Distributed Community Power Program Prescreen Form

Please answer and submit the following questions! The form helps determine if your home is currently eligible for the Distributed Community Power Program. A GRID Alternatives staff member will notify you of the result of your submitted form, and, if you are eligible, we'll let you know the next steps to start saving on your electricity bill.
You must click the Submit button at the bottom to send your responses.

Contact information

First Name

Last Name

Phone

Preferred Languages

If you selected Other for Language, please list language(s) below

Preferred methods of contact

What is the best time to contact you?

Text Opt-in – By checking this box you agree to receive text messages from GRID Alternatives. Message and Data rates may apply.

Yes - Please Text MeNo - I do not want to receive Texts

Property Information

Property Address

Street

City

State

Zip Code

Do you have an attached garage OR basement?

YesNo

Is your name on the title of the property AND your electric bill?

Is your home your primary residence?

Are you part of a Homeowner's Association?

If possible, upload a photo of your main service panel. *It will usually be on an outside wall connected to your electrical meter

Upload a photo of all the circuit breakers in your electrical panel

*Try to get a clear photo showing the numbers and labels on all breakers

Upload a photo of your main circuit breaker / service disconnect switch

*This is usually at the top or bottom of your panel, but may also be in a separate enclosure nearby

Main Circuit Breaker/Disconnector Example

Upload a photo of your electrical panel's manufacturer label

*This is found on the inside cover of your panel

Roof Information

What year was your home built?

What year was your roof installed?

Select the option that best describes the condition of your roof:

What material is your roof?

How much shade does your roof get throughout the day?

Contact Information