EV Chargers Rebate Form

Electric Vehicle Rebate Form

New EV charger must be installed on cooperative's lines.
Incentive not to exceed the EV charger cost.
Incentives are in place through December 18, 2026. Funds are limited so submit required documentation as soon as possible.
Required documentation must be submitted within 3 months of EV charge install date.
Additional eligibility criteria may apply. Program is subject to change or cancellation without notice. Contact cooperative for details.
Required Documentation:
1. A copy of your receipt or invoice for each item with purchase price(s) and install date circled.
2. Proof of Installation
If all required information AND documentation are not provided, rebate will be rejected immediately.

Applicant Information

First

Last

Address

City/Town

State/Province

ZIP/Postal Code

Is your mailing address different from your service address?

Account Number

Member Email Address

Address

City/Town

State/Province

ZIP/Postal Code

Electric Vehicle Charging Equipment Information

Incentive Information

Electric Vehicle Charging Station

Must be on load control or Time-Of-Use as defined by cooperative $500

EV Charging Station Installation Costs

Only for installation costs of secondary meter with regular EV charger $200

Manufacturer

Model

Serial Number

Capacity (kilowatts)

Quantity

Scheduling with our Meter Technicians

Must be on load control or Time Of Use rate as defined by the cooperative to receive the rebate.

A representative from our Meter Technician Department will be reaching out to schedule an appointment for installation of the radio receiver.

Select Which Program you would like to enroll in:

Would you prefer we contact you by email or phone call to schedule an appointment?

What day(s) of the week work best with your schedule?

Monday

Tuesday

Wednesday

Thursday

What time(s) work best for you?

7:30 A.M. - 10:30 A.M.

10:30 A.M. - 12:30 P.M.

12:30 P.M. - 2:30 P.M.

Required Documents (Receipt or invoice & Proof of Install)

Equipment cost and date purchased MUST be visible on receipt or invoice.

Unlimited number of files can be uploaded to this field.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.

Member Signature

Sign above