Home Licensee | Client Audit Information

Licensee | Client Audit Information

Please complete the form below with the Client upon completion of the Energy Audit of the property.

Client Information Sheet

Customer Information Sheet:

(example: President, Director, Partner, Managing Member, Trustee)
(this is where you would like to lower the electric bill)
(If exempt, provide tax certificate)
(If you do not have a copy of your Tax Certificate readily available, you can eMail or Fax it to us)
(SSN for Residential or Tax ID for Commercial)
(Your Dun and Bradstreet (DNB) Number)

Contact / Decision Maker:

(xxx) xxx-xxxx
(xxx) xxx-xxxx
(xxx) xxx-xxxx
(ie: Gmail, Yahoo, Hotmail, etc.)

Billing Information:

(xxx) xxx-xxxx
(xxx) xxx-xxxx

Current Electric Provider:

(Who do you currently use for your electric company)

Verification of Information:

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