Apply For An Assessment Assessment Applications Tell Us About YouCompany Name(Required)Site Location(Required)For example, 1500 Illinois St, Golden, CO 80401Contact Name(Required) First Last Contact Phone Number(Required)Contact Email Facility Specific Information & QualificationsDo you represent a commercial building, wastewater plant, or manufacturing facility?(Required) Commercial building Manufacturing facility Wastewater plant Other How much do you spend on energy (electric, natural gas) annually?(Required)What is the annual revenue for your facility? ($)(Required)*Keep in mind that your identity, data collected, pictures obtained and all information including reports produced are treated as Confidential information. All information is considered confidential starting at our first meeting, unless given specific instruction/permission to share information.Has your company been audited by a DOE IAC program in the past?(Required) Yes No If so, when?MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Does your company have professional in-house staff for energy assessments?(Required) Yes No Other Concerns or Comments?Reason for Assessment / ConcernsHow did you hear about us?Thank you for applying We will be in touch with you shortly.
