ELECTRICITY EMERGENCY

GAS EMERGENCY

EmbeddedGeneration

For enquiries please phone Evoenergy’s Network Servicing Team on 13 23 86 between 7.30 am – 5.00 pm Monday to Friday.

*Denotes mandatory field

Section 1: installation details

Site details

Site* Residential Commercial

Site supply* Single phase Three phase

National Meter Identifier (NMI)*

Customer name*

Customer email

Unit number

Street number

Street name

State*

Postcode

Block*

Section*

Suburb*

Installer contact details

Business name*

ABN*

Installers name*

Installer contact number*

Installer contact email*

ACT electrician licence no*

Embedded generation information (tick all appropriate boxes)

Protection and control modes

Central protection and control? Central protection control - For installations where there is a need for additional forms of protection above those inbuilt in an inverter. Central protection control will be needed for all sizes and conditions are:
6.1 If inverter capacity is smaller than 30kVA, the protection will be required when there is phase unbalance.
6.2 If inverter capacity is larger than 30kVA, Central Protection Control is mandatory. *

Yes No

Export limited* Yes No What device are you using to monitor export at the connection point?

Manufacturer

Model

Energy storage controller* Yes No

Manufacturer

Model

Other (please specify)

Section 2: installation compliance

Generation type: rotating machine or other

Description	Manufacturer	Model	Voltage (V)	Rating (kVA)

Comments and notes

Attachments

Single line diagram* Upload file (8 MB file upload size limit)

Attachment can be an Office document, PDF or image.

Additional documents

Section 3: embedded generation customer declaration

Customer declaration

By checking the below I declare and agree that:

The information I have provided in this form is accurate and correct. If for any reason this information is incorrect, I will submit a new Special Connection Request Form for approval by Evoenergy.

I have read, understood, and accept the terms and conditions of the Evoenergy Service and Installations Rules.

I have attached a single line diagram and all other relevant information as per the technical requirements for connection of embedded generators to the Evoenergy distribution network.

I understand that once the Embedded Generation has been installed, a Request for Service form must be submitted to Evoenergy to advise a connection has taken place.

I act as an authorised agent of the customer.

All applicable sections are completed as per Evoenergy Embedded Generation Connection Requirements located here.

Name of customer or their agent*

Date*

If Evoenergy approves your application, the approval remains valid for 180 days from the issue.

Proposed work*	New	AdditionAddition is adding to an existing system. Previous job number	AmendmentAmendment refers to an existing Application. If this is an Amendment please provide previous Job Number. Previous job number		ReplacementReplacement refers to replacing defective components.
Maximum rated AC capacity*Can also mean Maximum System Capacity	≤ 5kVA		>5kVA ≤ 30kVA		>30kVA
Generator type*	Generator energy source*			Generator mode of operation*
Inverter	Solar PV	Wind	Storage (eg Battery)	Gross Metered	Net Metered
Rotating Machine	Fossil (eg Diesel)	Gas	Geothermal	Demand Response	Continuous Operation
Other (please specify)	Hydro	Biomass/Waste	Co-generation	Standby Supply	Peaking Plant
	Tri-generation	Other (please specify)		Islandable InstallationIslandable – this refers to disconnection of a section of the network from the rest of the grid while power is supplied by an Embedded Generation Unit connected to the section.	Other (please specify)
				Demand Side Participation	Zero Export

Inverter	Number	Type	Manufacturer Not Listed	Series Not Listed	Model Not Listed	Capacity (kVA) *
Solar PV	Number of Panels	Type Not Listed	Manufacturer Not Listed	Series	Model Not Listed	Rating (Watts)	Total Rating (kW)
Storage	Number of Batteries	Type Not Listed	Manufacturer Not Listed	Series	Model Not Listed	DC Rating (kWh/kW) AC Rating (kWh/kVA)

EmbeddedGeneration

Section 1: installation details

Site details

Installer contact details

Embedded generation information (tick all appropriate boxes)

Protection and control modes

Section 2: installation compliance

Inverter:

Generation type: rotating machine or other

Attachments

Section 3: embedded generation customer declaration

Customer declaration

Contact