*1.Applicant Information(Required.)

Your name

Your email

Your phone number

Charging site address

Charging site city

Charging site zip code

PG&E account number associated with property

*2.What make and model EV do you currently have or plan to purchase? The following EVs DO NOT qualify: Acura: ZDX (2024+), Alfa Romeo: Tonale (2023+), Audi: e-tron (2019+), Q4 e-tron (2022+), BMW, Cadillac: LYRIQ (2023+), Chevrolet with OnStar Diagnostic Subscription: Blazer EV (2024+), Bolt EUV (2022+), Bolt EV (2017+), Equinox EV (2024+), Silverado EV (2024+), Spark EV (2015-2016), Dodge: Hornet (2023+), Fiat: 500e (2024+), GMC: Hummer EV (2022+), Honda: Prologue (2024+), Hyundai, Jaguar: I Pace (2019+), Kia, Land Rover: Range Rover P 400 and Sport P 400 E (2019-2021), Lexus: RX 450 H PHEV and RZ (2023+), Mazda: CX-60 and CX-90 (2024+), MX-30 (2022+), Mini: SE Countryman (2018+), SE Hardtop (2020+), Nissan: Ariya (2023+), Porsche: 992 (2022+), Cayenne (2020+), Taycan (2020+), Ram: 1500 REV, Subaru: Solterra (2023+), Tesla, Toyota: BZ4X (2023+), Prius Prime (2017+), RAV 4 Prime (2021+), and Volkswagen: e-Golf (2020), ID 4 (2021+), Tiguan PHEV (2023) these EVs are already compatible with the GridShift app – you can start smart charging today! Please review the GridShift Equipment Specifications for more information.(Required.)

3.What electric vehicle charger do you plan on purchasing?

Emporia Charger

WiFi-enabled ChargePoint Charger

4.What smart device do you plan on using to download the app and use for your smart charging sessions?

Apple iOS

Android

5.Where do you plan on setting up your EV charger?

Garage

Outside of home

Other

Undecided

*6.Will setting up a new EV charger require you to upgrade your main service panel?(Required.)

Yes

No

Not sure

*7.Do you plan to use any other rebates for your EV charger?(Required.)

Plan to use SVCE rebates only

Plan to use BayREN rebates also

Plan to use federal tax credits also

Don’t know

Plan to use other rebates (please specify which ones)

*8.How did you hear about GridShift rebate program?(Required.)

SVCE Website

Flyer in the mall

Email advertisement

Radio Commercial

TV ad

Social Media

Web search

Friend

Family Member

*9.Please read the SVCE GridShift Charger Rebate Participant Agreement and type your name below to indicate that you agree to the Terms and Conditions.

I, the undersigned, have read, understand, and agree to the terms outlines in the SVCE Rebate Participant Agreement.(Required.)