TE Intake Form

Contact Information

First Name Please provide a first name.

Last Name Please provide a last name.

Company Please provide a company name.

Title Please provide a title.

Customer Account Number

Phone Number Please provide a valid phone number.

Email Address Please provide a valid email address.

Address Please provide an address.

City City is required.

State State is required.

ZIP Code ZIP is required and must be 5 digits.

Do you own or operate a business property in SCE’s service area?

Yes

No

Please make a selection.

What type of business are you?

I own/operate a commercial business.

I own/operate a multifamily property. (i.e. apartments, condos)

I own/operate a fleet of passenger vehicles.

I own/operate a fleet of shuttles, vans, buses, or trucks.

Please make at least one selection.

Where are you in your electrification journey?

I’m new to electrification and don’t know where to start.

I have started or would like to start planning for an EV project but could use additional help.

I am ready to energize and connect my chargers.

I have charging stations installed at my property and need advice on saving money.

I want to add more vehicles/charging stations.

I am primarily interested in one of SCE’s other programs. (Please indicate in the next question.)

Please make a selection.

What other programs/service(s) are you interested in? (check all that apply):

Study to assess your EV readiness (EV Readiness Study)

Learn how to optimize your charging (Load Management Plan)

Rebates for medium and heavy-duty vehicle conversions to EVs (ReCharge Rebate)

Rebates for commercial EVs (CA Clean Fuel Reward)

Rebates for commercial properties that offer medium and heavy-duty shared charging (Shared Fleet Charging Rebate)

Please complete the re-CAPTCHA.