Customer Support Internal Intake Form
Contact Info
First Name *
Last Name *
Email *
Mobile
Phone
CCO Agent Name *
CCO Employee ID *
Account Info
Billing Account Number
Company *
i
If Residential, enter the property type (e.g., Single‑Family, Multi‑Family, Condo, Apartment, HOA)
Street *
City *
State *
Zip Code *
Outdoor Lighting
Energy Efficiency
Which products or services are you interested in?
Outdoor Lighting
Energy Efficiency
Customer Type
Commercial
Industrial
Residential
What best describes your organization?
Outdoor Lighting
New Outdoor Lighting
Upgrade to existing outdoor lighting
Is this request for
Yes
No
Unsure
Do you currently have Duke Energy Outdoor Lighting installed?
Energy Efficiency
Energy efficiency upgrades
Demand response programs
Energy audits / assessments
Not sure / need guidance
What type of assistance are you interested in?
Energy efficiency upgrades
Demand response programs
Energy audits / assessments
Not sure / need guidance
Program Eligibility
Looking to reduce energy costs
Interest in sustainability or carbon reduction
Planning facility upgrades or expansion
New construction or major renovation underway
Which of the following apply?
Looking to reduce energy costs
Interest in sustainability or carbon reduction
Planning facility upgrades or expansion
New construction or major renovation underway
Project Readiness
Immediate
Near term
Future / exploratory
Estimated project timeline
Additional comments or project details
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Please describe your needs or questions
Project Readiness
Outdoor Lighting:
Immediate
Near term
Future / exploratory
Estimated project timeline
Additional comments or project details
i
Please describe your needs or questions
Energy Efficiency:
Immediate
Near term
Future / exploratory
Estimated project timeline
Additional comments or project details
i
Please describe your needs or questions
Submit
Submission received. Routed to Revenue Enablement. The team will follow up as needed.
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