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Charge Up SB: Incentive Claim

Full Name

I am claiming my incentive for the following:

Incentive Recipient Information:Incentive payee can be SBCE customer or Designated Applicant. If it is the Designated Applicant, a Designated Applicant Form must have been submitted at the time of reservation. 

Incentive Recipient Name (if different than submitter)

Incentive Recipient Address

Required Documentation:

Copy(ies) of all invoice(s) for all eligible project costs (including design, equipment, and installation). Invoice must be marked as paid.:

Copy of Inspection Report indicating final approval has been issued and project status is "Complete".

Photo(s) of installed outlets:

Photo(s) of installed charging stations including serial numbers:

Photo(s) of pre-existing panel and new panel displaying all circuits:

Photo(s) of make ready infrastructure:

Photo(s) of installed power management hardware:

By submitting this claim you acknowledge and agree to the Program Guidelines and Terms & Conditions. 

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