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Get Sce Net Surplus Compensation Form

Southern California Edison Rosemead California U 338-E Cancelling Revised Original Cal. PUC Sheet No. 53584-E 48772-E Sheet 1 SCHEDULES NEM MASH-VNM NEM-V NET SURPLUS COMPENSATION RATE AND RENEWABLE ENERGY CREDITS COMPENSATION SELECTION FORM T Form 14-906 To be inserted by utility Advice 2975-E Decision 11-06-016 1C11 Issued by Megan Scott-Kakures Vice President Date Filed Nov 26 2013 Effective Jan 25 2014 Resolution Schedules NEM MASH-VNM NEM-V Net Surplus Compensation Rate and Renewable Energy Credits Compensation Selection Form Customer Information as it appears on your monthly SCE statement Customer or Business Name Street Address City State Zip Phone Service Account I am interested in receiving compensation for the net surplus electricity I generate during my 12-month relevant period. The NSCR will be posted on a monthly basis at http //www. sce. com//wps/portal/home/regulatory/tariff-books/rates-pricing-choices/net-surpluscompensation N I am not interested in participating in the program and elect not to receive compensation* In order to receive Net Surplus Compensation NSC I certify under penalty of perjury that my generating facility is a Qualifying Facility pursuant to the Public Utility Regulatory Policies Act of 1978 that is exempt from certification filling at the Federal Energy Regulatory Commission* below please check one box I elect to receive a check for my NSC and REC at the end of my relevant period. SCE will perform a normal reconciliation and will zero out my account. I elect to roll over any credit for my NSC and REC to my next relevant period. SCE will perform a into the next relevant period and will be applied to my future electricity bills. By completing and returning this form to SCE I confirm the above NSC and REC payment selections. I understand that the terms of my selections are subject to any future changes directed by legislature the California Public Utilities Commission or applicable law. I understand that I can change my compensation selection once every 12 months. For your convenience if required this form will be mailed to you by SCE* Customer Signature Signature Print Name Date Please return this form to Net Energy Metering NSCR and REC GO5-D2 1515 Walnut Grove Avenue Rosemead CA 91770-9810 11/2013. The NSCR will be posted on a monthly basis at http //www. sce. com//wps/portal/home/regulatory/tariff-books/rates-pricing-choices/net-surpluscompensation N I am not interested in participating in the program and elect not to receive compensation* In order to receive Net Surplus Compensation NSC I certify under penalty of perjury that my generating facility is a Qualifying Facility pursuant to the Public Utility Regulatory Policies Act of 1978 that is exempt from certification filling at the Federal Energy Regulatory Commission* below please check one box I elect to receive a check for my NSC and REC at the end of my relevant period. SCE will perform a normal reconciliation and will zero out my account. I elect to roll over any credit for my NSC and REC to my next relevant period.

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