Maryland Energy Administration

Energy Efficiency Standards Act

Certification Form

 

Product Type:
Manufacturer's Information
Manufacturer name:
Manufacturer address:
Manufacturer city:
Manufacturer state:
Manufacturer zip:
Manufacturer’s point of contact name:
Point of contact’s telephone number:
Fax number:
Point of contact’s email  address:
Product Information
Product name:
Product identification number:
Compliance Statement I assert that the product identified on this certification conforms to the standards to the efficiency standards contained in the Energy Efficiency Standards Act, State Government Article, Section 9-2006(e) Annotated Code of Maryland.
Name:
Title:
Date:
Testing Laboratory Information
Testing laboratory’s or institution’s name:
Address:
City:
State:
Zip:
Website:
Contact Name:
Telephone number:
Fax number:
Email address:
Test method used:

 

Labeling Information

Brief discussion as to whether the product shall bear a Maryland label or if not what label it shall have that reflects that the products meets an efficiency standard equal to the one reflected in the Energy Efficiency Standards Act.