2024 LIGHTING INCENTIVE CATALOG SUPPLEMENTAL DATA SHEET (SDS) THIS FORM MUST BE ATTACHED TO COMPLETED INCENTIVE APPLICATION AND SUBMITTED TOGETHER. FOR PROJECTS INSTALLED BY 12/31/2024. NEED HELP? CALL 800.762.7077 HOW TO FILL OUT THIS FORM Refer to the Lighting Incentive Catalog for measure requirements and information. CUSTOMER INFORMATION
JOB SITE BUSINESS NAME
• Complete the table corresponding to the measure in the catalog. • For electronic version of SDS, visit focusonenergy.com/catalogs . • New Equipment wattage should reference the DesignLights Consortium® (DLC) Solid State Lighting (SSL) Qualified Product List (QPL) listed (TRT V5.0 or higher) performance data (Reported or Tested), ENERGY STAR® certificate rated wattage, or specification sheet wattage for the installed model. • For watts reduced measures (Table A), see system wattage table on page 9 for ‘wattage of existing equipment’ inputs.
JOB SITE ADDRESS
TRADE ALLY NAME
REMINDER Exact model numbers and manufacturer of equipment installed must be identified on invoicing and any qualified product list when required. For Focus on Energy’s Private Label policy, see page 7 of the Lighting Incentive Catalog.
Attach this form to a completed Incentive Application and submit together.
A
WORKSHEET FOR WATTS REDUCED MEASURES INCENTIVE CODE: L3903, L3904, L4813, R5235, R5236.
PAGES 13-15, 21-22
(A) WATTS/FIXTURE, EXISTING EQUIPMENT
(B) QUANTITY OF EXISTING EQUIPMENT
(D) QUANTITY OF NEW EQUIPMENT*
(E) WATTS REDUCED PER FIXTURE (A - C)
(F) INCENTIVE RATE ($/WATT REDUCED)
TYPE OF EXISTING EQUIPMENT
(C) WATTS/FIXTURE, NEW EQUIPMENT
TOTAL INCENTIVE** (D X E X F)
INCENTIVE CODE
TYPE OF NEW EQUIPMENT
LOCATION
10W LED Track Head
46W
5
10W
5
36
$0.15/W Reduced
$27.00
(Example) Office L4813
1 - 42w CFL
If applying for an interior or exterior LED sign light measure, please include the existing ballast make and model number in addition to the specific lamp type or provide metering data (amperage and voltage readings) of the existing equipment.
B
WORKSHEET FOR WATTS CONTROLLED MEASURES INCENTIVE CODE: L3406, L5061, L5062, L4812, L5063, L5064
PAGES 29-30
(C) TOTAL WATTS CONTROLLED (A X B)
(D) INCENTIVE RATE ($/WATT CONTROLLED )
(A) WATTAGE PER FIXTURE
TOTAL INCENTIVE** (C X D)
(B) QUANTITY OF FIXTURES
LOCATION INCENTIVE CODE
FIXTURE DESCRIPTION
45W LED 2x4 Troffer
45
75
3,375W
$0.10
$337.50
(Example) School
L3406
* Existing and proposed fixture quantity must be the same except for signage measures. ** Focus on Energy may adjust total incentive based on projects caps or variances in wattages provided for existing or proposed conditions. See measure requirements and Terms and Conditions for more information.
8
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