Plug in Photovoltaic (PIPV) Notification Form

Connector Information

Application Record Type ID

Record Type Name

Eligibility Requirements

This form is for you if…	This form isn't for you if…
You are a home or business owner in YVEA's service territory You are a renter with landlord approval within YVEA's service territory. You have installed or plan to install a Plug in Photovoltaic (PIPV) system 1920W or smaller.	You live outside the YVEA service territory (Town of Oak Creek) You are installing a solar system larger than 1920 Watts (see instead the DER Interconnection Form)

I am a:

YVEA Account HolderRenter in YVEA's service territory

Your Information

First Name

Last Name

Account #

⬆️ You can find your YVEA account number on a billing statement, or on our SmartHub Portal

Installation Address

Street

City

State

Plug in Photovoltaic Specifications

Manufacturer:

Manufacturer (if not listed):

Total System Size (kW):

⬆️ You'll need to investigate the product spec sheet, or label directly printed on the microinverter (not solar panel). Some manufacturers may call this value "nominal output power", "maximum kW", "wattage". A value of 1200W is equivalent to 1.2kW (1200 / 1000). Please enter the kW value. If multiple microinverters are used in a system, please add them up together. Systems larger than 1.92kW will require a formal interconnection / net metering agreement with YVEA.

Acknowledgements

UL Listing

Section 2 of Colorado House Bill 26-1007 requires plug in solar devices between 391 watts - 1920 watts to be, "labeled and listed by a nationally recognized testing laboratory". While no specific listing is mentioned here, UL 3700 is implied, and has been the recommended safety standard by the Colorado Solar and Storage Association. This listing is applies to an entire plug in solar system, not just individual components.

Limitation of Liability. I agree that YVEA will not be responsible for any property damage, personal injury, or other loss arising from my use or misuse of the PIPV device. Any warranty claims must be directed to the manufacturer.

Electronic Signature: By typing my name below, it is my intent to sign this form. I understand and agree that my electronic signature has the same force and effect as my handwritten signature and that my electronic signature cannot be denied legal effect or enforceability solely because it is in electronic form. I agree to complete and submit this form electronically.

Acknowledge

Please type your name below: