Energy Design Assistance

Energy Design Assistance Application

  • Enter as much information that is known at this time; the rest can be entered later.
  • Fields marked with a red bar are required.
  • After entering information, click the “Submit” button at the bottom of the page to save your progress.
  • Once the information is submitted, you will receive a link via email that can be used to access the form again, or forwarded to others to complete more of the application.
Application
Energy Design Assistance
Created 7/20/2019 4:27:56 AM
Your Information
First Name:
Last Name: Company:
E-mail Address: Phone:
PROJECT
Project Name:
Street Address:
City: State: ZIP:
BUSINESS CUSTOMER INFORMATION

Please ensure all contact information is correct, as all rebate checks will be sent to this address.

Company Name:
Billing Address:
City: State: ZIP:
Customer Contact Name:
Phone: E-mail: 
Alternate Recipient Name:
Address:
City: State: ZIP:
Phone: E-mail: 
Customer Utility Acct Mgr:
CUSTOMER'S DESIGN TEAM INFORMATION

Please fill out the name, contact, phone and e-mail address for each of the following:

Company Name Contact Name Phone E-mail
Architectural Firm:
General Contractor:
Mechanical Engineer:
Electrical Engineer:
Development Company:
CERTIFICATION INFORMATION
Are you planning on obtaining a green building certification (3rd party verification)?
ENERGY DESIGN ASSISTANCE APPLICATION: SCREENING FORM

Project Schedule

  Start Date End Date Notes on schedule
Schematic Design:
RadDatePicker
RadDatePicker
Open the calendar popup.
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Design Development:
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RadDatePicker
RadDatePicker
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Arch. Construction Documents:
RadDatePicker
RadDatePicker
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RadDatePicker
RadDatePicker
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M/E Construction Documents:
RadDatePicker
RadDatePicker
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RadDatePicker
RadDatePicker
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Construction Completion:
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RadDatePicker
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RadDatePicker
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Design Process

Building Information

Construction Type
Building SF:
Open Air Garage SF:
Total Project SF:
0
0
0
Building Type:
Percent Cooled:
Percent Heated:

Heating and Cooling

DESIGN CONSIDERATIONS OPTIONS

Willingness To Consider Energy Saving Alternatives

Orientation-building layout:
Wall insulation:
Roof insulation:
Glazing type-window design:
Lighting design/controls:
Daylighting controls:
HVAC system alternatives:
HVAC efficiency/controls:
Outside air controls:
Load responsive equipment:
Energy management system:

Other energy-design alternatives:


Special considerations and other comments:


How did you hear about the Energy Design Assistance program?
select

TERMS & CONDITIONS

Read the Xcel Energy Terms & Conditions.    Read the CenterPoint Energy Terms & Conditions.


The customer agrees that sponsoring utilities* may make agreements with Customers by electronic means, that such agreements have the same legal effects as agreements entered into on paper and that such electronic agreements are authentic and valid. Customer also agrees to receive Energy Design Assistance Program information in electronic form (e.g., by email). Please note that this information must be signed by both parties in order to be valid and approved.

*Sponsoring utilities may include Xcel Energy and/or CenterPoint Energy.

Customer Authorized Signatory: Authorized signer (please type full name)
Date:
Design Team Authorized Signatory: Authorized signer (please type full name)
Date:
Note: Clicking the 'Submit' button will notify program administrators for further action, but does not finalize this application.
Upon submission you will receive an email confirmation that will include a link to allow you to make further modifications.