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The included Letter of Authorization (LOA) enables a utility to release historical billing/usage data and, when available, interval load data to Concord Energy Services Procurement Operations for evaluating energy usage patterns. The form specifies account selection, required attachments such as recent bills and existing third-party agreements, and requires legible signature, date, and return instructions by email or fax.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/energy-program-enrollment-form-authorization-letter-of-authorization-loa/283831/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/energy-program-enrollment-form-authorization-letter-of-authorization-loa/283831.png","ImageObject",442,249,{"name":88,"@type":89},"Valentina","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the Energy Program Enrollment Form request for the property and supplier?","Question",{"text":109,"@type":110},"It collects property name and physical address, legal ownership name, general partner details, state of incorporation, DUNS or tax ID, current supplier, contract expiration date, and property contact information (including phone, email, and fax).","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What is the purpose of the Letter of Authorization (LOA) included in the form?",{"text":114,"@type":110},"The LOA authorizes the customer’s utility to release historical energy usage and billing information so the company can evaluate energy usage patterns and make an offer to supply energy. It states the utility treats customer usage information as confidential and clarifies the authorization does not bind the customer to purchase services.",{"name":116,"@type":107,"acceptedAnswer":117},"How should interval load data and billing/usage information be provided and submitted?",{"text":118,"@type":110},"The form indicates interval load data is provided if available and may require account numbers from the utility bill. If more than four accounts need gathering, data should be provided in spreadsheet format and attached to an email to the listed contact, or returned via email or fax once authorization is signed and dated.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},283831,1791186244,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","| Energy Program Enrollment Form |  |\n| --- | --- |\n| NJMEP Field Representative |  |\n|  |  |\n| Property Name |  |\n| Property Physical Address |  |\n| Legal Ownership Name |  |\n| General Partner's Name |  |\n| General Partner's Address |  |\n| State of Incorporation |  |\n| DUNS or TAX ID \\# |  |\n|  |  |\n| Current Supplier |  |\n| Contract Expiration Date |  |\n|  |  |\n| Property Contact Name |  |\n| Phone Number |  |\n| Fax Number |  |\n| E-mail Address |  |\n|  |  |\n| Billing Contact Name |  |\n| Title |  |\n| Email Address |  |\n| Phone Number |  |\n| Fax Number |  |\n| Billing Address |  |\n|  |  |\n| Emergency Contact Name |  |\n| Phone Number |  |\n|  |  |\n| Utility Name |  |\n| Utility Accounts |  |\n| Square Footage |  |\n\nAdditional Information Required Forward Property Info Template and Information Required to:  \n1. Signed Energy Services Agreement Attn: CES Operations  \n2. LOA-Letter of Authorization (electric  \nand natural gas) Fax: 856-427-7899  \n3. 1 recent bill copy for each account [Email: wmcginley@concord-engineering.com](Email: wmcginley@concord-engineering.com)  \n4. Copy of Existing 3rd Party Agreement   \nLETTER OF AUTHORIZATION (LOA)  \nNote: To minimize response time, please type or print legibly in all required fields (►)  \nPlease release my company’s billing information and/or interval load data (as indicated below) to:  \nConcord Engineering Group, Inc. dba Concord Energy Services Procurement Operations  \n520 South Burnt Mill Road Voorhees, NJ 08043  \nT: 856-427-0200 ; F: 856.427.6529; [email: wmcginley@concord-engineering.com](email: wmcginley@concord-engineering.com)  \nStep 1: My company has electric service accounts with (please check appropriately)  \n[ ] PSE&G (20-digit POD-ID-beginning w/ “PE”) [ ] JCP&L (20 digit “customer” number)  \n\n|  |  |\n| --- | --- |\n| [ ] Atlantic City Electric (Conectiv) | [ ] Rockland Electric |\n\n► [X] Historic Billing/Usage Data for each of the digit account number(s)  \nand / or  \n► [X] Interval Load Data (if available)  \n(Obtain Account No. from your bill.)  \n►Account No.    \n►Account No.    \n►Account No.    \n►Account No.   For additional usage data complete Step 3.  \nStep 3: Please provide data in spreadsheet format (if more than 4 accounts need to be gathered)  \nAttach to email [at](at wmcginley@concord-engineering.com)[ wmcginley@concord-engineering.com](at wmcginley@concord-engineering.com)   \n Step 4: Customer Authorization   \nAuthorized Signature / Date (must be dated)  \nStep 5: [Return signed form to wmcginley@concord-engineering.com](Return signed form to wmcginley@concord-engineering.com) or fax\\# 856.427.6529  \n\n| I hereby authorize my electricity utility to act in my behalf for the purpose of obtaining information about my historical energy usage and billing information and consent to the release ofit so that the Company herein may evaluate my energy usage patterns and make me an offer to supply energy. The utility considers all customer usage information to be confidential. |  |\n| --- | --- |\n| This authorization in no way binds me to the purchase of any service or product from the Company herein and is to be used for the sole purpose of determining my offer price of electricity service or the provision of other energy-related services. |  |\n| Name of Authorized Individual (please print legibly) | ► |\n| Title / Position | ► |\n| Company Name | ► |\n| Company Service Address (Street, City, State, Zip) | ► |\n| Telephone No. / Ext. | ► |\n| E-Mail Address | ► |\n| Sales Representative | ► |\n|  | ► ►Date |\n\nStep 2: Please provide billing/usage data  \nCUSTOMER USAGE INFORMATION AUTHORIZATION  \n(Non-Residential)  \nI hereby authorize my energy utility to act in my behalf for the purpose of obtaining information about my historical energy usage and billing information and consent to the release of same so that the Company named herein may evaluate my energy usage patterns and make me an offer to supply energy. The utility considers all customer usage information to be confidential.  \nThis aut","cbCaibmeQxjlRgAQ","https://ap.wps.com/l/cbCaibmeQxjlRgAQ","pdf",1010818,"English","# Energy Program Enrollment Form\n## Property and Supplier Information\n## Billing and Contact Details\n## Step 1: Electric Service Accounts\n## Step 2: Please Provide Billing/Usage Data\n## Step 3: Data Submission Requirements\n## Step 4: Customer Authorization\n## Step 5: Return Instructions","[{\"question\":\"What information does the Energy Program Enrollment Form request for the property and supplier?\",\"answer\":\"It collects property name and physical address, legal ownership name, general partner details, state of incorporation, DUNS or tax ID, current supplier, contract expiration date, and property contact information (including phone, email, and fax).\"},{\"question\":\"What is the purpose of the Letter of Authorization (LOA) included in the form?\",\"answer\":\"The LOA authorizes the customer’s utility to release historical energy usage and billing information so the company can evaluate energy usage patterns and make an offer to supply energy. It states the utility treats customer usage information as confidential and clarifies the authorization does not bind the customer to purchase services.\"},{\"question\":\"How should interval load data and billing/usage information be provided and submitted?\",\"answer\":\"The form indicates interval load data is provided if available and may require account numbers from the utility bill. If more than four accounts need gathering, data should be provided in spreadsheet format and attached to an email to the listed contact, or returned via email or fax once authorization is signed and dated.\"}]","Energy Program Enrollment Form - Authorization Letter of Authorization (LOA) | PDF",1789620444]