Cowlitz County Public Utility District » New Services » Facility Connection Requirements » New Load Information Form

New Load Information Form

In order to provide an accurate assessment of your interconnection requirements, we ask that you complete the following form. Please include a site plan and an electrical one line (when available) as these will be extremely helpful in the process. Required items are designated by an asterisk (*).

Name of Organization*
Primary Contact Name*
First Last
Primary Contact Phone*
Primary Contact Email*
Secondary Contact Name
First Last
Secondary Contact Phone
Secondary Contact Email
Location of Facilities*
Street Address Address Line 2 City
Alternative Location of Facilities
Street Address Address Line 2 City
EV Charging*
Does your site plan include EV charging stations?
If yes, please enter the planned number of EV charges by level.
Level 1
Please enter a number greater than or equal to 0.
Level 2
Please enter a number greater than or equal to 0.
Level 3 (DCFC)
Please enter a number greater than or equal to 0.
Upload Site Plan*
Accepted file types: pdf, Max. file size: 50 MB.
Please provide at least a back-of-the-napkin site plan. The more information provided, the fewer the questions that may potentially delay the process.
Expected Load Average*
kW
Peak Load*
kW
Load Factor*
kW
Desired/Estimated Electrification Date*
Upload Electrical One-Line Diagram
Accepted file types: pdf, Max. file size: 50 MB.
Check the box below to signify you have read and understand our Credit Posting Requirements.
If Cowlitz PUD is unable to verify sufficient and acceptable credit information, a security deposit will be required. Cowlitz PUD reserves the right to require deposits and/or modify deposit amounts and requirements at its discretion to guarantee payment of bills by the Customer. Please refer to section 4.10 of the Customer Services Policy (PDF) for any additional questions.
- I understand the requirements.
Do you consent to signing this document electronically?*
- Yes
Full Name (Digital Signature)*
I declare that the information provided by me on the above form is true and correct to the best of my knowledge.
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