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Houston, Texas 77001

(833) MY-POWUR

info@trupowur.net

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SUBMIT FOR AUDIT

July 7, 2020by TruPowur

REGISTRATION FORM
FOR COMMERCIAL AUDIT REVIEW

To submit for Audit by filling out the form below and click Submit. Fields with an asterisk (*) are required.

ADVISOR'S INFORMATION

Please enter your Energy Advisors contact information below.
If you do not have a TruPowur Energy Advisor, then enter your own information.

Name *

First

Last

Email *

NEW CLIENT CONTACT INFORMATION

Please complete the contact information below.

Name of Client/Decision Maker *

First

Last

Title of Client/Decision Maker *

Email of Client/Decision Maker *

Phone of Client/Decision Maker *

COMPANY/BUSINESS INFORMATION

Name & Address of Company as it is listed on the Utility Bill(s)
Please complete the company information below.

Company/Business Name *

Company/Business Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Company or Business *

If Other - Explain

AUDIT INFORMATION

Please complete the client information below.

Company/Business Description and any Special Notes *

Cost Center(s) - Requested for Audit *

Electric
Natural Gas
Water / Sewer
Waste Removal
Telecom / Wireless
Shipping / Freight
Financing
Cost Segregation
IT Hardware / Software
Property Tax Assessment
Merchant Processing Fees
Invoice Payment Processing
Location / Relocation Services
Payroll
401(k) 403(b)
Health Insurance
Bank Fee (Treasury)
Worker's Comp Policy Premium
ERC (Employee Retention Credit)

Please select from the list above of the Type(s) of Bill(s) you are submitting for audit.

What is the Total Monthly Spend of the Electric Account? *

Please include all pages of the most recent Electricity Invoice (Bill).

What is the Total Monthly Spend of the Natural Gas Account? *

Please include all pages of the most recent Natural Gas Invoice (Bill).

What is the Total Monthly Spend of the Water/Sewer Account? *

Please include 1 recent Water/Sewer Invoice.
The Total Minimum Monthly Spend should be No Less than $4,000 per Month per Facility.

What is the Total Monthly Spend of the Waste Removal Account? *

Please include 3 recent Waste Removal Invoices.
The Total Minimum Monthly Spend should be No Less than $2,000 per Month per Facility.

What is the Total Monthly Spend of the Telecom/Wireless Account(s)? *

Please include 3 recent Telecom Invoices.
The Total Minimum Monthly Spend should be No Less than $5,000 per Month per Facility.
Or a Minimum of a 150+ Lines of Wireless Services.

What is the Total Monthly Spend of the Shipping/Freight Account(s)? *

Please include Online Access to FedEx, UPS, and/or DHL Accounts (recommended).
The Total Minimum Monthly Spend should be No Less than $50,000 per Month in Courier Shipping.

What is the Total Monthly Spend of the Merchant Processing Account? *

Please include 1 recent Merchant Processing Statement.
The Total Minimum Monthly Spend should be No Less than $50,000 per Month in Transaction Volume.

What is the Total Annual Policy Premium of the Worker's Compensation Account? *

Please include a Copy of Current Policy.
Please include a Copy of Worker's Comp Fact Finder Form.
Please include a Copy of Worker's Comp Authorization on Company Letterhead.
The Total Minimum Annual Policy Premium should be No Less than $100,000 per Year.

Business/Industry *

Please select "Other" if your business type is not listed above.
Under the ERC, an eligible employer may claim a payroll tax credit to offset all federal employment tax paid from March 13, 2020 until September 30, 2021.
Eligible employers include those who experience a suspension of activity due to a governmental order as a result of COVID-19 OR those who experienced a significant decline in gross receipts: 50%+ for 2020 and 20%+ for 2021 compared to 2019.
Employers may claim up to $5,000 per employee for all of 2020 and up to $7,000 per employee per eligible quarter in 2021.
Weren’t eligible to claim in 2020? You may be eligible now! This credit can be claimed retroactively.

How many W-2's were issued in 2020? *

What is your estimated number of W-2's for 2021? *

Attach a copy of ALL Bills, Invoices or Supporting Documents in (PDF Format) for the above selected Cost Center(s). *

Click or drag files to this area to upload. You can upload up to 100 files.

Each file can be up to 25MB and up to 100MB in Total.
If you need help converting a file to a PDF, use PDF Tools
Customer will receive an LOA and Service Agreement via DocuSign the next business day.
ATTENTION: All customers must complete the DocuSign before any Audit will begin.

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8:AM – 4:PM

Dallas, Texas 75001

(833) MY-POWUR

8:AM – 4:PM

Dallas, Texas 75001

(833) MY-POWUR

REGISTRATION FORM FOR COMMERCIAL AUDIT REVIEW

ADVISOR'S INFORMATION

NEW CLIENT CONTACT INFORMATION

COMPANY/BUSINESS INFORMATION

AUDIT INFORMATION

REGISTRATION FORM
FOR COMMERCIAL AUDIT REVIEW