Business Electric Vehicle Charger Rebate Request Form

Submit this form, along with installation invoice, within 90 days after the electric vehicle (EV) charger port has been installed. Each customer may receive up to 12 EV Charger Rebates per site (service address). The amount is $500 for each new “Level 2” workplace charger port with a maximum rebate amount per customer of $6,000. Rebates will be paid to business customers served by SRP. Rebates available for installations completed between May 1, 2017 and April 30, 2018. Have further questions? Download Document is a PDF our fact sheet for more details about SRP's rebate program.


Customer Information

* All fields are required

Installation Address


Owner Information

*

Mailing Information (If different from Installation Address)


Payment Release Information

Complete this section only if rebate payment is to be directed to someone other than the SRP Customer.


I am authorizing this rebate payment to the third party named above and I understand that I will not be receiving the rebate payment check form SRP. I also understand that my release of payment to the third party does not exempt me from the rebate requirements outlined in the terms and conditions. I also acknowledge that assignment of applicable rebates to another party may not affect my tax liability for rebates paid by the program.


Installation and Equipment Information


Upload a copy of the invoice
* This field is required - (Maximum size: 4 MB) (.jpg, .pdf, xlsx)
 
 Don't have a scanned copy of your invoice/receipt?  On your smartphone, tap browse and take a picture of the invoice.


Please complete the following Installation and Equipment information sheet and upload it when complete
* This field is required - (Maximum size: 4 MB) (.jpg, .pdf, xlsx)
 

Please upload your W-9 here.
* This field is required - (Maximum size: 4 MB) (.jpg, .pdf, xlsx)
 


Program Terms and Conditions


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