confirmation

Name*

Email*

Must be same email used for EV Connect account

Street address *

City *

State *

Zip *

Are you currently enrolled in PSE’s Bill Discount Rate (BDR) program? * Yes No

Do you own or lease an electric vehicle? * Own Lease Planning to purchase Planning to lease

Do you live in a multifamily home?* No, I live in a single-family home Condominium Apartment building or complex Townhome community Mixed use Other

This discount is currently only available for those living in a multifamily home (i.e. condominium, apartment, townhome community, or mixed use building) without a dedicated EV charger

Do you rent or own your home? Rent Own

Do you have a Level 2 EV charger at home? Yes No Planning to purchase

Where do you currently charge your EV? Home Work Public chargers

Do you currently have an EV Connect account?* Yes No

If no, you must register for an EV Connect account in order for the discount to be applied.

Are you willing and able to sign up for an EV Connect account? Yes No

Additional questions or comments

PSE Discounted Public Charging

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