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*Customer Name: | [TEXT] |
*State: | [TEXT] |
Utility: | [TEXT] |
Name of spouse / child / other complainant (If applicable): | [TEXT] |
Project Address: | [TEXT] |
*Demand (What are they asking for?): | ☐ Monetary compensation (other than FULL tax credit amount) in the amount of $____________ ☐ Monetary compensation – full tax credit amount of $____________ ☐ Contract cancellation – keeping the System ☐ Contract cancellation – removing the System ☐ Waiver of balance in the amount of $____________– keeping the System ☐ Waiver of balance in the amount of $____________ – removing the System ☐ Additional panels – Qty: N/A ☐ Battery – Qty: N/A ☐ Removal & reinstallation (re-roofing / roof repair) ☐ Paying third-party contractor invoice ☐ Other:______________________________________________ |
*Contract Type: | ☐ PPA ☐ Lease ☐ RIC 1.0 ☐ RIC 2.0 |
*Installer Name: | [TEXT] |
Contract Price: | [TEXT] |
Contract Signed Date: | [TEXT] |
Project Type: | [TEXT] |
*Project Stage: | [TEXT] |
PV Install Date: | ☐ [DATE] ☐ N/A |
PTO Date: | ☐ [DATE] ☐ N/A |
Status of Financing: | [TEXT] |
*Summary (Include discussions or involvement of other third parties, the person that notified us of the complaint, the customer review / company reputation aspect, etc.):
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