Request for Proposed Load Addition

Request for Proposed Load Addition

Preliminary Information
Date Submitted

MonthDayYear
Date
Expected Need Date*

MonthDayYear
Date

Member Information
Member Name*
Member Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Member Phone Number*
Please enter a valid phone number.
Member Email*
example@example.com
Same for Billing Information?*

Project Contact Information
Project Contact Name

First NameLast Name
Project Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Contact Phone Number
Please enter a valid phone number.
Project Contact Email
example@example.com

Project Information
Project Description (Field, Location, POD, etc):*
Addition Type*
Addition Industry*
Number of Services*
If more than 10, contact an engineering clerk at EngineeringClerks@precorp.coop
If available, please provide an anticipated load schedule.

Cancelof
Please include a map of planned services.

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Service 1

Service 1 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 1 Largest Single Motor (hp)
Service 1 Load Factor
Service 1 Phases Needed
Service 1 Requested Voltage (1 Phase)
Service 1 Requested Voltage (3 Phase)

Service 1 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 1 Form Calculation
Service 1 Existing Connected Load Value
Service 1 New Requested Load Value
Service 1 Total Requested Load Value
Service 1 Existing Connected Load Units
Service 1 New Requested Load Units
Service 1 Total Requested Load Units
Service 1 Township
Service 1 Range
Service 1 Section
Service 1 Qtr/Qtr
Service 1 Description/Meter Number

Service 2

Service 2 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 2 Largest Single Motor (hp)
Service 2 Load Factor
Service 2 Phases Needed
Service 2 Requested Voltage (1 Phase)
Service 2 Requested Voltage (3 Phase)

Service 2 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 2 Form Calculation
Service 2 Existing Connected Load Value
Service 2 New Requested Load Value
Service 2 Total Requested Load Value
Service 2 Existing Connected Load Units
Service 2 New Requested Load Units
Service 2 Total Requested Load Units
Service 2 Township
Service 2 Range
Service 2 Section
Service 2 Qtr/Qtr
Service 2 Description/Meter Number

Service 3

Service 3 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 3 Largest Single Motor (hp)
Service 3 Load Factor
Service 3 Phases Needed
Service 3 Requested Voltage (1 Phase)
Service 3 Requested Voltage (3 Phase)

Service 3 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 3 Form Calculation
Service 3 Existing Connected Load Value
Service 3 New Requested Load Value
Service 3 Total Requested Load Value
Service 3 Existing Connected Load Units
Service 3 New Requested Load Units
Service 3 Total Requested Load Units
Service 3 Township
Service 3 Range
Service 3 Section
Service 3 Qtr/Qtr
Service 3 Description/Meter Number

Service 4

Service 4 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 4 Largest Single Motor (hp)
Service 4 Load Factor
Service 4 Phases Needed
Service 4 Requested Voltage (1 Phase)
Service 4 Requested Voltage (3 Phase)

Service 4 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 4 Form Calculation
Service 4 Existing Connected Load Value
Service 4 New Requested Load Value
Service 4 Total Requested Load Value
Service 4 Existing Connected Load Units
Service 4 New Requested Load Units
Service 4 Total Requested Load Units
Service 4 Township
Service 4 Range
Service 4 Section
Service 4 Qtr/Qtr
Service 4 Description/Meter Number

Service 5

Service 5 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 5 Largest Single Motor (hp)
Service 5 Load Factor
Service 5 Phases Needed
Service 5 Requested Voltage (1 Phase)
Service 5 Requested Voltage (3 Phase)

Service 5 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 5 Form Calculation
Service 5 Existing Connected Load Value
Service 5 New Requested Load Value
Service 5 Total Requested Load Value
Service 5 Existing Connected Load Units
Service 5 New Requested Load Units
Service 5 Total Requested Load Units
Service 5 Township
Service 5 Range
Service 5 Section
Service 5 Qtr/Qtr
Service 5 Description/Meter Number

Service 6

Service 6 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 6 Largest Single Motor (hp)
Service 6 Load Factor
Service 6 Phases Needed
Service 6 Requested Voltage (1 Phase)
Service 6 Requested Voltage (3 Phase)

Service 6 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 6 Form Calculation
Service 6 Existing Connected Load Value
Service 6 New Requested Load Value
Service 6 Total Requested Load Value
Service 6 Existing Connected Load Units
Service 6 New Requested Load Units
Service 6 Total Requested Load Units
Service 6 Township
Service 6 Range
Service 6 Section
Service 6 Qtr/Qtr
Service 6 Description/Meter Number

Service 7

Service 7 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 7 Largest Single Motor (hp)
Service 7 Load Factor
Service 7 Phases Needed
Service 7 Requested Voltage (1 Phase)
Service 7 Requested Voltage (3 Phase)

Service 7 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 7 Form Calculation
Service 7 Existing Connected Load Value
Service 7 New Requested Load Value
Service 7 Total Requested Load Value
Service 7 Existing Connected Load Units
Service 7 New Requested Load Units
Service 7 Total Requested Load Units
Service 7 Township
Service 7 Range
Service 7 Section
Service 7 Qtr/Qtr
Service 7 Description/Meter Number

Service 8

Service 8 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 8 Largest Single Motor (hp)
Service 8 Load Factor
Service 8 Phases Needed
Service 8 Requested Voltage (1 Phase)
Service 8 Requested Voltage (3 Phase)

Service 8 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 8 Form Calculation
Service 8 Existing Connected Load Value
Service 8 New Requested Load Value
Service 8 Total Requested Load Value
Service 8 Existing Connected Load Units
Service 8 New Requested Load Units
Service 8 Total Requested Load Units
Service 8 Township
Service 8 Range
Service 8 Section
Service 8 Qtr/Qtr
Service 8 Description/Meter Number

Service 9

Service 9 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 9 Largest Single Motor (hp)
Service 9 Load Factor
Service 9 Phases Needed
Service 9 Requested Voltage (1 Phase)
Service 9 Requested Voltage (3 Phase)

Service 9 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 9 Form Calculation
Service 9 Existing Connected Load Value
Service 9 New Requested Load Value
Service 9 Total Requested Load Value
Service 9 Existing Connected Load Units
Service 9 New Requested Load Units
Service 9 Total Requested Load Units
Service 9 Township
Service 9 Range
Service 9 Section
Service 9 Qtr/Qtr
Service 9 Description/Meter Number

Service 10

Service 10 Load Information*

	Value	Units
Existing Connected Load:
New Requested Load:
Total Requested Load:

Service 10 Largest Single Motor (hp)
Service 10 Load Factor
Service 10 Phases Needed
Service 10 Requested Voltage (1 Phase)
Service 10 Requested Voltage (3 Phase)

Service 10 Location

	Township	Range	Section	Qtr/Qtr	Description/ Meter #
Values

Service 10 Form Calculation
Service 10 Existing Connected Load Value
Service 10 New Requested Load Value
Service 10 Total Requested Load Value
Service 10 Existing Connected Load Units
Service 10 New Requested Load Units
Service 10 Total Requested Load Units
Service 10 Township
Service 10 Range
Service 10 Section
Service 10 Qtr/Qtr
Service 10 Description/Meter Number

Complete Form
PRECorp will evaluate this load request and respond within 30-45 days regarding PRECorp’s ability to serve this load and discuss the system modifications, if any, required to serve this load. This analysis will be considered valid for a period of 90 days following PRECorp’s response, after which time this load would need to be re-evaluated. This request is for engineering analysis only and shall not be construed as a commitment or application for service.
Submitter Name

First NameLast Name
Should be Empty: