Network Integration Transmission Service

Network Customer
Company Name
Representative Name
Title
Business Address
Telephone	Fax
e-mail
Contact for Settlements
Name
Telephone	Fax
e-mail
Contact for Invoicing
Name
Street Address
Telephone	Fax
e-mail
Contact for Pre-Scheduling
Name
Time Zone	Work Hours
Telephone	Fax
e-mail
Contact for Real-time Operations
Name
Time Zone	Work Hours
Telephone	Fax
e-mail
Procedures for initiating Network Integration Transmission Service with Portland General Electric Company (PGE) are set forth in Section 29.2 of PGE’s Open Access Transmission Tariff (OATT). These procedures require the submittal of an Application. Applicants should submit the information identified on this application and attachments (refer to Section 29.2 of the OATT). PGE is generally able to process a request for Network Integration Transmission Service expeditiously upon receipt. Special requests or circumstances may require the provision of additional information. PGE will rely upon the information provided in processing a customer’s application.

Network Integration Transmission Service

Network Service Information
Type of Service	Network	Retail Network
Service Commencement Date
Term of Service (years)
DUNS Number
NERC ID
Please complete and attach the following forms with this application: On-System Designated Network Resource Request Form – one per resource as applicable Off-System Designated Network Resource Request Form – one per resource as applicable Network Load Description Form – one per load as applicable Summer Interruptible Network Load Form – one per load as applicable Winter Interruptible Network Load Form – one per load as applicable Note that Designated Network Resource Request Forms require an attestation.
Contract Information
Name of person that will sign
Title
Applicant
By signing below, the applicant acknowledges that the party requesting Network Integration Transmission Service is an eligible customer under Section 1.12 of PGE’s OATT.
Printed Name of Applicant
Applicant Signature
Title
Date

If you have any questions about this Application please contact:

Phone:	(503) 464-7902

Fax:	(503) 464-7796

Email:	TransmissionProvider@pgn.com