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I authorize my electric utility to release all pertinent electric billing data for the accounts listed below to Solidified Energy, LLC (SE) and any licensed Generation Supplier, as appropriate. This data will be used for the confidential purpose of evaluating my usage and load patterns.

Electric Utility:

Please send all appropriate billing data, including but not limited to:

Rate Schedule, including any options
Load Profile
12 months minimum, on/off peak,
- KW demand
- KWH Usage
- KVAR or KVA and power factor
Capacity Tags

If you prefer to fax this information, please send to: 844-437-4868

Please Fill Out The Form Below

Company Name
Legal Entity Name
Address
Street Address Address Line 2 City State ZIP Code
Primary Contact
First Last
Email
Title
Phone
Fax
Current Utilities
Utility Company Name Account Number
Attach a copy of each electric bill listed above. (Max 100MB - jpg, gif, png, pdf)
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.

Electric Utility:

Please Fill Out The Form Below

Current Utilities

Customer Service

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Customer Service

844-437-4868

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Utility Company Name	Account Number