EV Charging Station Utility Connection Request
Applicant Information
Name or Company Name
Contact Person
Phone Number
Email Address
Project Information
Project/Site Address
Municipality / City
Postal Code / Zip
Charging Station Details
Type of Charging Station
AC Level 2
DC Fast Charging
Other
Number of Charging Ports
Maximum Power Capacity (kW)
Required Voltage
Existing Utility Details
Existing Meter Number (if any)
Existing Service Capacity (kW)
Additional Information or Comments