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Home Info

• How many SQ. Ft. is your home?
• What is the age of your home?

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• Do you have a detached garage? Yes No

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Please indicate the number of units for each appliance or item below. This is used for a load calculation to determine if your home can handle the additional load from the EV Charger.

• Central AC Units 0 1 2 3

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• Electric Dryers 0 1 2 3

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• Refrigerators 0 1 2 3

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• Stand Alone Freezers 0 1 2 3

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• Electric Stove/Range 0 1 2 3

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• Electric Cook Tops 0 1 2 3

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• Hot Tubs 0 1 2 3

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• Electric Furnace 0 1 2 3

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• Food Waste Disposer 0 1 2 3

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• Dish Washer 0 1 2 3

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• Sump Pump 0 1 2 3

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• Garage Door Opener 0 1 2 3

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• Mini Fridge 0 1 2 3

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• Electric Water Heater 0 1 2 3

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• Microwave 0 1 2 3

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• Range Hood 0 1 2 3

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EV Charger and Vehicle Info

• Type of access from panel to garage On same wall as garage Unfinished basement Crawl space Attic None of the above

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• Briefly describe where your main panel is located in relation to your garage

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• Size of main breaker 100 AMP 125 AMP 150 AMP 200 AMP Don't Know/Can't Find

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• When facing the garage from the street, where in the garage would you like the charger mounted? Left wall Rear wall Right wall

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• What is the year, make, and model of the vehicle you'll be charging?

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• Do you already have your Electric Vehicle? Yes No

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• If no vehicle, what is the approximate date you are receiving your vehicle?

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• Do you already have a charging station? Yes No N/A Please include charger in this estimate

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• If yes, what brand of charging station?

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• Are you part of the Xcel accelerate at home program? (Instant rebate on the installation) Yes No I would like more information

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• How did you hear about us? Google Xcel Energy Tesla Sunrun Dealership Other

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• If other, please let us know