Feed in Tariff. Application Form

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1 Feed i Tariff Applicatio Form

2 Feed i Tariff Applicatio Form How to complete this form: You eed to check you re eligible to joi the Feed i Tariff (FiT) first, by visitig our website power.com ad readig our FAQ s. Please ote: The date that you become eligible to receive paymets uder FiT is the day we receive your fully completed ad valid applicatio form. For your FiT applicatio to be accepted, you must iclude all supportig documetatio ad a valid meter readig. A valid meter readig is a geeratio meter readig take o, or after the date the applicatio is received by us. We will cotact you for this via telephoe, mobile messagig or whe we receive your applicatio form. Please ote: For extesios the Eligibility Date is based o the commissioig date oly. This meas to achieve the higher FiT tariff, a valid Eergy Performace Certificate (EPC) must be issued o, or prior to the extesios commissioig date. For more iformatio regardig exteios, please visit our website ad dowload our guidace for extesio applicatios. f you would prefer to speak with a advisor please cotact us o the umbers show below. Please leave your cotact details below so we ca get i touch. By providig us with your details, you cofirm that we ca cotact you about your FiT applicatio by phoe (if etered), post, mobile messagig or . Sed your completed applicatio form ad supportig documetatio via: to: f you decide to sed your applicatio via please make sure you receive our auto-reply, this cofirms we have got your Or sed it via post to: FiT Admi Team, power, Oak House, Bridgwater Road Worcester, WR4 9FP from a ladlie from a mobile Opeig hours are 8am 6pm Moday to Friday. Calls may be recorded for traiig purposes Please tell us a little more about your applicatio type: New istallatio (this is my first istallatio at this property) Extesio to existig system Chage of FiT supplier Name of previous supplier Existig FiT Sectio 1 - Ower Cotact Details This is the perso who ll legally ow the geeratig system. We class that perso the Geerator of the system uless you tell us otherwise: Title Mr Mrs Ms Miss Other (please state) Full ame(s) Address Telephoe (day) Please supply the telephoe umber you would like us to use to cotact you. f you do ot wat to be cotacted by Mobile Messagig, please tick this box Postcode Please make sure this address is registered with the Post Office. f it s ot, it may take loger for the address to be added to the Ofgem Cetral FiT Register. f the ower is Domestic please provide the details requested below: Busiess / Compay Name f you would prefer for us to cotact you by , please tick this box VAT Registratio Number Compay Number, if applicable FOR ALL CUSTOMERS Are you a power electricity customer? f yes, please state your accout umber: Yes f o, please tell us the ame of your Supplier For Domestic Customers please provide photographic D via your Passport/Drivig licece or equivalet plus proof of address (utility bills, bak statemets or equivalet) 2

3 Feed i Tariff Applicatio Form Sectio 2 - Site iformatio This sectio is about where the geeratio system is situated, which may be differet to details give i the Geerator Cotact Details Sectio. s the geeratio system sited at the address of the ower? Yes f o, please provide the address as either a postal address or as OS Grid Referece: Address Postcode Postcode Ordace Survey Grid referece (ca be obtaied from Sectio 3 - Accreditatio Details To joi the FiT scheme, you must comply with the followig: - f your geeratig system is 50kW or less, you must have had it istalled by a MCS (Microgeeratio Certificatio Scheme) accredited istaller, usig MCS accredited products - f your geeratig statio is over 50kW (ad all aaerobic digestio plats) it must be ROO-FiT accredited by OFGEM MCS Certificate umber - - Please give us a copy of your accreditatio certificate as part of the supportig documetatio. Or ROO-FiT umber: Date of ROO-FiT Accreditatio / / New stallatios Ay PV istallatios with a eligibility date o or after 1st April 2012 will oly be eligible for the higher FiT tariff if you ca provide a valid Eergy Performace Certificate (EPC), showig a ratig of level D or above, for the property the paels are attached to. A full EPC must have bee produced ad submitted before the eligibility date of a FiT applicatio. the circumstace where your PV istallatio is exempt from EPC legislatio, we eed a exemptio letter from the Eergy Assessor statig the reasos of exemptio. Extesios As the Eligibility Date for extesios is based o the commissioig date oly; i order to achieve the higher FiT tariff you must be able to provide a valid EPC, showig a ratig of level D or above, for the property the paels are attached to. A full EPC must have bee produced before the Eligibility Date (commissioig date) of the istallatio. PV istallatios oly EPC Certificate Number EPC Certificate date / / for PV istallatios Sectio 4 - Geerator formatio This sectio is about the geeratig system. We eed the aswers to all of these questios, please cotact your istaller if you require help with this. f you have more tha oe istallatio, please give us details for them all. Total stalled Capacity (kw) Type of techology Solar PV Wid Hydro Aaerobic Digestio Micro CHP What type of buildig is the geeratig system attached to? Domestic Commercial Commuity stallatio date / / Commissioig date / / The Total stalled Capacity of a istallatio is determied by multiplyig the umber of paels by the idividual wattage of the paels. For example: 10 paels at 200 watts would give a total istalled capacity of 2.00kW. Total Number of Paels ad dividual Wattage Declared Net Capacity (kw) s the geeratig system fitted to: Existig buildig New buildig s the geeratig system: Grid Coected (e.g capable to export o to Grid) Stad aloe 3

