Government Grant Application
EV Charging Station

Applicant Information

Organization/Business Name Contact Person Phone Number Email Address Mailing Address

Project Details

Project Title Location of Proposed EV Charging Station Estimated Start Date Estimated Completion Date Brief Project Description

Funding Request

Total Project Cost Amount Requested Sources of Additional Funding (if any)

Technical Specifications

Type of Chargers (e.g., Level 2, DC Fast) Number of Charging Ports Expected Usage (kWh/year or cars/day) Project Partners (if any)

Supporting Documents

Attach Proposal/Plans/Maps

Declaration

I hereby certify that the information provided is accurate and complete.