EV Phase In- PSEG Long Island

EV Phase-In Rate

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PSEG Long Island Account No

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Electric Vehicle Phase-In Rate Terms and Conditions

Account Information

* Meter Number (Badge)

* Account Holder Name (business name)

* Requestor Name

* Requestor Phone

* Requestor E-mail

* Site Address (Address Line 1)

Site Address (Address Line 2)

* Site City

* Site ZIP

* What other PSEG Long Island Programs are you involved in?

EV Make-Ready Program

Fleet Advisory Service

Fleet Make-Ready Program

Community Thrive

Main Street Revitalization

Vacant Space Revival

None of the above

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Site Information

* Facility Type

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* Electric Vehicle Type

* Electric Vehicle Count

* Are your electric vehicle chargers separately metered from other electrical loads?

Do you plan to connect to any Distributed Energy Resources?

* Are you currently or have been previously on the EV Phase-In Rate?

Facility Nameplate Capacity (kW)

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Do you have plans to install more electric vehicle chargers in the future?

* How did you hear about this rate?

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Electric Vehicle Charger Information

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* Charger Type

* Connector Type

* Charger Port Count (For Charger Type Listed Above)

* kW per Port (For Charger Type Listed Above)

* Total Charging kW Output (Charging Nameplate Capacity)

* Site Picture (Show all chargers on site)

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EV Phase-In Rate

Account Information

Site Information

Electric Vehicle Charger Information

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