Elegibility form Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Type of Roof Asphalt shingles Wood Metal Other Are you the owner of the home? Yes No How long have you owned your home? Number of years Which electric company do you currently use? Xcel Energy Dakota Electric MVEC Connexus Other Average cost of your monthly electric bill? Below $100 $100 - $150 $150 - $200 Over $200 Do you make $40,000 or more taxable income? Yes No Thank you! Expect to be contacted by an expert via phone within the next 72 hours.