SEDAC ENERGY ASSESSMENT APPLICATION

SEDAC is located at the University of Illinois at Urbana-Champaign and is sponsored by the Illinois Department of Commerce and Economic Opportunity. SEDAC can provide in depth energy assessment services (Level 2 and Level 3) for most Illinois businesses and public entities with buildings greater than 20,000 square feet. Smaller buildings can also be eligible depending on energy use - apply to determine eligibility.

Please note that for existing buildings, SEDAC requires copies of at least 12 months (preferably 24 months) of utility bills to properly assess the facility. For buildings over 150,000 square feet, copies of plans of the building are requested if available.

Please complete all fields if possible. Questions marked with a red asterisk (*) are required.

Required Information     Click icon to see the input format

APPLICANT INFORMATION	Company/Organization name			Application date
	Address
	City	County Unknown Not in Illinois Adams Alexander Bond Boone Brown Bureau Calhoun Carroll Cass Champaign Christian Clark Clay Clinton Coles Cook Crawford Cumberland DeKalb De Witt Douglas DuPage Edgar Edwards Effingham Fayette Ford Franklin Fulton Gallatin Greene Grundy Hamilton Hancock Hardin Henderson Henry Iroquois Jackson Jasper Jefferson Jersey Jo Daviess Johnson Kane Kankakee Kendall Knox Lake La Salle Lawrence Lee Livingston Logan McDonough McHenry McLean Macon Macoupin Madison Marion Marshall Mason Massac Menard Mercer Monroe Montgomery Morgan Moultrie Ogle Peoria Perry Piatt Pike Pope Pulaski Putnam Randolph Richland Rock Island St. Clair Saline Sangamon Schuyler Scott Shelby Stark Stephenson Tazewell Union Vermilion Wabash Warren Washington Wayne White Whiteside Will Williamson Winnebago Woodford	State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip
	Contact name		Job title
	E-mail		Phone

PROJECT INFORMATION	Building name		Estimated building size in sq ft (use numbers only, no commas or words)
	Please check here if the address is the same
	Address
	City	County Adams Alexander Bond Boone Brown Bureau Calhoun Carroll Cass Champaign Christian Clark Clay Clinton Coles Cook Crawford Cumberland DeKalb De Witt Douglas DuPage Edgar Edwards Effingham Fayette Ford Franklin Fulton Gallatin Greene Grundy Hamilton Hancock Hardin Henderson Henry Iroquois Jackson Jasper Jefferson Jersey Jo Daviess Johnson Kane Kankakee Kendall Knox Lake La Salle Lawrence Lee Livingston Logan McDonough McHenry McLean Macon Macoupin Madison Marion Marshall Mason Massac Menard Mercer Monroe Montgomery Morgan Moultrie Ogle Peoria Perry Piatt Pike Pope Pulaski Putnam Randolph Richland Rock Island St. Clair Saline Sangamon Schuyler Scott Shelby Stark Stephenson Tazewell Union Vermilion Wabash Warren Washington Wayne White Whiteside Will Williamson Winnebago Woodford	State	Zip
	Sector PUBLIC  COMMERCIAL  NON-PROFIT
	Project type EXISTING BUILDING  NEW CONSTRUCTION
	Project description
	Firms working with you on project (architecture, engineering, etc.)	Referred to SEDAC by

ENERGY USAGE INFORMATION	ELECTRICITY	NATURAL GAS/FUEL OIL
	Cost per year	Cost per year
	Delivery company   Ameren ComEd Other	Delivery company   Ameren Nicor Peoples North Shore Other
	If other electricity delivery company, please specify:	If other gas company, please specify:
	Account number	Account number
	Supply company (if different) Ameren Illinois ComEd Municipal Cooperative Alliant Energy Ameren Energy Marketing BlueStar Commerce Energy Constellation Direct Energy Exelon Glacial Energy Integrys MidAmerican Peoples Energy Services Pepco Energy Services Sempra Energy Strategic Energy SUEZ Energy Vanguard Other	Supply company (if different) Ameren Illinois ComEd Municipal Cooperative Alliant Energy Ameren Energy Marketing BlueStar Commerce Energy Constellation Direct Energy Exelon Glacial Energy Integrys MidAmerican Peoples Energy Services Pepco Energy Services Sempra Energy Strategic Energy SUEZ Energy Vanguard Other
	Additional Energy Information
	All electric
	District heating/cooling
	Alternate fuel Propane Fuel oil Other

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If you're having a problem submitting application, please contact info@sedac.org or 1-800-214-7954