4 Feed i Tariff Applicatio Form Sectio 5 - staller iformatio This sectio is about who istalled your geeratig system. Name of staller Telephoe umber address Sectio 6 - Meter formatio This sectio is about the meters you have istalled with your geeratig system. Please ote: New OFGEM guidace effective from July 1st 2013 states - a valid readig is oe take o the day a FiT licesee receives the forms. f you are returig the forms back to us via post, please keep a daily record of your meter readigs util we cotact you. We will cotact you via telephoe, mobile messagig or whe we receive your documets. Fully completed ad valid applicatios (icludig MCS accreditatio certificate) made via will be accepted the day they are received i our ibox. Please esure you receive our auto-reply. f you do t receive this, we may ot have received your . Please try sedig agai, or cotact us as soo as possible. A readig provided with the applicatio form take o the date of submissio will therefore be sufficiet. Meter Make: Meter Model: Meter Serial Number: Locatio of Geeratio Meter: Geeratio Meter Readig: Date of Meter Readig: Export meter (this is the meter that measures how much electricity you are supplyig back to the Grid). Do you have a export Meter? Yes f you do t have a export meter, we will estimate that 50% (75% for hydro systems) of the electricity you geerate will be exported. Please ote, if the geeratig system is over 30kW i size a export meter is required to claim for export paymets. f yes, Export meter MPAN: f you do t have the export MPAN to had, please cotact the compay who istalled the export meter. Export Meter Readig (if applicable) Export Meter Serial Number Please tick the relevat box to show which FiTs paymets you would like to receive from power: Geeratio ad fixed export paymets Geeratio paymets oly ( will claim export paymets from a differet eergy supplier) Please ote: f you opt i to the guarateed export price, this price will be guarateed for the duratio of your eligibility. You will have the choice to opt out oce a year. power will publish their domestic market price for export each year o 4

5 Feed i Tariff Applicatio Form Sectio 7 - Supply formatio order to apply for the Feed i Tariff with power, the buildig coected to the geeratig system must be supplied by power or a supplier that does ot offer Feed i Tariffs. To fid out if your supplier offers Feed i Tariffs please refer to the FiT sectio at s the buildig your geeratig system is coected to: Grid Coected Off Grid Supply MPAN (this is the ormal supply Meter liked to the geeratig system) Supply Meter Details Maufacturer: Type: Serial Number: s the supply Ecoomy 7 Stadard Commercial Tariff Sice your istallatio does the supply meter tur backwards? Yes f, after completig this applicatio, you otice the supply meter ruig backwards at ay time please call us o or from a mobile ad we will arrage for a meter exchage. Sectio 8 - Paymet formatio This sectio is about who the FiT paymets should be made to ad where they should be made. f you eter a omiated recipiet, all paymets will be made to them util you provide us with writte authorisatio to chage to aother party. The omiated recipiet must sig declaratio 6, as the omiated recipiet o page 8 of the applicatio form. Please ote: Paymets will oly be made o receipt of meter reads withi prescribed timescales. We will cotact you to remid you whe to sed us the readigs. Will paymets be made to the ower amed i Sectio 1? Yes s the omiated recipiet VAT registered? Yes f o, who is the omiated recipiet? * First Name Surame Relatioship to Ower Telephoe (day) Emai Postcode * By providig this iformatio, you cofirm that you have their coset to do so Busiess / Compay Name VAT Registratio Number Compay Number, if applicable Please provide the bak details of where your FiT Paymets should be made Bak Name Accout Holders Name Sort Code Accout umber would prefer to be paid by cheque Yes Sigature Name Date / / 5

