Electric Vehicle (EV) Ownership Form

If you own or lease an electric vehicle (EV), please fill out the form below.


If you have more than one electric vehicle at your residence, please fill out the form once for each vehicle.

First & Last name on the account
Address where you have electric service
Level II EV chargers use a higher-output 240-volt power source, like the one that you plug your oven or clothes dryer into.
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.