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Electric Vehicle Readiness Checklist

Complete the Electrical Vehicle Readiness Checklist and submit the completed form to our Electrical Engineering Division. We will work with you to determine the electric rate and the charging setup that best meets your needs.  Make sure to allow adequate time to hire an electrician, as well as obtain City permits, if required.



Customer Information:

Owner’s Name:


Service Address:


Utilities Account Number:

Customer ID:__________ Location ID: __________

Contact Phone Number:


Email Address:


Residence’s Type

mSingle Family  mTownhome  mCondominium  mApartment


Electric Vehicle and Charger Information:

EV Charging Start Date:


EV Charging Level:

mLevel 1 at 120V   mLevel II at 240V

Time of Day You Plan to Start EV Charging


Time of Day You Plan to Stop EV Charging


Email Address:


Hours at Which You Currently Use Electricity:

mPeak: 1 pm to 5 pm  mMid-Peak: 8 am to 1 pm

mOff-peak: All other hours


Residence’s Electrical Information:

Licensed Electrician’s Name:


Electrician’s Phone Number:


Electrician’s Email:


Plan to Use Existing Panel:

m Yes  m No  Amps __________

Plan to Upgrade Panel:

m Yes  m No  Amps __________


Electrical Engineering Division

Anaheim West Tower

201 S. Anaheim Blvd, 7th Floor

Anaheim, CA 92805


Hours: M-F 8 am to 5 pm