EV Charger Rebates | Highline Electric Association.

Applicant Info

Member Name

Phone

Installation Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Highline Account Number

Application Type

Purchase Date

How would you like to receive your rebate?

Credit Highline Account

Check via USPS

How did you hear about this rebate?

HEA Website

HEA Social Media (Facebook, Instagram)

Colorado Country Life

Contractor/Installer

Friend

Other…

Charging Location

EV Equipment Cost (Post-Discounts and Pre-Tax)

Electrical Installation Cost (Post-Discounts and Pre-Tax)

Copies of final paid receipt or invoices. Must include ALL itemized pricing information (pre-tax costs, discounts, promotions, etc.).

One file only.
20 MB limit.
Allowed types: txt pdf doc docx ppt pptx odp xls xlsx ods.

Photo of Installation

One file only.
20 MB limit.
Allowed types: txt pdf doc docx ppt pptx odp xls xlsx ods.

Additional Documentation: Copies of receipt or invoices

One file only.
20 MB limit.
Allowed types: txt pdf doc docx ppt pptx odp xls xlsx ods.