EV Charging Station Installation Quote

Installation costs can range from $500 to $3000. If a breaker box upgrade is needed, that will add to the cost. Completing this form takes about 5-10 minutes and there are 5 photos to add at the end. We have provided example photos for reference. If you need to switch from your computer to a phone to add the requested photos, click the "Submit" button at the end and it will send you an email to pick back up where you left off.
First and Last Name:*
E-mail Address:*
Phone Number:
Physical Address:

Street Address

Unit Number or Letter (if applicable)

CityState

Zip Code
Which hardwired charging station are you providing for this installation?
Do you have the charging station at your house?
Is your house single or multi-story?
Where is the outside breaker box on the house as viewed from the street looking at the house?
Who is your electric provider?
The next few pages of the form ask for five photos of your house and breaker boxes. No tools are required to open the breaker boxes.

There are examples of each photo we are requesting for reference.

These five photos will help us determine how much power is available at each breaker box, how we can run our circuit to the installation location, and where the installation location is.

You can add multiple photos and even video to each section. The more information you provide, the better.
Page 1 of 6

Please upload a photo of the outside breaker box with the outer door open so we can see the breakers:

We'll need to be able to read the numbers on the handles of the breakers as well as the labeling that says what the breakers go to.
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Example Photo:
Page 2 of 6

Please upload a photo of the outside breaker box and meter from 15-20 feet away:

We are looking for clearances around the breaker box and what other things might be on the same wall as the breaker box.
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Example Photo:
Page 3 of 6

Please upload a photo of the garage/inside breaker box with the outer door open so we can see the breakers:

We'll need to be able to read the numbers on the handles of the breakers as well as the labeling that says what the breakers go to.
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Example Photo:
Page 4 of 6

Please upload a photo of the front of the house as viewed from the street:

We need to see the whole house (if possible) so we can see how to run the circuit across the house.
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Example Photo:
Page 5 of 6

Please upload a photo of the location you would like the charging station installed:

Please step back far enough so we can see what you are pointing at or referring to for the installation location. Sometimes we get a photo that is too close to the wall so we can't tell where the location is supposed to be.
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Example Photo:
Additional information:
Page 6 of 6
Should be Empty: