Load Requirements Form

Load Sheet Form

Contact Information & Load Information
Contact Information

Project/Member, General Contractor, Electrical Contractor
Project/Member Name
Designated Responsible Party
Federal Tax ID # or Drivers License #
ID State
Physical Address of Project

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number
If Applicable*Format: (000) 000-0000.
Email
example@example.com
General Contractor
General Contractor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
General Contractor Email
example@example.com
Have you hired an Electrical Contractor?
Electrical Contractor
Electrical Contractor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Electrical Contractor Email
example@example.com

HVAC Load Information

Motor Load Information

Lighting & Miscellaneous Load Information

Electric Requirements
Hours of Operation:   Time   to   Time
Days of Operation:      to
Number of Electrical Meters Request:         and
Service in AMPS:
Number of Conductors per Phase:       Wire Size:   Request Service Type:

Motor/Equipment Loads

40 HP/40 KW or Greater
Do you need to complete a request for service for a single device or a combination of devices which will be started at the same time, and which are equal to or greater than 40 HP/40 KW?
Member/Consumer Name

First NameLast Name
Grid
W.O. #
The following information is required, for each device, to perform a Voltage Drop/Motor Start Analysis to determine whether the device can be started across the line or a Motor Starter must be used to limit the inrush current to the value specified by TVEC:
Equipment Information
Voltage Drop/Motor Start Analysis must be completed before any Line Design is finalized and any cost is quoted to the Member/Consumer.
Signature
Date

MonthDayYear
Date
Member/Consumer Email
example@example.com
Member/Consumer Phone
Please enter a valid phone number.Format: (000) 000-0000.

Load Sheet Form