Commercial Charger Registration Form

Customer information
Business Name*
Legal Business Name
Assumed Business Name or DBA
(Optional)
Business Type*
Federal Employer Identification Number (FEIN):*
Tip: Format should be 12-3456789 (9 digits)
Contact Person's Name*
First & Last Name
Job Title*
Phone Number*
Email*
example@example.com
Site information

A new form will need to be filled out for each additional site. If chargers are connected to a different electricity meter, then please add them as a separate site.
Site name*
Tip: This is what you call this location. Be consistent if you’ve previously provided a name for this site.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City
Postal / Zip Code
PGE Meter ID number (for the meter the chargers are connected to): *
Tip: You can find this number on the meter itself or on your PGE bill. Refer to "Before you start" for help. If you do not have a meter yet, please enter "New meter" in the field above.
Is there restricted access to the area where the chargers are located?*
Charger Information

Please add all chargers you’d like to register at this site. For modular charging systems, please enter each power cabinet as one charger, and enter the number of ports connected to that power cabinet under “How many ports?”
Charger #1 Serial number*
Tip: You can usually find this on a sticker or nameplate on the side of the charger
Charger #1 Software provider*
Charger #1 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Additional chargers
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger aboveYes, but a different type of chargerNo
Charger #2 Information
Charger #2 serial number*
Charger #2 software provider*
Charger #2 manufacturer*
Model number*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s) for this charger. Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #2)Yes, but a different type of chargerNo
Charger #3 Information
Charger #3 serial number*
Charger #3 software provider*
Charger #3 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #3)Yes, but a different type of chargerNo
Charger #4 Information
Charger #4 serial number*
Charger #4 software provider*
Charger #4 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #4)Yes, but a different type of chargerNo
Charger #5 Information
Charger #5 serial number*
Charger #5 software provider*
Charger #5 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #5)Yes, but a different type of chargerNo
Charger #6 Information
Charger #6 serial number*
Charger #6 software provider*
Charger #6 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #6)Yes, but a different type of chargerNo
Charger #7 Information
Charger #7 serial number*
Charger #7 software provider*
Charger #7 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #7)Yes, but a different type of chargerNo
Charger #8 Information
Charger #8 serial number*
Charger #8 software provider*
Charger #8 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #8)Yes, but a different type of chargerNo
Charger #9 Information
Charger #9 serial number*
Charger #9 software provider*
Charger #9 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
Do you have another charger at this site that you'd like to add?*

Yes, another of this same type of charger above (charger #9)Yes, but a different type of chargerNo
Charger #10 Information
Charger #10 serial number*
Charger #10 software provider*
Charger #10 manufacturer*
Model number / name*
How many ports does this charger have?
Tip: Not sure? Refer to “Before you start” for help.
Select your charging connector type(s). Need help? Refer to the "Before you start" section for examples of each connector type.

J1772 (Level 2)CCS (SAE Combined Charging System)CHAdeMOTeslaPantographWirelessMCS (Megawatt Charging System)
Whose vehicles will primarily be using this charger? (Select all that apply.)*

Business fleet vehiclesResidentsEmployeesPublic
PGE program(s) that this charger is being enrolled in: (select all that apply)*

Fleet PartnerDrive Change FundElectric School Bus FundBusiness EV Charging Rebates
Charger installation date (leave blank if not installed yet):

MonthDayYear
Date
You have reached the maximum number of chargers allowable for one form. Please submit this form and start a new one to continue adding additional chargers.
Should be Empty:

Customer information

Site information

Charger Information

Additional chargers

Charger #2 Information

Charger #3 Information

Charger #4 Information

Charger #5 Information

Charger #6 Information

Charger #7 Information

Charger #8 Information

Charger #9 Information

Charger #10 Information