
* Fax Number:
* Responsible party's name and contact information in case of emergency:
(provide day, evening and weekend contact information)
* Is this a new service or service upgrade?:

* Is this Interconnection Request for?:



2. Point of Contact (if different from Interconnection Customer i.e. Developer)

Company:
Representative(First Name, Last Name):
Title:
Street Address:
City: State: Zip:

Mailing Address (if different):
City: State: Zip:

E-mail Address:
Telephone number:
Fax number:


*3. Requested In Service Date
(If you do not use the date picker, please enter the date in mm/dd/yyyy format.)


4. Generating Facility / Inverter Information

*a. Manufacturer:
*b. Model No.:
Version No.:
Serial No.:
*c. Generating Facility Phase Type:
Single Phase


*d. Nameplate AC Rating: KW

*e. Generating Facility/Inverter AC output voltage (volts):
f. Rated Current (amps):
*g. Prime Mover:






* Energy Source:








*h. UL1741 Listed:


i. Single line diagram of interconnection and site plan.   
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6. Other Comments, Specifications and Exceptions:

The application is available only for Residential inverter-based Generating Facilities 20kW and less that meet the codes, standards, and certification requirements to UL 1741 as outlined in the Guidelines.


Interconnection Customer Signature

I hereby certify that, to the best of my knowledge, the information provided in this application is true. I agree and accept all terms and conditions for Interconnection and agree to abide by the "Guidelines for Interconnection of Residential Single Phase Certified Inverter-Based Generating Facilities of 20 kW (ac) or Less" to interconnect a Certified Inverter-Based Generating Facility.

  
Submitted: 03/29/2024 05:48 AM