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Electric Fleet Vehicle Chargers
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Recipient Address
*
Account ID
*
Organization
First Name
*
Last Name
Email
Phone
*
Address
Address 2
*
City
*
State / Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Installation Address
Is address the same?
*
Organization
First Name
*
Last Name
Email
Phone
*
Address
Address 2
*
City
*
State / Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Items
Enter your information in the fields below.
Click to review criteria.
Information needs to be entered in the same order the fields appear. If you are unable to select a record from the drop down that indicates the criteria has not been met.
Date must be between 4/25/2022 and 12/31/2050.
Listed below are the available items.
Begin
End
Minimum
04/25/2022
12/31/2050
1.99
Electric Vehicle Charging Station (>= level 2)
Rule Date
Brand
Model
Purchase Order
Serial
Serial
AHRI Certificate
Energy Star
Size
Size 2
Size 3
Cost
Purchase Date
Backup Heat Source
-- Select One --
Natural Gas
Electric
Other
None
Liquid Propane
Efficiency Rating
Efficiency Rating 2
Efficiency Rating 3
Solar Rating
Solar Rating 2
Ev Charging Level
Item
Select One
Electric Vehicle Charging Station (>= level 2)
Quantity
Price
Redemption Id
Amount Per Unit
G&T Amount
Distribution Amount
All fields are required unless otherwise indicated.
Survey
Member Type
11 Ag, Forestry, Fishing & Hunting
21 Mining, Quarrying, Oil & Gas Extract
22 Utilities
23 Construction
21-33 Manufacturing
42 Wholesale Trade
44-45 Retail Trade
48-49 Transportation & Warehousing
51 Information
52 Finance & Insurance
53 Real Estate and Rental & Leasing
54 Professional, Scientific & Tech. Svcs
55 Mgmt of Companies & Enterprises
56 Waste Mgmt & Remediation Svcs
61 Educational Services
62 Health Care & Social Assistance
71 Arts, Entertainment, & Recreation
72 Hotels & Food Services
81 Other Services (exc Public Admin.)
Tax Status
Corporation
Partnership
Individual/Sole Proprietor
Exempt (tax exempt)
What percentage of your fleet is electric?
What type of vehicles did the EVs replace?
None/New Purchase
Hybrid EVs
Battery EVs
Gas/Diesel
Primary Charging Time Period
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Evening
Overnight
Secondary Charging Time Period
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Evening
Overnight
Did the rebate influence your purchasing decision?
Yes
No
Electric Vehicle Fleet Information
Add
Number of Vehicles
Make
Model
Year
Please upload a copy of the itemized and dated invoice or receipt, with the installation address and the name of the entity receiving the rebate.
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