Residential Electric Vehicle Curbside Charging Location Request

Equitable Access & Distribution of Green Technology by Pittsburgh-based, Green Edge Tech

Request a specific Residential EV Curbside Charging (#REVCC) location! Any information given is anonymous and private. We just want to know where there is a need, be able to follow up with you when progress is made, or if we have questions.

You may submit as many as you'd like, but only one location per entry form, please.

*ONLY Fields marked with * are required.

1.

(Optional)

Please provide you're name if you'd like :)

2.

We would need your email so that we can reach out to find out further info if necessary.

Leave blank if you wish to stay anonymous.

3.

Where do you want an EV Charging location? (You can just say an intersection nearby if you don't want to give your private address)

4.

Is this your personal residence?

*

*Requiredxx

*Required

*Enter answer

5.

Any additional info that would help us to move forward with this location. (One-ways, rush hour issues, construction, etc.)

6.

If there was an EV charger in close walking distance, how long until you purchase an EV? Hybrid Plug-ins are accepted as well. (Gas & Electric)

*

*Requiredxx

*Required

7.

How far would you "walk" (travel) to charge your EV, if we can't commit to your requested location? (Think about rain & snow!)

*

*Requiredxx

*Required

*Enter answer

8.

Are you currently charging with an unpermitted setup?

This is as anonymous as you'd like.

Yes

No

9.What, if any items, may we share with your municipality to show support for equitably placed EV Charging Stations?

Choose all that you are comfortable with.

Your Name

Site requested address

Do not share

10.

(Optional)

If you have an EV that you would be charging on a proposed residential public EV charger,

What year, make, model(s), and ROUGH idea of YEARLY mileage driven will you be using on the network? (For us to understand your neighborhood load requirements).

The remainder of the questions are optional but very useful for accomplishing our main mission - Equitable Access & Distribution.

If you can spare another minute or two, and some more demographic info to help us better understand the current needs of your community :) Your name requested initially (above) is optional to help with anonymity.

11.

Your age?

12.

Household Income?

13.

Current homeowner status?

*Enter answer

14.

How many people in your household?

15.

How many automobiles do you currently own/lease?

IF THE "FINISH" BUTTON ISN'T LIT UP below, then you may be missing a *required spot - check email and address entries.

Thanks for your input!

Learn more about us at: https://greenedgetech.org

Take our full Equitable Residential EV Charging Survey https://bit.ly/UrbanEVPittsburgh

Email us for further discussions or questions info@greenedgetech.org