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Design & Installation
Gallery
About Us
FAQs
Service Request
Get Started
New Customer Inquiry
New Customer Inquiry
Assured Solar Information Intake Form
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Your Name
(Required)
First
How did you hear about us? Were you referred to us by anyone? Let us know! We have a generous referral program, and want to be sure to pay credit where it is due! *We really appreciate you taking the time to answer this question*
(Required)
Preferred Method of Contact
(Required)
Email
Phone
Your Email Address
(Required)
Email Address
Confirm Email Address
Your Phone
(Required)
Please provide the full address with the solar installation.
(Required)
Street Address
City
ZIP Code
What is your ideal timeline for installation of your solar project? (ASAP, next year, etc.) *
(Required)
What type of system are you interested in:
(Required)
Grid-tied without battery backup
Grid-tied with battery backup
Off-grid
I'm not sure
Do you have, or do you plan to have an electric vehicle?
(Required)
Yes
No
Maybe
If you do have an electric vehicle, how long have you had it?What is the make and model? Do you need an EV charger?
(Required)
What type of solar mount are you interested in?
(Required)
Ground
Roof
I'd like more information.
If you would like a roof mount, please share what type of roof you have: (Leave blank if N/A)
(Required)
Asphalt Shingles
Metal (if metal, please send us a photo of the profile.)
Other:
What year was your roof installed, and what condition is it in?
(Required)
Is this property
(Required)
Residential
Commercial
This is an example of a main service panel.
Where is the main service panel located? Please be specific. Ex: in the basement in the northeast corner.
(Required)
Is there a service/emergency disconnect breaker on the outside of your home near or attached to the utility meter?
(Required)
Yes
No
I'm not sure.
Other:
Do you have a heat pump?
(Required)
Yes
No
If you do have a heat pump, how long have you had it?
(Required)
Do you plan to install a heat pump/add more? If so, when? How many?
(Required)
In the last year, have you installed any new appliances that use significant electricity? (example: hot tub) If so, when were they installed?
(Required)
Do you have a generator?
(Required)
Yes
No
If you do have a generator, how old is it? Is the generator automatic or manual start? Do you have a transfer switch, or is the generator attached to a breaker?
(Required)
Are you planning on any tree removal, or have any trees been removed recently?
(Required)
Yes
No
No, but I am open to it.
I have recently removed trees.
If you know your lot number, please provide it here. This information helps us to populate your renewable energy exemption form when your install is complete. Thank you!
(Required)
Is there any additional information you would like to share with our design team?
(Required)
Email
This field is for validation purposes and should be left unchanged.