Ill. Admin. Code tit. 83, § 466.APPENDIX A
2) Final Interconnection and Operation. The interconnection customer may operate the DER facility and interconnect with the EDC's electric distribution system after all of the following have occurred:
c) The EDC has completed its witness test as per the following:
6) Disconnection. The EDC may disconnect the DER facility upon any of the following conditions, but must reconnect the DER facility once the condition is cured:
b) For unscheduled outages or emergency conditions;
d) Improper installation or failure to pass the witness test;
10) Termination. This Agreement may be terminated under the following conditions:
18) Notice. The Parties may mutually agree to provide notices, demands, comments, or requests by electronic means such as e-mail. Absent agreement to electronic communication, or unless otherwise provided in this Agreement, any written notice, demand, or request required or authorized in connection with this Agreement shall be deemed properly given if delivered in person, delivered by recognized national courier service, or sent by first class mail, postage prepaid, to the person specified below:
If to Interconnection Customer:
Use the contact information provided in the interconnection customer's application. The interconnection customer is responsible for notifying the EDC of any change in the contact party information, including change of ownership.
If to EDC:
Use the contact information provided below. The EDC is responsible for notifying the interconnection customer of any change in the contact party information.
| Name: | |||||||||||||
| Mailing Address: | |||||||||||||
| City: | State: | Zip Code: | |||||||||||
| Telephone (Daytime): | (Evening): | ||||||||||||
| Facsimile Number: | E-Mail Address: | ||||||||||||
Illinois Standard Distributed Energy Resources Interconnection
Level 1
Interconnection Request Application Form and
Conditional Agreement to Interconnect
(Lab-Certified Inverter-Based Distributed Energy Resources Facilities 25 kW and Smaller)
An application fee of $50.00 must be submitted with the application.
Interconnection Applicant Contact Information
| Name: | |||||||||||||
| Mailing Address: | |||||||||||||
| City: | State: | Zip Code: | |||||||||||
| Telephone (Daytime): | (Evening): | ||||||||||||
| Facsimile Number: | E-Mail Address: | ||||||||||||
Alternate Contact Information (if different from Applicant)
| Name: | |||||||||||||
| Mailing Address: | |||||||||||||
| City: | State: | Zip Code: | |||||||||||
| Telephone (Daytime): | (Evening): | ||||||||||||
| Facsimile Number: | E-Mail Address: | ||||||||||||
Equipment Contractor
| Name: | |||||||||||||
| Mailing Address: | |||||||||||||
| City: | State: | Zip Code: | |||||||||||
| Telephone (Daytime): | (Evening): | ||||||||||||
| Facsimile Number: | E-Mail Address: | ||||||||||||
Electrical Contractor (if Different from Equipment Contractor):
| Name: | ||||||||||||||||||
| Mailing Address: | ||||||||||||||||||
| City: | State: | Zip Code: | ||||||||||||||||
| Telephone (Daytime): | (Evening): | |||||||||||||||||
| Facsimile Number: | E-Mail Address: | |||||||||||||||||
| License number: | ||||||||||||||||||
| Active License? | Yes | No | ||||||||||||||||
Is the Interconnection Customer requesting Net Metering in accordance with 83 Ill. Adm. Code 465?
Yes No
Distributed Energy Resources Facility ("Facility") Information
| Facility Address: | |||||||||||||||||||||||||||
| City: | State: | Zip Code: | |||||||||||||||||||||||||
| Electric Distribution Company (EDC) serving Facility site: | |||||||||||||||||||||||||||
| Electric Supplier (if different from EDC): | |||||||||||||||||||||||||||
| If existing EDC electric service exists at point of interconnection: | |||||||||||||||||||||||||||
| Account Number of site: | |||||||||||||||||||||||||||
| EDC billing meter ID | |||||||||||||||||||||||||||
| Inverter Manufacturer: | Model: | ||||||||||||||||||||||||||
| Is the inverter lab-certified as that term is defined in the Illinois Distributed Energy Resources Interconnection Standard? Yes No | |||||||||||||||||||||||||||
| (If yes, attach manufacturer's technical specifications and label information from a nationally recognized testing laboratory.) | |||||||||||||||||||||||||||
| Generation Facility Nameplate Rating: | (kW) | (kVA) | (AC Volts) | ||||||||||||||||||||||||
| Total Facility Nameplate Capacity: | (kW) | (kVA) | |||||||||||||||||||||||||
| Prime Mover: | Photovoltaic | Reciprocating Engine | Fuel Cell | ||||||||||||||||||||||||
| Turbine | Other | ||||||||||||||||||||||||||
| Energy Source: | Solar | Wind | Hydro | Diesel | |||||||||||||||||||||||
| Storage | Combination | ||||||||||||||||||||||||||
| Natural Gas | Fuel Oil | Other | |||||||||||||||||||||||||
| Commissioning Date: | |||||||||||||||||||||||||||
(If the Commissioning Date changes, the interconnection customer must inform the EDC as soon as it is aware of the changed date.)
