Electric Vehicle Charging Options

请注意：此表格适用于中小型项目，最好由电工填写. 如果您安装超过3种类型的电动汽车充电器或超过5个电动汽车充电器，请联系until的项目协调员.

* symbol denotes required fields.

Who is filling this form out

Customer

Electrician

Contractor

Other

If other, please describe your role

Project (customer name)

Service address

Service city

Service state

Service type

Residential

Commercial

客户是否申请EV Ready2Charge返利计划?

Yes

请注意-电动车的使用时间是自动的，在参加EV Ready2Charge返利计划后.

Learn more about Time-of-Use rates.

此表格将用作我的EV Ready2Charge返利计划申请表

您是否希望加入使用时间费率计划?

Yes

Learn more about Time-of-Use rates.

Please reference EV Charging and Time-of-Use section of our website or contact ev@aise520.com with further questions.

系统是否具有输出电源功能（双向充电器）?

Yes

Please complete a DER Interconnection application found on the Interconnection webpage.

Learn more about the steps to interconnection.

Contact Information

Customer name

Customer email

Customer phone

Electrician name

Electrician email

Electrician phone

Other project contacts

Contractor

Project manager

Engineer

Other parties

Contractor name

Contractor email

Contractor phone

Project manager name

Project manager email

Project manager phone

Engineer name

Engineer email

Engineer phone

Other parties name

Other parties email

Other parties phone

Service Information

电动汽车充电器是否要安装在现有的电表后面?

Yes

Meter number

Account number

Voltage:

120/240

208/120

480/277

Other

Phases:

Service Size in Amps:

将安装多少种电动汽车充电器?

First type of charger

Make/Model 1:

EV type

Mode (level):

Output power (Amps):

Output power (kW):

Power supply (Volts):

Power supply (Amps):

Number of chargers of this type

Is this charger capable of exporting power?

Yes

Second type of charger

Make/Model 2:

EV type

Mode (level):

Output power (Amps):

Output power (kW):

Power supply (Volts):

Power supply (Amps):

Number of chargers of this type

Is this charger capable of exporting power?

Yes

Third type of charger

Make/Model 3:

EV type

Mode (level):

Output power (Amps):

Output power (kW):

Power supply (Volts):

Power supply (Amps):

Number of chargers of this type

Is this charger capable of exporting power?

Yes

Date requested

如果已经安装，请输入开始使用的日期.

如果电动汽车充电器的数据或设备的使用有变化或增加，客户有义务咨询公司. 如果提供的数据不充分或不准确, 客户可能需要为将来升级公司的设施而付费.

Read the Terms and Conditions.

递交申请并不保证会获发还. 客户之申请资格及返利金额，由本公司全权决定.

你拥有安装充电器的地方吗?

Yes

如果你没有自己的财产，电动车充电器将被安装, 请将您的租约副本和业主的书面批准邮件发送至ev@aise520.com after submitting this questionnaire. See section 3. of the Terms and Conditions.

除Ready2Charge返利计划外，您是否已申请或计划申请其他电动车充电器奖励计划?

Yes

Signature

填妥此栏即表示你同意上述各项.

Today's date

CAPTCHA

这个问题是为了防止自动垃圾邮件提交.

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Contact Information

Service Information

First type of charger

Second type of charger

Third type of charger