PROGRAM APPLICATION
* Indicates required field
Please fill in the information below and a Program representative will contact you regarding your application
 
Customer And Site Information
Aquila Account Number at Installation Address. If system is not connected to Aquila (off-grid system), enter N/A. *
First Name *
Last Name *
Installation Address *
 
City *
State *
Zip *
Range 
Township 
Section 
Mailing Address (if different from above) 
 
Mailing City 
Mailing State 
Mailing Zip 
Daytime Telephone *
Email Address *
Equipment Purchase Date, or if existing system, enter date installed  *
PV Equipment Information
PV Manufacturer *
PV Model # *
Module Warranty (years) *
Nameplate Rating of Module *
Number of Modules in Array *
Array Orientation (compass direction the array faces, in degrees) *
Array Tilt Angle (in degrees, horizontal=0, vertical=90) *
Inverter Manufacturer *
Inverter Model Number *
Inverter Warranty (years) *
Number of Inverters *
Installation Contractor Information
Contractor Name 
Contractor Address 
 
Contractor City 
Contractor State 
Contractor Zip 
Will this be installed by the customer? Yes 
*If the proposed PV system is to be installed on a building not yet constructed, additional information may be required.
 
THIRD PARTY PAYMENT INFORMATION*
I authorize payment to the third-party described below: Yes 
Third Party Payee Address 
 
Third Party Payee City 
Third Party Payee State 
Third Party Payee Zip 
Certification Statement
 
Aquila On-Site PV Rebate Program Rules
Check this box to verify you have read and understand the program rules Yes, I have read the program rules *
Aquila On-Site Solar PV Program Agreement
I have read and agree to the terms and conditions set forth in the Aquila On-Site Solar PV Program Agreement. Yes, I agree *