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Simplified Energy Form-rev 8-1-18 xlsx 2026

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Click ‘Get Form’ to open the Simplified Energy Form in the editor.
Begin by entering the Building Address, Subdivision, and Permit No. in the designated fields at the top of the form.
Fill in your Builder Name, Address, Phone, and Email to ensure proper identification and communication.
Select one method of compliance: either 'Simplified Prescriptive Approach' or 'Participation in an approved Energy Performance Testing Program'. If you choose the first option, continue filling out the remainder of the form.
For the 'Simplified Prescriptive Approach', complete the Insulation section by entering U-Factor values for each component listed (Ceiling-Attic, Walls, Floors, etc.).
Choose your Glazing Options and provide U-Factor and Solar Heat Gain values as required.
Complete the HVAC section by indicating your system type and SEER ratings.
Finally, ensure that all information is accurate before signing and dating at the bottom of the form.

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