Car Charger Bid Submission Form

Car Charger Bid Submission
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the year, make and model of the electrical vehicle (EV) to be used with this charger?
When will you have your electrical vehicle(EV)?

I already have itI haven't purchase it yetI am planning on buying one
Have you already purchased a level 2, (240V) charger for your electrical vehicle?

Yes, i have a level 2 charger and i need insatalledNo, but i plan on buying the car charger separate
What type of home will the level 2 charger be installed?

Single family home with attached garageSingle family home with detached garageDuplexCondo/townhome with dedicated electricity meterCondo/townhome without a dedicated electricity meterApartment
Do you own or rent?

OwnRent
Do you need to get permission from (HOA) homeowner association?

I already have approvalI do not need approvalI don't have approval yet
Where is your main electrical panel located?

BasementInside homeGarage wall interiorGarage wall exteriorExterior wall of homeOther location
Where is your proposed location for the EV charger?

Inside of my garage(same wall as my electrical panel)Outside of my garage(same wall as my electrical panel)Inside of my garage (different wall as my electrical panel)outside of my garage (different wall as my electrical panel)
Everyday appliances in homes can consume a lot of electricity, is important for installers to understand your home's electric capacity before installing a charger, please answer carefully this next questions.
Approximate year your home was built?

Prior to 19491940 to 19591960 to 19791980 to 19992000 to present
What is your home's approximate square footage?
How many central air condition units does your home have?

01234 or more
How many refrigerators does your home have?

01234 or more
Please select any other electric appliances that you have, choose as many as you like:

Electrical dryerElectrical hot water heaterElectrical ovenElectrical cooktopSwimming poolHot tubNo other electrical appliances
Is your home powered by solar panels?

YesNo
Does your home have an integrated backup generator?

YesNo
How many electrical panels are in your home?

1234 or more
Upload a picture of your electrical panel from about 15-20 feet to show its location.

Cancelof
Upload a picture of your 2nd electrical panel.

Cancelof
Upload a picture of your electrical panel location.

Cancelof
Upload a picture of your whole open electrical panel, picture must be clear.

Cancelof
Upload a picture of the area you would like the charger installed. step back 10-20 ft from installation spot.

Cancelof
Upload a picture of the second electrical panel open.

Cancelof
How far will the charger be from the high voltage electrical panel?

Under 10 feet10 to 20 feet21 to 30 feet31 to 40 feetMore than 40 feet
What is your home's WiFi strength where the charger will be installed?

ExellentGoodPoorNo coverage
Should be Empty: