EV Charging Station Installation Quote

Please fill out the following form to receive a quote for a new circuit. Completing the form takes about 5-10 minutes and there are 5 photos to add at the end. If you need to save the form to pick back up later, you can submit it with missing information and an email will be sent to pick back up where you left off. This makes it easy to switch from your computer to a mobile device for the photos.
First and Last Name:*
E-mail Address:*
Phone Number:
Physical Address:

Street Address

Unit Number or Letter (if applicable)

CityState

Zip Code
What is this new circuit for?
What voltage and amperage does the circuit require?
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?
The last section of the form asks for five photos of your house and breaker boxes. No tools are required to open the breaker boxes. We are looking for photos with the outer door open like you were going to reset a tripped breaker.

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 to each section if need be. The more photos you provide, the better.
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:
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:
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:
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:
Please upload a photo of the location you would like the circuit 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:
Additional information:
Should be Empty: