Connect

DG2 FORM

OVER 10 kW SOLAR, OR OTHER DISTRIBUTED GENERATION TYPE NETWORK APPROVAL APPLICATION FORM

Please complete this application if you are planning to install a solar, or other distributed generation device over
10 kW on the Counties Power network.

You can see a list of the information needed to apply to connect a distributed generation system of over 10 kW here

1.   APPLICATION TYPE

Are you a machine? If not please enter nothing in here:
Application type
ICP NUMBER

2.   SITE DETAILS   This refers to the site where the distributed generation is to be installed

Site address
City
Postcode
DPS
Lot No
Other identifying remarks
Please state what this site will be used for

3.   DISTRIBUTED GENERATOR DETAILS   This is the party who owns and is responsible for the distributed generation installation

Full Legal Name
Contact Name
Email address
Contact phone

PHYSICAL ADDRESS DETAILS

Physical address
City
Postcode

POSTAL ADDRESS DETAILS

Postal address
City
Postcode
Party

4.   DISTRIBUTED GENERATION SYSTEM INSTALLER

Full Legal Name
Company
Contact Name
Email address
Contact phone

PHYSICAL ADDRESS DETAILS

Physical address
City
Postcode

POSTAL ADDRESS DETAILS

Postal address
City
Postcode

5.   DISTRIBUTED GENERATION TYPE / FUEL TYPE

Generation type / fuel type

6.   INVERTER SPECIFICATION

Manufacturer / supplier
Model Number
Rated capacity (kW)
If inverter used, is it AS4777 compliant?

7.   OTHER DETAILS   Specify any other information or special terms that are or may be relevant to this application

Supporting documentation

As the legal owner and distributed generator, we hereby request to connect a distributed generator device over 10kW to Counties Power Limited’s electricity network.

We confirm that the information submitted within this application is accurate and correct.

We hereby agree to comply with all requirements of a distributed generator as required under Part 6 of the Electricity Industry Participation Code 2010.

We confirm that we will inform Counties Power of any future changes to the distributed generation installation. We confirm that we will comply with all safety requirements as required by a distributed generator.

We confirm that we are aware of our responsibility to arrange for the installation to be tested and inspected, prior to connection.

We hereby accept all charges in relation to processing this distributed generation application form.

This document must be signed by the party that seeks to become the distributed generator.  Third parties are not permitted to sign this document on behalf.
 

Distributed generator name
Date

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