2. Do you already own or lease an electric vehicle (EV)?
   
   In order to provide safe, reliable electricity and advance sustainable transportation, the City's Community Development Department and Public Works Department electric division are working together to meet the future EV charging needs regarding new development projects in Geneva.
   
   Register your vehicle with the City of Geneva to help us assess your electric service needs.

6. Contact Information
8. First Name*
9. Last Name*
11. Contact Phone Number*
12. Email Address*
14. Address1*
16. Address2
18. City*
19. State*
20. Zip*
22. Own Or Rent*
    -- Select One --RentOwn
23. Dwelling Type*
    -- Select One --HouseCondominiumApartmentTownhome
25. City Utility Bill Account Number
29. Vehicle Information
31. Make & Model of EV No. 1*
35. Vehicle Charging Information
37. What level of residential charging do you plan to use at home?*
    -- Select One --Level 1 - 120vLevel 2 - 240vUnknown
38. What time of day do you expect to start charging your EV?*
    -- Select One --MorningEarly AfternoonLate AfternoonEveningNight Time
40. What time of day do you need charging to be completed?*
    -- Select One --MorningEarly AfternoonLate AfternoonEveningNight Time
41. When do you currently use your electricity the most?*
    -- Select One --MorningAfternoonEveningUnknown
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43. 1. Receive an email copy of this form.
44. Email address

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45. Submit

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