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Santa Barbara Clean Energy's Charge Up SB

Charge Up SB: Incentive Reservation

If you have questions or issues regarding the completion of this application, please contact SBCEPrograms@SantaBarbaraCA.gov.

A Designated Applicant Form is required for all applicants other than the property owner.

Designated Applicant Form

SBCE Account Information

Customer Account Number: *

Service Account Number: *

Name as it appears on SBCE Account

Is your property address the same as your mailing address?

Yes

Phone Number

Are you applying as a designated affordable housing property in the City of Santa Barbara's Affordable Housing Program and Inventory List?

Yes

Please enter your Recorded Covenant Number

Upload your Recorded Covenant with the City of Santa Barbara

Which incentives are you applying for? (select all that apply)

Level 1 and Level 2 Outlets

Level 2 Charging Stations

Panel Upgrade (Max of 1)

Make Ready Infrastructure

Power Management (Hardware)

Power Management (Software)

How many Level 1 and/or Level 2 Outlets? (Minimum of 2)

How many Level 2 Charging Stations?

How many parking stalls will be pre-wired? (Maximum of 10)

How many panels/controllers are included?

How many ports will be managed by software?

Name of Contractor

Estimated Project Completion Date

Contractor bid for proposed work. This will be used to determine reservation amount.

Rebate Reservation Receipt Number

You will be provided with a Rebate Reservation Receipt Number upon submission.

Please make a note of your receipt number at the completion of your submission, it is required to claim your rebate later.

How did you hear about this SBCE Program? (Please check all that apply)

CLEAResult Staff

Local Environmental Organization

Email Newsletter

Social Media/Online Advertisement

SBCE Staff

My Local City Government

Other Incentive Provider

Promotores

Friend/Family/Colleague, Word-of-Mouth

Are you Interested in helping others benefit from SBCE Energy Programs? (Please check all that apply)

Yes, I am interested in sharing written testimonial about my experience with SBCE Programs

Yes, I am interested in being contacted by a SBCE Staff member to discuss photograph or video opportunities that could help promote Energy Programs to others in my community

No, I am not interested

Please describe other energy or electrification projects that you have planned (Optional)

When submitting this application, you acknowledge and agree to the Program Guidelines and Terms & Conditions.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Charge Up SB: Incentive Reservation

Applicant Name

Designated Applicant Form

SBCE Account Information

Mailing Address

Is your property address the same as your mailing address?

Property Address

Are you applying as a designated affordable housing property in the City of Santa Barbara's Affordable Housing Program and Inventory List?

Upload your Recorded Covenant with the City of Santa Barbara

Which incentives are you applying for? (select all that apply)

Contractor bid for proposed work. This will be used to determine reservation amount.

Rebate Reservation Receipt Number

Please make a note of your receipt number at the completion of your submission, it is required to claim your rebate later.

How did you hear about this SBCE Program? (Please check all that apply)

Are you Interested in helping others benefit from SBCE Energy Programs? (Please check all that apply)

Sign Here