C&I Web Interest Form

Commercial & Industrial Energy Efficiency Program Interest Form

Note: There are a handful of fields that are mandatory. They are designated with a *

Please tell us about your energy saving project. One of the Energy Experts from the Conservation & Load Management Department at Eversource will contact you in two to four business days to discuss how incentives may be applied to your project.

Is your average monthly demand 10 - 200 KW?*

YesNo You can find your monthly demand on your latest Electric bill Click here for help.

Customer Information:

Business Name*:

Contact First Name*:

Contact Last Name*:

Service Address*:

Street Number*:

Street Address Line1*:

Street Address Line2 (Unit #, Apt # etc.,):

City*:

State*:

Zip Code*:

Contact Phone*:

( ) X

Fax:

( ) X

Email*:

Electric Utility Company*:

Electric Account Number:

Gas Utility Company:

Gas Account Number:

Business Type*:

Check this if the mailing address is different from Service address.

Mailing Address (if different):
Street Number:
Street Address Line1:
Street Address Line2 (Unit #, Apt # etc.,):
City:
State:
Zip Code:

Contractor Information:

Company Name:
Contact First Name:
Contact Last Name:
Street Number:
Street Address Line1:
Street Address Line2 (Unit #, Apt # etc.,):
City:
State:
Zip Code:
Contact Phone:	( ) X
Fax:	( ) X
Email:

Contractor :

Project measures/categories
(Check all that apply):

LightingMotors and drivesGas heating equipment
CoolingControlsGas water heating
HeatingProcess equipmentOther (If checked, please enter information in Project Description)

Description of Project
(Include detail of energy saving measures)*:

Benefits of the proposed project
(check all that apply):

Saves energyIncreases production capacityUses fewer raw materials
Improves process flowAssists in meeting environmental regulationsConserves other utilities (water, etc.)
Improves product qualityReduces laborOther

How did you hear about this Program? *

Marketing Key Code:

Note that this form is an initial step intended to collect information only. Submitting this form does not obligate you to participate in Energize CT programs administered by Eversource. Incentives are not guaranteed based on the submission of this form.

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Confirmation*:

I confirm that above information is accurate to the best of my knowledge.

By entering this code you help prevent spam and fake applications.

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