Service Form 833-464-4675 5160 Van Nuys Blvd #276 Sherman Oaks, 91403 CA Please enable JavaScript in your browser to complete this form.Authorization NumberPage NumberPurchaser Name *Job Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWork PhoneGNRG INC. hereinafter referred to as Company, is hereby authorized by the Owner(s) of the premises mentioned below, hereinafter referred to as Purchaser, to furnish all necessary materials, labor and workmanship to install, construct and place the improvement according to the following description of work, including materials and equipment to be used, on premises below described:DESCRIPTION OF WORK TO BE DONEService1. Cleaning and service the system, check the production and generate a reportYesNo2. Inverter InspectionYesNo3. Microinverter or Optimizer InspectionYesNoRequier4. Defected PanelsYesNoQtyWatt5. Rewire a Complete SystemYesNo6. Install New Monitor or Replace Old OneYesNo7. MPUYesNo8. Install New 240 OutletYesNo9. EV Car ChargerYesNoCOMMENTSTotal Work Order Price $Monthly services offMonthly Service Offinclude: Solar Panels Cleaning Twice a Year, Servicing the System, Checking System Production, Monitor Daily, any Repairs under is Free. (parts not included)Credit Card #Exp DateCVVZIPBank Account #Routing #Homeowner Signature *Clear SignatureDate *Representative Signature *Clear SignatureDate *Submit