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CEII Request Form

Information submitted will be used to determine if this request for Critical Energy Infrastructure Information (CEII) will be granted. Please be as specific as possible when answering these questions. To receive any PJM CEII it is necessary to also execute the PJM CEII Non-Disclosure Agreement.

* Check all that are applicable:





* Request Type:
* First Name:
* Last Name:
* Title:
* Company Name:
Please select your member company name below.
  If your company is not in the list below, please select other and fill in the   appropriate name.
  
   
* Address Type:

* Phone Number:
  Ex. xxx-xxx-xxxx
 
* E-mail:
 
Someone known to PJM that can verify your employment:
Ex. PJM committee representative

If participating in a PJM or joint study, provide study name:
* Specific description of information requested:
* Provide description of how the CEII will be used:

If a consultant
Name of client company:
Client contact name:
Client contact e-mail:  
Client contact phone number:
Ex. xxx-xxx-xxxx 		 


* Full Name as Signature:
* Date:
  (MM-DD-YYYY)
 


Does PJM have your NDA on file?
NDA Registration Number:
Ex. xxxxxx