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Hi there, if you are in need of an EV Charger Proposal for your residence you are in the right place!
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1
Homeowner Full Name
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First Name
Last Name
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2
Email Address
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example@example.com
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3
Phone Number
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Please enter a valid phone number.
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4
Property Address
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Street Address
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City
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Postal / Zip Code
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Oman
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Philippines
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Poland
Portugal
Puerto Rico
Qatar
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Russia
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Saint Barthelemy
Saint Helena
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Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
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Serbia
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Sudan
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
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Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Do you currently own an electric vehicle (EV)?
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Yes
No, but planning to purchase soon
No
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6
If yes, please specify the make and model of your EV (or planned purchase):
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7
Where do you plan to park or charge your EV?
*
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Multiple Choices are OK!
Garage (Attached)
Garage (Detached)
Carport
Driveway
Condo / Apartment
Other
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8
Preferred location for EV charger installation (describe area or wall):
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9
Where is your main electrical panel located?
*
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Garage
Basement
Outside (exterior wall)
Other
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10
EXAMPLE: MAIN Electrical Breaker
Can be Located Inside your Main Panel, or Sometimes Outside Next to your Electrical Meter
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11
Upload a photo of your MAIN Electrical Breaker (IE: 100A or 200A)
*
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Just like the Last Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
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12
EXAMPLE: Electrical Panel Photo
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13
Upload a photo of your electrical panel (Stand Back 15' so we can see Floor to Ceiling)
*
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Just like the LAST Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.0MB
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14
EXAMPLE: Electrical Panel Breakers
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15
Upload a photo of your electrical panel (So we can see all of the breaker switches in the panel and they are legible)
*
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Just like the LAST Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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16
EXAMPLE: Electrical Panel Sticker Labeling
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17
Upload a photo of your electrical panel (So we can see Read the Sticker Label Inside the Panel Cover Door)
*
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Just like the LAST Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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18
Electrical Wiring Pathways (Between Main Panel & EV Charger)
Example Photos
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19
Upload a photos of the Path from the Electrical Panel, to the Location of the EV Charger
*
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Just like the LAST Example Photos
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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20
EXAMPLE: Proposed EV Charger Location
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21
Upload a photos of the Proposed EV Charger Location (Stand Back 15' so we can see Floor to Ceiling)
*
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Just like the LAST Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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22
EXAMPLE: EV Charger Walls
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23
Upload photos of the Room the EV Charger is going in, a Photo of Each Wall (Stand Back 15' so we can see Floor to Ceiling)
*
This field is required.
Just like the LAST Example Photo
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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24
Upload photos of Any Other Sub-Electrical Panels, or Pool Panels
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Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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25
What Existing Electrical Appliances do you have?
*
This field is required.
Electric Oven
Electric Cooktop (Separate Appliance)
Hot Tub (Hardwired)
Outdoor A/C Unit (Hardwired)
Other
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26
Upload photos of Any Electrical Information for AC Condensers, or Hot Tubs (If the Unit has a Model Number Tag on it)
*
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Any Specialty Hardwired Electric Appliances
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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27
Do you have any existing 240V outlets in your garage or near the planned charger location?
*
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Yes
No
Not sure
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28
Do you already own an EV Charger Model? Do you know the model?
*
This field is required.
Mission Electric, LLC can provide an EV Charger as part of our proposal.
Yes
No
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29
Additional comments or requests
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30
Mission Electric, LLC | Connecticut Eversource EV Incentives for 2026
Learn About the Process, the Rebates, and Us!
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