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 Date Picker Icon
REQUESTED TEST IN APPT TIME (REQUIRES A 3 HOUR WINDOW)

: Hour Minutes AM/PM Option
until
until : Hour Minutes AM/PM Option
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: