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This form is the pre-qualification application (the "Application") for The City of Calgary’s ChargeYYC – Phase 1 program (the "Program"). ChargeYYC – Phase 1 provides rebates for the creation of an EV Charging Road Map, a customized technical plan for installing electric vehicle (EV) charging in multi-residential buildings. When submitted, the information included in the Application will be used to assess your eligibility for participating in this Program. Prior to submitting this form, please review the Program Terms and Conditions at calgary.ca/chargeyyc.

 

Please note that submitting the Application does not guarantee that you will receive a rebate through the Program.

 

You may submit one Application per multi-residential property (the "Property"). In many cases, a Property will be made up of a single multi-residential building. However, if there are multiple buildings on the same Property (i.e. multiple buildings that share the same street address but different unit numbers), please only complete one application for the Property

Applicant Information

Provide information about the individual submitting this Application. 

999-999-9999

A3A 3A3

Example: member of condo board, unit owner, property owner, property manager, etc.

General Property Information

Provide information about the Property you are submitting the Application for. 

For many Properties, there may only be one building. 

For example, stores or services in walkout units facing the street, etc

If constructed over multiple years, please list the year that construction was completed.

Please refer to the calgary.ca/chargeyyc for more information on meter types.

Property Parking Information

Provide some additional information about the parking setup on the Property.

Dedicated means located on private property and only available for the use of property residents. 

Visitor parking is only available for the use of visitors to the Property.

By submitting this Application, I certify that (initial each line):

 

To the best of my knowledge, all of the information provided in this Application is true and accurate;

 

I have permission(s) and authority from the registered owner(s) of the Property to submit an Application on behalf of the Property;

 

I agree with the Program Terms and Conditions;

 

I consent to all of the information submitted in this Application to be used for the purpose of processing the Application and for administering the Program, in accordance with the Program Terms and Conditions.


 

Your Personal Information is being collected to determine eligibility for The City of Calgary's rebate program, to provide follow up information for City staff (if required to confirm details or access the program), to collect statistical information, and to support reporting of aggregate data of program participation. This personal information is collected pursuant to Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. If you have any questions about this collection, please contact the Program Manager at 368-993-7650 or email electricmobility@calgary.ca.