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Buisiness Electric Vehicle Charger Rebate Request Form Mobile App

Submit the Business Electric Vehicle Charger Rebate Request Form mobile app , along with installation invoice, within 60 days after the electric vehicle (EV) charger has been installed. Rebates will be paid to business customers, including Multi-family residential developments, served by your power company. The app records customer information, installation and equipment information,

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Buisiness Electric Vehicle Charger Rebate Request Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name:

  • Ico multiline

    Address:

  • Ico textbox

    Phone Number:

  • Ico textbox

    Account #:

  • Ico checkbox

    Owner Occupied

  • Ico checkbox

    Rental

  • Ico statictext

    Owner Information (if applicable)

  • Ico textbox

    Name:

  • Ico multiline

    Address:

  • Ico textbox

    Phone Number:

  • Ico textbox

    Unit #

  • Ico date

    Installation Date

  • Ico textbox

    Charger Manufacturer

  • Ico textbox

    Charger Model #

  • Ico textbox

    Charger Serial #

  • Ico textbox

    Installation contractor name:

  • Ico statictext

    I certify the above information is true and correct and I agree to the Business Electric Vehicle...

  • Ico signature

    Customer Signature:

  • Ico date

    Date:

  • Ico textbox

    Name:

  • Ico textbox

    Title:

  • Ico multiline

    Terms and Conditions (Summary):

  • Ico multiline

    Send Form & Invoice to:

  • ...and More!

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