6 Feed i Tariff Applicatio Form Sectio 9 - Switchig from aother supplier Please complete this sectio if you are already registered for the FiT Scheme with aother FiT Supplier ad would like to trasfer to power s FiT Scheme. Name of Previous Supplier Date Supply started from power Geeratio Meter read from this date Export Meter read from this date (if applicable) / / Sectio 10 - Grat iformatio t is geerally ot possible for a istallatio, which has received a grat from public fuds, to be eligible for the FiT Scheme i.e. a grat made by a public authority or by ay perso distributig fuds o behalf of a public authority. f you have recieved a grat, please provide a letter from the grat issuig body o their headed paper, cofirmig that the grat received has ot bee made by a public authority. Have you received a grat for your istallatio? f yes, date grat received: Yes / / Name of Orgaisatio Grat Received from: Grat Referece Number: Value of Grat ( ): Sectio 11 - Declaratio By sigig this form declare that: 1. have the authority to do so ad that all iformatio provided o this form is complete ad accurate. 2. The omiated recipiet for the FiT paymets set out o this form has the authority to receive such paymets. 3. have istalled a FiT eligible techology. You must ot sig this form ad sed it util you have had the equipmet istalled ad commissioed. For example, if you are istallig Solar PV, the paels must already be i their fial, permaet positio, have bee coected to the electricity supply by a MCS or equivalet registered istaller ad the meter must be fitted ad operatioal. Audit checks are i place to moitor for scheme misuse ad you may be prosecuted if fraudulet activity is foud to have take place. 4. f have stated that my geeratig system is a stad aloe system i.e off grid it is my itetio to use ay ad all electricity geerated by my system ad that fully uderstad that ay electricity geerated but ot used will ot be eligible for ay FiT paymet. 5. uderstad my details will be used for the purposes set out i the power FiT Scheme terms ad coditios ad cofirm that have read these terms ad coditios. agree that where have provided persoal details about a third party, have their authority to do so. am happy for you to keep me iformed (by mail, telephoe or ) about products, services, special offers ad promotios of Npower Limited, its associated compaies ad carefully selected third parties ad for my details to be passed to them for these purposes uless tick this box power ad its group compaies would like to keep you updated about their products ad services which could beefit you. Just tell us which of the followig we ca use to stay i touch: mobile messagig post phoe f you chage your mid at ay time, simply usubscribe to our s or mobile messages, log i to your accout to chage or update your preferece, or call us. Sigature Name: Date: / / A secod sigature is required from the joit accout holder if the applicatio is made i joit ames Name: Date: / / 6

