Business name

Please enter business name as you would like it to appear on your profile.

Business information

Primary service category

- Select -Equipment ManufacturersInstallers & ElectriciansNetwork ProvidersElectricity ProvidersEquipment Distributors & Re-sellers

Select the service category that best describes your business.

Additional service categories (optional)

Electricity Providers

Equipment Distributors & Resellers

Equipment Manufacturers

Installers & Electricians

Network Providers

Select all the additional service categories that your business provides.

We work anywhere in California.

Service area(counties) Alameda CountyAlpine CountyAmador CountyButte CountyCalaveras CountyColusa CountyContra Costa CountyDel Norte CountyEl DoradoEligible LocationFresno CountyGlenn CountyHumboldt CountyImperial CountyInyo CountyKern CountyKings CountyLake CountyLassen CountyLos Angeles CountyMadera CountyMarin CountyMariposa CountyMendocino CountyMerced CountyModoc CountyMono CountyMonterey CountyNapa CountyNevada CountyOrange CountyPlacer CountyPlumas CountyRiverside CountySacramento CountySan Benito CountySan Bernardino CountySan Diego CountySan Francisco CountySan Joaquin CountySan Luis Obispo CountySan Mateo CountySanta Barbara CountySanta Clara CountySanta Cruz CountyShasta CountySierra CountySiskiyou CountySolano CountySonoma CountyStanislaus CountySutter CountyTehama CountyTrinity CountyTulare CountyTuolumne CountyVentura CountyYolo CountyYuba County

Select all that apply.

Description of service region

Website

Required url format http://example.com

Upload logo

Upload

Logo file must be at least 200px in width or height.
Upload requirements

• One file only.
• 5 MB limit.
• Allowed types: gif, jpg, png, .

Business description

Include a description of your business focusing on aspects you would like to emphasize with potential site hosts.

California License #

Enter your California contractor license number

List of certifications

Electric Vehicle Infrastructure Training Program (EVITP) status

- Select -CertifiedUse certified installersNone

Year business started?

Typical equipment standards? ISO 15118OpenADROCPPSEP 2.0ENERGY STAR certificationWiFi

Enter standards your equipment is designed to or operates within.

Networks equipment operates on

EV charging levels? Level 1Level 2DC Fast Chargers 50kWDC Fast Charger 100kW+

Select all EV charger levels that you sell, install, or service.

Your distributors / re-sellers by region / territory

Equipment makes you distribute / sell

Services provided? (select all that apply) Design and EngineeringPermittingTrenchingElectricalPainting/StripingEV charger commissioningMaintenance

Charging network name

Provide the charging network name as you want it to appear in the profile.

Equipment that operates on your network

Network features offered

Electricity provider type

- Select -Investor owned utilityPublic owned utilityCommunity Choice AggregatorDirect AccessOther

Select the most appropriate type to describe your business.

Service offered for EV charging installations

Name(s) of and associated url(s) for EV charging incentive programs offered (if relevant)

Incentive Name?	URL?
Incentive Name? Required url format http://example.com	URL?
Incentive Name? Required url format http://example.com	URL?
Incentive Name? Required url format http://example.com	URL?

Primary contact

First name

Name of the contact who will field most or all inquiries for services.

Last name

Name of the contact who will field most or all inquiries for services.

Role / job title

For the contact who will field most or all inquiries for services.

Contact email

All correspondence will be sent to this address.

Contact phone

Agree to terms

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