EVSE Technical Assistance Application
CUSTOMER INFORMATION
*Required Field
Enter the first name of the contact person for this application. *
Enter the last name of the contact person for this application. *
Pacific Power customer account number *
Property Name/Company Name *
Email Address *
Confirm Email Address
Phone Number *
Alternate Phone Number
Street / Installation Address *
Enter the address where charging stations will be installed
Please note: the address must be within Pacific Power service territory.
City *
State *
OR
WA
Zip Code *
Property Type *
Choose one: Workplace includes sites where people work, such as an office complex. Public parking includes retail centers and parking areas used specifically for public parking. Fleet sites include parking areas reserved for fleet usage.
Select option
Workplace
Public Parking
Fleet
Multi Unit Dwelling
Mixed Use
SITE INFORMATION
Number of EV charging ports desired ?
Estimated number of electric vehicles at your site ?
For fleets, please describe the types of vehicles included in your electrification plan (e.g. step&panel vans, school buses, forklifts, etc.)
Do you currently have EV chargers in your parking areas?
Yes
No
Parking Type
Open Parking Lot
Covered Parking Lot
Parking Garage
Mixed Parking
Interested in multiple locations ?
Yes
No
How did you hear about us ?
Web Search
Electric Vehicle Public Event (Car Show, Fair, etc)
Social Media
Friend
Pacific Power Employee
Pacific Power Website
Grant Application
CLEAR FORM
SUBMIT