EV Preliminary Consultation Info Request

EV Preliminary Consultation Information Request Form

This Preliminary Consultation Information Request form is intended for use by customers that have flexibility in where they can install their planned EVSE. The customer should only proceed with this form if the proposed EVSE project is for non-residential applications. Complete all fields unless otherwise noted, to enable the preliminary connection assessment. The customer does not need to commit to any information provided in the form. Changes can be made when submitting a written connection request. Please note that the preliminary consultation information request process does not consider the full range of technical evaluations that would be performed by GrandBridge Energy. Once the form is submitted, GrandBridge Energy will respond with an EV Preliminary Consultation Report (EVPCR) which provides additional information the potential complexity of the connection. Capacity is not reserved upon completion of this form, capacity is reserved upon execution of the Offer to Connect. All kVA capacity information in this form should be in alternating current (AC) power.

Distributor Contact Information

GrandBridge Energy Inc.
Metering & DERs Department
39 Glebe Street, Cambridge, ON, N1S 2L8

Telephone: 1-877-871-2215, Ext: 2400 or 5672

Email: [email protected]

General Customer Information

Project Name(Required)

Customer (Company Name)(Required)

Application Submission Date(Required)

Customer Type(Required)

EVSE Owner

Property Owner/Landlord

Property Manager

Consultant

Other

Customer Representative (Individual Name)(Required)

First Last

Customer Address (corporate if applicable)(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Customer Phone Number(Required)

Customer Email(Required)

Customer Fax

Project Information

Is this EV-PCIR for multiple sites? Enter number of sites.(Required)

Service Type:(Required)

Existing Service

New Service

Proposed Maximum Capacity of EVSE only (kVA)(Required)

Total Customer Peak Demand Estimate including EVSE (kVA)(Required)

January Monthly Peak Demand Estimate kVA (if known)

February Monthly Peak Demand Estimate kVA (if known)

March Monthly Peak Demand Estimate kVA (if known)

April Monthly Peak Demand Estimate kVA (if known)

May Monthly Peak Demand Estimate kVA (if known)

June Monthly Peak Demand Estimate kVA (if known)

July Monthly Peak Demand Estimate kVA (if known)

August Monthly Peak Demand Estimate kVA (if known)

September Monthly Peak Demand Estimate kVA (if known)

October Monthly Peak Demand Estimate kVA (if known)

November Monthly Peak Demand Estimate kVA (if known)

December Monthly Peak Demand Estimate kVA (if known)

Connection Type:(Required)

Single-Phase

Three Phase

Charger Type:(Required)

Level 2

Level 3

Mix of Level 2 & 3

Site Information

Existing Account Number (if applicable)

Existing Account Holder Name (if applicable)

Site Address (Location of Proposed Facility)(Required)

Street Address Address Line 2 City Province Postal Code

Site GPS Coordinates (Latitude & Longitude)(Required)

Additional Information

The customer can provide any additional information related to the EVSE project that wasn't covered in the previous sections. This might include details such as anticipated hourly demand profile (in kWh), specifics make/model of EVSE to be installed, smart charge capability, indented end use (public, private or institutional). Such supplementary details, beyond the required information outlines above, may assist the GrandBridge Energy in preparing the EVPCR by offering insights into potential connection impacts.

Please provide additional information in the box below.

You can upload supplemental documents with the EVPCIR.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

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