Community Solar Project (Csp) - Renewable Energy System Cost Recovery Certification
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Community Solar Project (CSP)
Renewable Energy System Cost Recovery Certification
82.16 RCW
First, contact the utility serving your property to confirm it
Department of Revenue Tax Reporting Number
For official use only
is participating in this program and to receive its
application procedures for this incentive payment.
Instructions for Filing: Please mail or fax the following
Name and Physical Address of Community Solar Project
documents to the Washington State Department of Revenue
at the address below:
Certification form
One-line diagram for the system
A list of names and addresses of each
participant/member of CSP
Name of local government entity that owns property
CSP Ownership Type:
(except for utility-owned CSP)
Please check applicable box: (see page 2 for option descriptions)
The Department will: (1) forward this form to the Climate &
Standard CSP
Rural Energy Development Center at Washington State
University for advice on whether the renewable energy
Utility owned CSP
system meets technical requirements, (2) analyze the
Company owned CSP
organizational structure of the CSP to determine whether it
meets legal requirements, and (3) advise the applicant within
Administrator - Name, Mailing Address, Telephone No,
30 days of receipt of this form whether the Department
and Email Address
approves or denies the certification.
See page two for a list of applicable definitions. Additional
information about the program is available on our website at
dor.wa.gov.
I authorize the Department of Revenue to email my
Telephone No:
(Required)
approved certification to:
Email Address:
Name of Utility:
What does the renewable energy system produce
electricity with?
Signature:
Solar inverters and solar modules manufactured
Qualifications:
in Washington
Does the electricity produced meet the definition of
“customer generated electricity?”
Yes
No
A solar inverter manufactured in Washington
Can the electricity be transformed or transmitted for
A solar module manufactured in Washington
entry into or operation in parallel with electricity
transmission and distribution systems?
Yes
No
Solar stirling converter manufactured in
Permit number and date the CSP received its final electrical
Washington
inspection from the local jurisdiction:
Solar equipment manufactured outside of
Permit No:
Date: ___________
Washington
The information provided is true, complete, and correct to the
Name of Washington manufacturer(s)
best of my knowledge and belief under penalty of perjury.
Signature of Administrator:
_________________________________________________
For Official Use Only Approval Signatures
Print Name: _______________________________________
Department of Revenue
Title: _____________________________________________
_____________________________ Date _________
Mail to: Department of Revenue
Taxpayer Account Administration
Climate & Rural Energy Development Center
WSU
PO Box 47476
Olympia WA 98504-7476
_____________________________ Date _________
FAX to: (360) 586-0527
REV 41 0110e (9/1/11)
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