Municipal EV Charging Point Application
Applicant Information
Full Name
Organization (if any)
Email Address
Phone Number
Mailing Address
Proposed Charging Point Location
Site Address
Site Description
Site Ownership
Private
Public
Other
Charging Point Details
Charger Type
Level 2
DC Fast
Other
Number of Units
Accessibility (e.g. public, private, limited hours)
Additional Information
Notes or Comments