7 Feed i Tariff Applicatio Form Feed-i Tariff (FiT) Solar PV declaratios (istallatios ad extesios) All applicatios for accreditatio of ew solar PV istallatios (icludig extesios to existig istallatios), with a eligibility date o or after 1 April 2012, eed to be accompaied by a copy of this documet with the relevat sectio siged ad dated. This will the be used by the FiT Licesee/Ofgem as appropriate to determie whether or ot (i) the eergy efficiecy requiremet applies ad, if so, has bee met; ad (ii) the multi-istallatio tariff rates should apply. f your applicatio is for a ew Solar PV istallatio with a Eligibility Date o or after 1 April 2012, you must sig two of the eclosed declaratios; oe declaratio from the eergy efficiecy sectio ad oe declaratio from the multi-istallatio sectio. Tick oe of the boxes i relatio to the eergy efficiecy declaratios ad oe of the boxes i relatio to the multi istallatio declaratios. The go o to sig the two relevat declaratios. However, if your applicatio is for a extesio to a existig PV istallatio, you must sig oe declaratio from the eergy efficiecy sectio oly. Tick oe of the boxes i relatio to the eergy efficiecy declaratios the go o to sig the relevat declaratio. Please read the followig iformatio to uderstad which of the declaratios are relevat to you. You must complete oe declaratio from 1 to 4 ad also oe declaratio from 5 to 6 Eergy Efficiecy declaratio Tick oe of the followig boxes i relatio to the eergy efficiecy requiremet ad sig the relevat declaratio overleaf: The eergy efficiecy requiremet does apply ad a Eergy Performace Certificate (EPC) ratig level of D or above has bee achieved (complete declaratio 1) The eergy efficiecy requiremet does ot apply because my istallatio is ot wired to provide electricity to a relevat buildig (complete declaratio 2) The eergy efficiecy requiremet does apply ad a EPC ratig level of D or above has ot bee achieved (complete declaratio 3) The eergy efficiecy requiremet does apply ad a Eergy Performace Certificate (EPC) ratig of level G or above has bee achieved (complete declaratio 4) Commuity eergy ad school istallatios ONLY Multi-istallatio declaratio Tick oe of the followig boxes i relatio to the multi-istallatio requiremet ad sig the relevat declaratio overleaf: The FiT Geerator, miated Recipiet or Coected Perso ows or will receive FiT paymets from 25 or more other eligible Solar PV istallatios (complete declaratio 5) Neither the FiT Geerator, miated Recipiet or Coected Perso ows or will receive FiT paymets from 25 or more other eligible Solar PV istallatio (complete declaratio 6) Eergy Efficiecy Declaratios (sig oe declaratio oly from declaratios 1-4) Declaratio 1 accreditatio that all of the followig are applicable: a. the eligible PV istallatio is wired to provide electricity to oe or more relevat buildigs; certify i respect of this applicatio for b. a valid eergy performace certificate is eclosed i respect of the buildig (or oe of the buildigs) to which the PV istallatio is wired to provide electricity; c. the eclosed eergy performace certificate is the most recetly issued eergy performace certificate i respect of that buildig; d. the eclosed eergy performace certificate certified that the relevat buildig to which it relates has bee assessed as beig level D or above. Siged Declaratio 2 certify i respect of this applicatio for accreditatio that the eligible PV istallatio is ot wired to provide electricity to ay relevat buildig. have eclosed evidece supportig this declaratio that the eligible PV istallatio is ot wired to provide electricity to ay relevat buildig. Siged 7

8 Feed i Tariff Applicatio Form Declaratio 3 certify that declaratios 1 ad 2 above do ot relate to my eligible PV istallatio. A EPC level D or above is required AND has ot bee achieved. uderstad that this meas will receive the lower FiT geeratio tariff. Siged Declaratio 4 certify i respect of this applicatio for accreditatio of a commuity eergy/school istallatio o behalf of (ame of commuity orgaisatio or educatio provider) that all of the followig are applicable: a. the eligible PV commuity eergy/school istallatio is wired to provide electricity to oe or more relevat buildigs at the address below; Address of the buildig to which the istallatio is wired: b. a valid eergy performace certificate is eclosed i respect of the buildig (or oe of the buildigs, which is ot a dwellig) to which the PV istallatio is wired to provide electricity; c. the eclosed eergy performace certificate is the most recetly issued eergy performace certificate i respect of that buildig; d. the eclosed eergy performace certificate certifies that the relevat buildig to which it relates has bee assessed as beig level G or above. Siged Multi-istallatio Declaratios (Sig oe declaratio oly from declaratios 5-6, uless your applicatio is for the accreditatio of a extesio to a existig PV istallatio i which case you do ot eed to sig either of these declaratios) Declaratio 5 ( the FiT Geerator ) ad ( the miated Recipiet *) certify i respect of this applicatio for accreditatio that either the FiT Geerator or the miated recipiet (if there is oe) are, or have applied to be, the FiT Geerator or miated recipiet for 25 or more other eligible PV istallatios located o differet sites. this certificatio, refereces to the FiT Geerator ad miated recipiet iclude all persos who are coected persos i relatio to them. Siged (Fit Geerator) Siged (miated recipiet*) Please tick the relevat box or boxes to cofirm whether the FiT Geerator ad/or the miated recipiet ows or will receive FiT paymets from 25 or more eligible solar PV istallatios: FiT Geerator miated recipiet * * where applicable Declaratio 6 ( the FiT Geerator ) ad ( the miated Recipiet *) certify i respect of this applicatio for accreditatio that either the FiT Geerator or the miated recipiet (if there is oe) are, or have applied to be, the FiT Geerator or miated recipiet for 25 or more other eligible PV istallatios located o differet Sites. this certificatio, refereces to the FiT Geerator ad miated recipiet iclude all persos who are coected persos i relatio to them. Siged (Fit Geerator) Siged (miated recipiet*) * where applicable 1 relevat buildig meas a roofed costructio havig walls, for which eergy is used to coditio the idoor climate, other tha such a buildig for which a eergy performace certificate caot be issued; ad a referece to a relevat buildig icludes a referece to part of such a buildig which has bee desiged or altered to be used separately 2 FiT Geerator meas the Ower, idetified as such i the CFR, of a Eligible stallatio used or iteded to be used for Small-scale Low-carbo Geeratio, whether or ot that perso is also operatig or itedig to operate the Eligible stallatio 3 omiated recipiet meas a perso appoited by a FiT Geerator to receive FiT Paymets i respect of a accredited FiT stallatio owed by that FiT Geerator 4 Oly to be completed where there is a omiated recipiet 5 A coected perso i relatio to a FiT Geerator or a omiated recipiet, meas ay perso coected to that perso withi the meaig of sectio 1122 of the Corporatio Tax Act Oly to be completed where there is a omiated recipiet Callig us o a 0800 umber is ormally free whe you call from a ladlie but charges may vary if you use a mobile. Callig us o a 0330 umber will cost you o more tha 01 or 02 umbers from ladlies or mobiles. f you get iclusive miutes with your package, calls o a 0330 umber will be part of these. Please check with your operator for exact charges. power is a registered trademark ad tradig ame of Npower rther Limited (registered i Eglad ad Wales, ) ad associated compaies. Registered office: Widmill Hill Busiess Park, Whitehill Way, Swido, SN5 6PB pm8028/mm16865/

