[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-303046-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-303046-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","nhsaves-engineering-services-application-form","NHSaves Engineering Services Application Form","","NHSaves Engineering Services application gathers customer, account holder, and utility partner information for an energy efficiency study. It collects site and contact details, installation site and service area data, payment method allocations, and engineering firm/vendor information. The form requires identification of construction type, end uses, and a project description, plus specifies study deliverables and engineering scope for each energy efficiency measure (EEM). It also includes pre-approval acknowledgments with cost sharing and incentive conditions, followed by an EEM summary table for hours, study costs, and estimated annual savings and paybacks.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/nhsaves-engineering-services-application-form/303046/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/nhsaves-engineering-services-application-form/303046.png","ImageObject",442,249,{"name":42,"@type":43},"Aditya","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-02","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What information must be provided in the customer/account holder section?","Question",{"text":62,"@type":63},"The form requires company and contact person details, installation site and mailing addresses, and electric and natural gas account information, including account numbers and related fields.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What deliverables does the engineer provide after approval?",{"text":67,"@type":63},"After approval, the engineer supplies a draft report for review, a final report in hard copy and electronic format, electronic copies of all appendices and supporting documentation, completed program application forms, and a minimum requirements document (MRD) based on the attached template.",{"name":69,"@type":60,"acceptedAnswer":70},"How should the EEM summary table be filled out for each energy efficiency measure?",{"text":71,"@type":63},"Submit the EEM number and description, enter study personnel hourly-rate titles and rates, estimate total study cost and order-of-magnitude annual savings (kWh and therms), and provide typical simple payback years; detailed calculations are not required for the initial proposal.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},303046,1790093027,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":26},962085564549,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","2024–2026   \nMay 2026  \nAll fields on this page are required to complete your application.  \nIndicate the NHSaves® Utility Partner(s) for This Application  \nEversource Liberty-Electric Liberty-Natural Gas New Hampshire Electric Cooperative Unitil-Electric Unitil-Natural Gas  \nCustomer/Account Holder Information  \n\n| COMPANY NAME | CONTACT PERSON |  | APPLICATION DATE |  |\n| --- | --- | --- | --- | --- |\n| INSTALLATION SITE | PHONE | FAX NUMBER |  |  |\n| EMAIL ADDRESS |  | SQUARE FEET (COVERED BY THIS APPLICATION) |  |  |\n| STREET ADDRESS | CITY | STATE |  | ZIP |\n| MAILING ADDRESS (IF DIFFERENT) | CITY | STATE |  | ZIP |\n| ELECTRIC COMPANY NAME |  | ELECTRIC ACCOUNT NUMBER |  |  |\n| NATURAL GAS COMPANY NAME |  | NATURAL GAS ACCOUNT NUMBER |  |  |\n| BUILDING TYPE |  |  |  |  |\n\n\n| Payment Method—Payee Must Submit a W-9 Form (Tax ID \\# Required if Receiving Rebate) |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| PAYMENT TO\u003Cbr>Customer Vendor |  | CUSTOMER—TAX ID \\# (REQUIRED) |  |  | VENDOR—TAX ID \\# (REQUIRED IF RECEIVING INCENTIVE) |  |  |  |\n| CHECK PAYABLE TO |  | CUSTOMER COMPANY TYPE |  |  | VENDOR COMPANY TYPE |  |  |  |\n|  |  | Inc. Not Incorp. Exempt |  |  | Inc. Not Incorp. Exempt |  |  |  |\n| \u003Cbr>Engineer/Vendor Information |  |  |  |  |  |  |  |  |\n| ENGINEERING FIRM |  |  | CONTACT PERSON |  |  |  |  |  |\n| STREET ADDRESS |  |  | CITY |  |  |  | STATE | ZIP |\n| PHONE |  |  | EMAIL ADDRESS |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |\n| Program |  |  |  |  |  |  |  |  |\n| New Construction Retrofit\u003Cbr>End Use (Check All That Apply) |  |  | Small Business | Other |  |  |  |  |\n| Lighting\u003Cbr>Compressed Air\u003Cbr>Project Information | HVAC\u003Cbr>Variable-Speed Drives |  | Motor\u003Cbr>Energy Management System | Process Other: |  | Refrigeration |  |  |\n| BRIEFLY DESCRIBE PROJECT: |  |  |  |  |  |  |  |  |\n\nEngineering Services Project Information and Deliverables   \nDetailed proposal must include a brief description of the following for each energy efficiency measure (EEM):  \n• Existing systems and proposed changes (retrofit)  \n• Base case/code assumptions and proposed system (new construction)  \n• Estimated study cost per task  \n• Estimated hours to complete each task and the staff assigned to each task  \n• Estimated schedule to complete each task  \n• Proposed methodology for analysis  \n• Estimated potential energy savings  \nAfter approval, engineer will supply the NHSaves utility partners with the following deliverables:  \n• Draft report for review & comment (include estimated costs, energy, and demand savings by EEM)  \n• Final report (both hard copy and electronic copy) upon sign-off of draft report  \n• Electronic copies of all appendices, building simulation outputs, and any additional supporting documentation  \n• Completed energy efficiency program application forms  \n• Completed minimum requirements document (MRD). A template MRD is attached to this application for reference.  MRD TEMPLATE   \nCustomer Acknowledgment (Pre-Approval)  \n\n|  | AMOUNT TO BE PAID BY |  |  |\n| --- | --- | --- | --- |\n| TOTAL COST OF\u003Cbr>ENGINEERING SERVICE | CUSTOMER $\u003Cbr>% | UTILITY $\u003Cbr>% | OTHER $\u003Cbr>% |\n\nPROPOSED CUSTOMER CONTRIBUTION:    \nPayment shall be due whether the customer elects to pursue any of the energy savings opportunities identified. I certify that all statements made in this application are correct to the best of my knowledge and that I have read and agree to the terms and conditions on the back of this form, including those provisions regarding warranties. I further understand and acknowledge that the offer to pay incentives is subject to those terms and conditions. This Agreement is contingent upon continued approval and authorization by the Commission to recover said amounts. The Incentive, in conjunction with all other sources of funding, cannot exceed the total engineering cost.  \nNAME (PRINT) CUSTOMER SIGNATURE DATE  \nTechnical Assistance Engineer Acknowledgment   \nI certify to the company","cbCaii94w9UTYnKZ","https://ap.wps.com/l/cbCaii94w9UTYnKZ","pdf",3443366,"English","# Customer/Account Holder Information\n# Payment Method and Tax Forms\n# Engineer/Vendor Information\n# Program and Project Information\n# Engineering Services Project Information and Deliverables\n# Customer and Engineer Acknowledgments\n# Proposed Engineering Study—EEM Summary","[{\"question\":\"What information must be provided in the customer/account holder section?\",\"answer\":\"The form requires company and contact person details, installation site and mailing addresses, and electric and natural gas account information, including account numbers and related fields.\"},{\"question\":\"What deliverables does the engineer provide after approval?\",\"answer\":\"After approval, the engineer supplies a draft report for review, a final report in hard copy and electronic format, electronic copies of all appendices and supporting documentation, completed program application forms, and a minimum requirements document (MRD) based on the attached template.\"},{\"question\":\"How should the EEM summary table be filled out for each energy efficiency measure?\",\"answer\":\"Submit the EEM number and description, enter study personnel hourly-rate titles and rates, estimate total study cost and order-of-magnitude annual savings (kWh and therms), and provide typical simple payback years; detailed calculations are not required for the initial proposal.\"}]","NHSaves Engineering Services Application Form | PDF",1789799780]