CPI: Level 2 Electric Vehicle Charger Rebate Application

EQUIPMENT INFORMATION

Asterisks (*) indicate required fields.

Rebate applications are due within six (6) months of purchase to qualify.

Charger Manufacturer*

Charger Model Number*

CAR INFORMATION

Electric Vehicle Make

Electric Vehicle Model

UPLOAD YOUR REBATE DOCUMENTATION

Receipt or invoice required

Provide a copy of your purchase receipt or invoice for the Level 2 EV Charger showing:
- Model number
- Manufacturer
- Date of purchase
- Cost

File Upload*

Drop files here or

Max. file size: 20 MB.

APPLICANT INFORMATION

Account Number

Phone*

Application Notes

Please insert any notes that you would like us to review with your application. (This is not required to submit the application.)

SUBMIT YOUR APPLICATION

By submitting this form, the applicant acknowledges that they have read and agree to the utility's Terms & Conditions found at the bottom of this page.