9 Completed Applicatio Checklist Please make sure you ve icluded the followig iformatio: Have you set, or told us: Fully completed Applicatio Form (with sectio 11 siged ad dated) cluded? Have you opted i? (if you would like to receive export paymets) MCS Certificate or ROO-FiT Certificate (if over 50kW) Eergy efficiecy Declaratios umbered 1 to 6 (Please see the istructios provided) Fully paid ivoice o istaller headed paper with compay logo ad VAT registratio A Eergy Performace Certificate or official exemptio letter (PV istallatios oly) A valid geeratio meter readig (we ll eed aother meter readig from you o the day we receive your applicatio, but we ll cotact you for this) By providig us with your details, you cofirm that we ca cotact you by phoe (if etered), post, mobile messagig or Proof of Photographic D (Passport, Drivig Licece) - Domestic Customers Oly Proof of address (Utility Bill, Coucil Tax) VAT ad/or Compay Details for Domestic Customers Your Feed i Tariff eligibility period will begi from the date we receive everythig you ve listed here, so please sig to cofirm it s all icluded. Siged Date power ad its group compaies would like to keep you updated about their products ad services which could beefit you. Just tell us which of the followig we ca use to stay i touch: mobile messagig post phoe f you chage your mid at ay time, simply usubscribe to our s or mobile messages, or please call us. More iformatio? Cotact oe of our specialist Feed i Tariff Advisors (free from most ladlies) (icluded i ay iclusive miutes from mobiles) Moday to Friday 8.00am to 6.00pm Calls may be recorded for traiig purposes Telephoe calls: Callig us o a 0800 umber is ormally free whe you call from a ladlie but charges may vary if you use a mobile. Callig us o a 0330 umber will cost you o more tha 01 or 02 umbers from ladlies or mobiles. f you get iclusive miutes with your package, calls o a 0330 umber will be part of these. Calls may be moitored ad recorded for traiig ad security purposes. The price of calls may vary with other operators ad calls from mobiles may be cosiderably higher. Please check with your operator for exact charges. power is a registered trademark ad tradig ame of Npower rther Limited (registered i Eglad ad Wales, ) ad associated compaies. Registered office: Widmill Hill Busiess Park, Whitehill Way, Swido, SN5 6PB pm10912/mm16840/11.14

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