ChargeForward Application

Appalachian Power Company (“Appalachian Power” or “APCo”) is providing incentives to encourage the adoption of electric vehicles in it's APCo and Wheeling Power's West Virginia service territory.

Appalachian Power customers in West Virginia who install a new Energy Star Level 2 (220 volt) EV charging station in their homes after July 1, 2021 will be eligible for an incentive up to $250. An additional rebate of up to $250 is available to customers that have an EV Charger installed by a licensed electrician. An active Appalachian Power, West Virginia electric service must be established for the home and verified by Appalachian Power before the rebate can be processed.

A copy of the equipment receipt and/or installation invoice on the licensed contractor's letterhead is required, which must be submitted by the customer to Appalachian Power along with this application. Program funding will be available from July 1, 2021 until approved funds are exhausted or December 31, 2024, whichever comes first.

Eligibility Criteria:

1. Appalachian Power customers in West Virginia service area.

2. Pass an inspection of your charging equipment, if required, and include permit number and date of inspection.

Instructions: Fill out online application and attach all required documentation.

1. Equipment Receipt

2. Installation Invoice

3. Inspection/Permit Approval (if required)

If you have any questions about this program or the application, please contact takechargewv@aep.com or call 1-800-956-4237. Rebates will be processed by check and mailed to the customer within 8 weeks of receipt and approval.

If you are interested in Appalachian Power's PEV tariff, more information can be found at: https://www.appalachianpower.com/clean-energy/electric-cars/wv-off-peak.

To learn more about electric vehicles and programs in West Virginia, visit: https://ev.takechargewv.com/

APCo Account Number*

Customer Last Name*

Customer First Name*

Email Address*

Phone Number*

Installation Address*

City*

State*

Select or enter value

Zip*

Mailing Address (If different)

Charger Information

Rebate Type

Select

Installation Date*

Charging Station Type*

Select

EV Charger Manufacturer*

EV Charger Model*

A list of Energy Star Level 2 chargers can be located at the following link:

https://www.energystar.gov/productfinder/product/certified-evse/results?formId=04a8415f-831a-43c4-a8e9-31c80d2db7cb&scrollTo=0&search_text=&product_type_filter=Level+2&brand_name_isopen=0&max_nameplate_output_current_a_isopen=0&markets_filter=United+States&zip_code_filter=&product_types=Select+a+Product+Category&sort_by=partial_on_mode_input_power_w&sort_direction=asc&currentZipCode=43215&page_number=0&lastpage=0

Charger Circuit Amperage*

Select

How is Charger Powered?*

Select

Where is the charger located?*

Select

Inspection Permit #

Inspection Status

Select or enter value

File Upload*

Please attach equipment receipt, installation invoice and permit or inspection number.

Drag and drop files here or

Terms and Conditions - Please review the below terms and conditions. You are accepting the terms and conditions by clicking on the checkbox below.*

I hereby certify that the information listed above is accurate and true. I understand the information submitted is subject to an on-site verification and may be required prior to payment of the rebate. The verification inspection is for record purposes only and does not guarantee the quality of the work performed. I also understand that submission of the rebate application does not guarantee an incentive. The program will begin July 1, 2021 and will end when funds are depleted. I understand that all the guidelines have been followed (see Program Rules and Guidelines). I also understand that Appalachian Power Company ("Appalachian Power") is not liable for any work performed. REBATE APPLICATION AND SALES RECEIPT MUST BE SUBMITTED WITHIN 30 DAYS OF DEVICE INSTALLATION AND SET UP. If application is incomplete, the rebate will be denied. NO WARRANTY. APPALACHIAN POWER, ITS AFFILIATES, EMPLOYEES, AGENTS, REPRESENTATIVES, AND CONTRACTORS MAKE NO REPRESENTATIONS OR WARRANTIES, AND ASSUME NO LIABILITY WITH RESPECT TO QUALITY, SAFETY, PERFORMANCE, OR OTHER ASPECT OF ANY CHARGING STATION INSTALLED PURSUANT TO THIS AGREEMENT AND EXPRESSLY DISCLAIM ANY SUCH REPRESENTATION, WARRANTY OR LIABILITY, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NONINFRINGEMENT. NOTHING IN THIS AGREEMENT SHALL BE CONSTRUED TO CREATE ANY DUTY TO, ANY STANDARD OF CARE WITH REFERENCE TO, OR ANY LIABILITY TO ANY THIRD PARTY. APPALACHIAN POWER, ITS AFFILIATES, EMPLOYEES, AGENTS, REPRESENTATIVES, AND CONTRACTOR SHALL NOT BE RESPONSIBLE FOR COSTS OR CORRECTIONS OF CONDITIONS ALREADY EXISTING IN THE FACILITIES INSPECTED WHICH FAIL TO COMPLY WITH APPLICABLE LAWS AND REGULATIONS. INDEMNIFICATION; LIMITATION OF LIABILITY. CUSTOMER AGREES TO INDEMNIFY AND HOLD HARMLESS APPALACHIAN POWER AGAINST ALL LOSS, DAMAGES, COSTS, EXPENSES AND LIABILITY ARISING FROM ANY CLAIMS RELATED TO ANY PRODUCTS INSTALLED OR SERVICES PERFORMED DURING THE INSTALLATION OR MAINTENANCE OF THE CHARGING STATIONS. NEITHER APPALACHIAN POWER, ITS AFFILIATES, EMPLOYEES, AGENTS, REPRESENTATIVES, AND CONTRACTORS NOR CUSTOMER SHALL BE LIABLE TO EACH OTHER FOR ANY INCIDENTAL, SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES RELATED TO THIS AGREEMENT.

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