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2. Note:

   Please make sure you have sufficient time for completion as this form will not save progress for use at a later time. 

   Upon submission, it will be e-mailed to the utility shop office personnel, including the master electrician. 

   Please call 763-576-2903 with any questions.

4. Appointment Confirmation Preference*

   1. Email
   2. Phone Call
6. Send Appointment Confirmation to*

   1. Application Agent
   2. Customer
8. Customer First Name*

   Name(s) on solar application.

9. Customer Last Name*
11. Service Address*
13. City
14. State
15. Zip Code
17. Is the location of project installation the same as the Service Address?*

    1. Yes
    2. No
19. Installation Location Address:

    (if different from Service Address above)

    Single location only. Do NOT include multiple locations please.

21. DER Vendor

    Interconnection Company if applicable

22. Application Agent Name

    Ex. Solar Contact

24. Application Agent Email Address
25. Application Agent Phone Number*
27. Is the Application Agent the person attending this meeting?*

    1. Yes
    2. No, there will be someone else attending this meeting.
29. Is the customer the person attending this meeting?*

    1. Yes
    2. No, there will be someone else attending this meeting.
31. Name of Person Attending*
33. Please select three dates for potential disconnection appointment times.

    NOTE:

    1. Dates should be in order of preference from first to last choice.

    2. Select any date/time span from 8 a.m. to 2 p.m. Monday through Friday.  
         (Regular Business Days only, no holidays or weekends)

35. Date and time span - First Choice*
    Date and time span - First Choice Start Date

    Date and time span - First Choice Start Time

    —

    Date and time span - First Choice End Date

    Date and time span - First Choice End Time
37. Date and time span - Second Choice
    Date and time span - Second Choice Start Date

    Date and time span - Second Choice Start Time

    —

    Date and time span - Second Choice End Date

    Date and time span - Second Choice End Time
39. Date and time span - Last Choice
    Date and time span - Last Choice Start Date

    Date and time span - Last Choice Start Time

    —

    Date and time span - Last Choice End Date

    Date and time span - Last Choice End Time
41. Comments?

    Anything you would like us to know regarding your appointment request.

43. Next Step:

    We will be in touch as soon as possible to confirm an appointment date and time. 

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field