EV Charger Install Form
Full Name
*
First Name
Last Name
Full Address
*
Address
Street Address Line 2
City
State / Province
Post Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Do you require a Home Charger or Workplace Charger
*
Please Select
Home Charger
Workplace Charger
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Home Charger
Do you know which EV Charger model you want to install?
*
Yes
No
Manufacturer & Model of Charger you would like
*
Please select your preferred EV charger type
*
Please Select
Socket
Tethered
Untethered
I don't know
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Do you have designated private off-street parking?
*
Yes
No
What kind of off road parking do you have?
*
Please Select
Drive
Attached integrated garage
Detached garage
Allocated parking space
Other
What will be the estimated cable run from your consumer unit to the proposed EV charger location?
Please Select
0-5m
5-10m
10-15m
15-20m
20+
Does your property have Solar PV Panels?
*
Yes
No
In future
Are you able to obtain the electricity supply MPAN number? This can be found on an electricity bill
*
Yes
No
MPAN Number
*
When do you want your EV charger installed?
*
Please Select
As soon as possible
1-2 weeks
3-4 weeks
5+ weeks
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Please upload a Photo of proposed charge point location & parking bay
*
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Please sketch a basic floorplan with the following details mapped, once completed please include a photo of this plan. (to include: Location of the property's consumer unit / fuse board, Proposed EV charger location, Electricity Meter)
*
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Please upload a photograph of your consumer unit / fuse board
*
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Please upload a photo of the property’s main incoming electricity fuse
*
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Please select the rating shown on the properties main incoming fuse
60 Amps
80 Amps
100 Amps
I don't know
Please select the rating shown on the properties main incoming fuse
*
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Photo of gas bonding. This is a green/yellow cable, usually clipped to a pipe near your gas meter. Evidencing this may reduce the cost of the install at your property
*
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Workplace Charger
Company Name
*
Do you have an OZEV workplace voucher number?
*
Please Select
Yes
No - But I want to include the OZEV grant
N/a - I won't be claiming an OZEV grant
OZEV Voucher Number
*
How many charge point sockets are required?
*
Please Select
1
2
3
4
5
6
Please upload a Photo of proposed charge point location & parking bay
*
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Drag and drop files here
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Please provide in your own words details about the installation.
*
Submit
Should be Empty: