NON-RESIDENTAIL SERVICE REQUEST/LOAD SHEET FORM To provide you with timely and accurate service, please complete all five sections of this form. Duke Energy Carolinas will assess a nonrefundable $15 connect fee for all newly activated electric accounts. The Delivery Information and Load/Equipment information sections are needed by our engineering group to accurately meet your electrical requirements. Please be aware that a load sheet is required for each meter. If this information is not available at this time, please complete the Billing Information, Service (Site) Address Information and Additional Contact Information sections so we can initiate your service request. Please email, fax or mail this information to: Email - loadsheets@duke-energy.com • FAX - 800.943.6910 Mail - Duke Energy, Attn: Business & Industry, 9700 David Taylor Drive, Charlotte, NC 28262-2683 1) BILLING INFORMATION – Complete applicable fields Customer’s Legal Billing Name (Should match Federal Tax ID): Form of Ownership: Sole Proprietor Partnership Corporation Limited Liability Partnership Doing Business As (DBA): Mailing Address: City: Additional Mailing Info: Billing Contact Name: Daytime Phone #: Email: Property Ownership: Name of Property Owner: Limited Liability Corporation Federal Tax ID / SS#: State: Zip Code: Title: FAX #: Own Rent / Lease Have you ever had non-residential service with Duke Energy? If yes, list other Duke Energy account # or service address: If no, provide Dunn & Bradstreet (D&B) number if applicable: Yes No 2) SERVICE (SITE) ADDRESS INFORMATION – Complete applicable fields. New Service (No Existing Service Lines) Existing Service (Existing Service Lines) Upgrade Existing Service (Existing Service Lines) Provide Duke Energy account # or Meter #: Service Address/Location: City: County: Directions from the main road: State: Zip Code: What type of business or facility will this meter serve? (e.g. Plastic Extrusion Plant, High School, Retail Shoe Store, EV Charging Station, etc.) Actual Hours of Operation: M - F: Requested by: Daytime Phone #: Email: Alternate Phone #: Weekends: Other: Title: FAX #: Date Service Needed: NOTE: A final inspection may be needed to complete your service request. Check with the appropriate City or County Inspections Dept. to determine their communication procedures with Duke Energy. 3) ADDITIONAL CONTACT INFORMATION – Complete applicable fields. General Contractor/Builder Name: Electrician/Engineer Name: Daytime Phone #: Daytime Phone #: Alternate Phone #: Alternate Phone #: FAX #: FAX #: Email: Email: 4) DELIVERY INFORMATION – Complete applicable fields. (We do not except electrical schematics in place of the form) Note: Please have your Contractor, Engineer or Electrical Contractor access Duke Energy Carolinas’ Service Requirements Manual Total (kW) Load: Additional (kW) Load Only: Check box if this service will be service to a shell space: Check Service Desired: Overhead Customer wire type: Aluminum Check Phase Desired: Single Phase Delivery Voltage: Service Panel Size: # Conductors Per Phase: # Neutral Conductors: (Volts) (Amps) Underground Copper Three Phase Number of wires: 3 4 Size of Conductors: Size of Neutral: NOTE: If underground 3 Phase Service is required, the maximum number of conductors per phase varies based on wire size. (For example: 8 for 700MCM to 750MCM and 10 for 600 MCM or smaller.) Gross Square Footage: Duke Energy Work Request #: Send Confirmation FAX to: Conditioned Square Footage: FAX #: 5) LOAD / EQUIPMENT INFORMATION – Complete applicable fields: LIGHTING / RECEPTACLE Interior Lights (Total kW) Exterior Lights (Total kW) Receptacles (Quantity) Receptacles (Total kW) WATER HEATING Domestic Sanitary Booster Instant / Tankless Quantity Quantity Quantity Quantity Gallons Gallons Gallons Total kW Total kW Total kW HEATING / COOLING Type of Heat / Cooling QTY List heat / cooling source below. (Examples heat pump, strip heat, electric furnace, chiller, water source heating) SIZE (Tons or kW Preferred) Total kW kW (per unit) Back – up heating source (if applicable) Provide Starting/Lock rotor Amps for the largest unit: . If this unit has starting compensation, provide a description: Note: Starting compensation required on units greater than 5 tons (7.5 kW) Type of Equipment (Cooking, Refrigeration, Other) Description of Each Motor (Motors not included elsewhere on this form) FOOD SERVICE EQUIPMENT Description (Range, Refrigeration, Freezer, Microwave, etc.) QTY QTY MOTOR DATA HP Starting Frequency (Per Unit) # Times / Interval kW (per unit) 3 Phase Y/N Provide Starting/Lock rotor Amps for the largest unit: . If this unit has starting compensation, provide a description: Note: Starting compensation required on units greater than 5 tons (7.5 kW) Type of Equipment (Welder, X-Ray, MRI, EV Charging Station) OTHER EQUIPMENT QTY Amps Volts (Per Unit) (Per Unit) kW (Per Unit) 3 Phase Y/N Provide Starting/Surge rotor Amps for the largest unit: . If this unit has starting compensation, provide a description: Note: Starting compensation required on units greater than 5 tons (7.5 kW) Special Instructions: Please copy load equipment page additional equipment that was not captured above. Questions? Please call: 800.653.5307 ©2015 Duke Energy Corporation 13-014LU 5/15