Home Charger Rebate Application

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  • Home Charger Information
  • Agreement
Home Charger Rebate Application
NOTICE: Please note, this application must be completed within 45 days of purchase of the Level 2 home charging station. Charger must be purchased on or after October 1, 2020. Must be NRTL/UL listed and cannot be a portable charger.
First
Last
Charger Installation Address
Charger Address
Charger Address
Address
Address 2
City
State/Province
Zip/Postal
Mailing Address (if different from installation address)
Mailing Address
Mailing Address
Address
Address 2
City
State/Province
Zip/Postal
Maximum upload size: 10MB
Please upload a photo of your driver's license. Upload requirements: One file only, 10mb limit. Allowed types, jpg, jpeg, png, pdf.
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