You Property details Please complete this form with information about your property. We’ll be in touch again once we recieve this. You can upload photos to these forms. It may be easier to open this form on you phone to load photos direct. Let us know if you need a hand. 1Your details2Electricity Supply3Electricity Use4Property information5Battery Storage6Site Information Your detailsYou can update these details if required, otherwise skip to the last question below and then click 'Next' to move to the next page of this formName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Phone*Do you own this property ?*This helps us offer the correct Picosolar subscription for your home. We can also help people who rent their home with a solar PV solution that benefits you and the house owner. Yes No Your Energy use informationPlease complete as much of this information as possible as its really helps to understand how much and how your household consumes energy. This will help Energyshare provide the right sized Picosolar system for your needs so you can benefit financially from your Picosolar system. Approximately, how many kWhr of electricity do you use use each year ?*You might see this on your electricity bill. The average NZ home electricity consumption north of Christchurch is around 8000 kWhr. Its a bit higher in the lower south Island at around 9000 kWhr. Please enter a number from 1000 to 30000.Your Electricity retailerPlease select your electricity retailer name from the list. This is used to assess your electricity price structure and is required info for network lines application. ContactGenesis EnergyElectric KiwiEnergy OnlineFlick ElectricPowershopMeridianMercuryNovaPulseTrust PowerEcotricityImport / Export electricity meter*Your Electricity retailer is required to install an Import/Export meter if your property doesnt already have one of these smart type meters. The cost is approx $175 and will be added to your electricity retailer invoice. Do you agree to have an Import / Export installed ? Yes No What is your electricity bill ICP numberThis is your unique electricity network identifier that is printed on your electricity bill. You may have more than 1 of these if you have more than a single electricity connection at your address. Add all numbers spearated with a comma Your Electricity retailer account numberThis is used in the application for an Import / Export meter and also for your electricity retailer to update your account information Upload a photo of your electricity billEnergyshare can help decode the details on your electricity bill and corrolate this with the information you've added to this form. You can upload photo images (back and front of bill) or attach the electronic bill your electricity retailer may have emailed to you. Drop files here or Select files Accepted file types: jpg, png, jpeg, pdf, Max. file size: 5 MB, Max. files: 3. Number of electricity phases at your property*if you know this, please select from below. This is required for selecting the correct solar inverter for you property Single Phase 2 phase 3 phase Im unsure how many phases What do you use electricity for ?This page helps Energyshare understand what size Picosolar system is required for your propertyHow many adults live at your home*12345678910How many children live at your home*112345678910> 10What energy type do you use to heat your hot water ?* Electricity Bottled gas Street supply gas Do you use a Gas Stove ?*If you have a gas hot water system you may be using gas for cooking also. Let us know as this helps work out your electricity consumption profile and the right sized Picosolar PV system for your home. Gas Stove Electric Stove Other What is your primary space heating method ?*What type of heaters do you primarily use Electric Heatpump Gas heater Electric heater Do have a heated swimming or spa pool*NoYes Your house detailsPlease complete the details below to describe the type of premises where the intended solar PV system will be installed. This will help Energyshare with assessing what type of PV system is suitable to ensure you will benefit from joining Energyshare cooperative. Roof material* ,img src="http://54.253.22.32/wp-content/uploads/2021/03/asbestos-roof_200px.jpg" What is your approximate roof pitch ?This information helps to optimise the installation design flat under 30 degrees between 30 - 45 degrees steeper than 45 degrees Roof photosYou can take a photo of your roof and upload here to assist Energyshare assessing your roof type. To make it easy, if you open this form on your mobile phone, you can use the phone camera and load the photos here. Drop files here or Select files Max. file size: 40 MB, Max. files: 5. Your electricity switchboardApproximately how old is your home electricity switchboard*In some cases we can only install solar PV systems if the switchboard is upgraded to make it compliant with latest regulationsless than 10 years11 to 25 years26 to 50 yearsolder than 50 yearsDo you know if the switchboard contains asbestos ?*If there is any asbestos present, the switchboard will need to be replaced There is no asbestos Im unsure if there is asbestos Yes, there is asbestos Please upload pictures of your switchboardThis will help us quickly assess what your switchboard condition is in and whether we need to advise you of any possible changes. Drop files here or Select files Max. file size: 40 MB, Max. files: 4. Electricity Meter Location*Please select which meter location applies to your propertyOn an outside wallInside houseInside garageOtherMeter Location informationPlease add more information regarding the location of your electricity meter and switchboard location as needed. How many levels is your house roof from the groundThis will help us plan your installation requirement Single level2 levels3 levels4 or more levels Battery StorageDo you require Battery storage for any particular reasonA electricity storage battery can be included with your Picosolar installation if required. Batteries are not included in the Picosolar lease programme but we can include for you to buy at a very discounted price for Energyshare members. Please choose any of the options below. I dont think I need a electricity storage battery I would like a battery for electricity supply security reasons I would like additional electricity supply security for medical reasons I would like a battery to assist with peak price risk of wholesale market price tariff Battery Emergency Power Supply*Would you like your battery to be used to supply emergency power to certain electrical circuits in your home if the grid power is stopped ? No Yes Do you have any medical related electricity requirements ? Site InformationPlease let us know the following information so we can be prepared when preparing a proposal for your Picosolar system. Offstreet parking*Do you have an off street parking area large enough for the installer's vehicle ? Yes No Do you have a dog at home* Yes No Please let us know any other information you would like to providePlease let us know about any particular requirements you would like considered when assessing Picosolar system design and installationPhoneThis field is for validation purposes and should be left unchanged.