Limited Export and Non-Export Controls Information
| Manufacturer: | |||||||||||
| Model Number: | M | ||||||||||
| Limited Export or Non-Export? | Limited Export | Non-Export | |||||||||
| Control Type: | Reverse Power Protection | Minimum Power Protection | |||||||||
| Relative Distributed Energy Resource Rating | Configured Power Rating | ||||||||||
| Limited Export Power Control Systems | Limited Export using mutually agreed-upon means | ||||||||||
| Directional Power Protection | |||||||||||
| Export Capacity Value (in kW): | |||||||||||
| Control Power Setting: | |||||||||||
| Control Power Time Delay (if any): | |||||||||||
Battery Storage Facility Information (If Applicable)
| Do the batteries share an inverter with a renewable energy system? | ☐ Yes | ☐ No | |||||||||
| Does the applicant intend to have the batteries charged by the distribution grid? | ☐ Yes | ☐ No | |||||||||
| System Manufacturer: | |||||||||||
| Model: | |||||||||||
| Battery Type: | |||||||||||
| Battery Charge/Discharge Rating (kW AC): | |||||||||||
| Maximum Battery Charge/Discharge Rate (kW AC per second): | |||||||||||
| Battery Energy Capacity (kWh): | |||||||||||
| Power Factor Settings Range: | |||||||||||
Battery Storage Inverter Information
| Energy System Manufacturer: | Model: | Type: ☐ Forced ☐ Commutated |
| Line Commutated Rated Output | Watts: | Volts: | Efficiency: | ____ % | Power Factor: | ____ % |
| Inverter IEEE 1547 / UL 1741 Listed: | ☐ Yes | ☐ No | |||||||||||||||
| Number of Inverters: | Total Capacity: | kW | |||||||||||||||
| DC Source / Prime Mover: | - Rating: | kW Rating: | |||||||||||||||
| kVA Rated Voltage: | Volts | ||||||||||||||||
| Open Circuit Voltage (If Applicable): | Volts | ||||||||||||||||
| Rated Current: | Amps | ||||||||||||||||
Battery Operational Information
Backup – allows for partial or whole home transition to off-grid during a grid outage. ☐ Yes ☐ No
Solar Self-Powered – the battery will charge from the renewable energy source during normal operation and discharge to serve loads behind your meter. ☐ Yes ☐ No
Solar Non-Export – limits the export of energy to the grid to zero for both the battery and inverter, even if the battery system is fully charged and there is excess renewable source energy. ☐ Yes ☐ No
Time-Based Control (sometimes called time-of-use or TOU mode) – the battery charges during off-peak hours and discharges to serve onsite loads during on-peak hours. ☐ Yes ☐ No
| Describe any other intended operation of the battery: | ||
Insurance Disclosure
The attached terms and conditions contain provisions related to liability and indemnification, and should be carefully considered by the interconnection customer. The interconnection customer shall carry general liability insurance coverage, such as, but not limited to, homeowner's insurance. Whenever possible, the interconnection customer shall name the EDC as an additional insured on its homeowner's insurance policy, or similar policy covering general liability.
Customer Signature
I hereby certify that: (1) I have read and understand the terms and conditions which are attached hereto by reference; (2) I hereby agree to comply with the attached terms and conditions; and (3) to the best of my knowledge, all of the information provided in this application request form is complete and true.
| Applicant Signature: | |||||
| Title: | Date: | ||||
………………………………………………………………………………………………………
Conditional Agreement to Interconnect Distributed Energy Resources Facility
Receipt of the application fee is acknowledged and, by its signature below, the EDC has determined the interconnection request is complete. Interconnection of the distributed energy resources facility is conditionally approved contingent upon the attached terms and conditions of this Agreement, the return of the attached Certificate of Completion, duly executed verification of electrical inspection and successful witness test.
| EDC Signature: | Date: | ||||
| Name: | Title: | ||||
Terms and Conditions for Interconnection
(Source: Amended at 46 Ill. Reg. 9666, effective May 26, 2022)