PROJECT COMPLETION CHECKLIST FORM

AG Project Completion Form Checklist

HOMEOWNER INFORMATION
FULL NAME

First Name Last Name
PHONE NUMBER

- Area Code Phone Number
IS THE PERSON ABOVE THE OWNER?

YES NO
OWNER INFO
OWNER FULL NAME

First Name Last Name
OWNER PHONE

- Area Code Phone Number
INCENTIVE RECIPIENT

CONTRACTOR HOMEOWNER

UTILITY INFORMATION
WHICH PROGRAM?

EUC TEN
ELECTRIC PROVIDER

SCE LADWP / OTHER CITY
SCE ACCOUNT NAME
SCE ACCOUNT #
LADWP ACCOUNT NAME
LADWP ACCOUNT #
GAS PROVIDER

SoCal Gas LGB&O
SOCAL GAS ACCOUNT NAME
SOCAL GAS ACCOUNT #
LGB&O ACCOUNT NAME
LGB&O ACCOUNT #

TEST IN
REQUESTED TEST IN DATE

- Month - Day Year
REQUESTED TEST IN APPT TIME (REQUIRES A 3 HOUR WINDOW)

: Hour Minutes
until
: Hour Minutes
ASBESTOS ABATEMENT NEEDED

YES NO
**WILL NEED FORM FOR ABATEMENT CERTIFICATE**
ATTIC INSULATION?

NO YES
**WILL NEED FORM FOR ATTIC INSULATION**

DOCUMENTATION
INCENTIVE APPLICATION
INVOICE
SIGNED CONTRACT
NOTES

SUBMIT FORM
CONSULTANT E-MAIL
Should be Empty: