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2. NOTE: Submitting this document electronically will require you to upload documentation such as sales receipt, etc.  Please do not send sensitive information.

4. Time of Use Terms & Conditions
   EV Charger Time-Of-Use (TOU) Program

   Check out the Terms & Conditions section before applying.

6. Check this box to acknowledge that you have read and agree to our Program Terms & Conditions.*

   1. Yes

8. Submitting this document electronically will require you to upload documentation such as sales receipt, etc.  Please do not send sensitive information.

12. Anoka Municipal Utility (AMU) Customer Information

    You must have an address that is serviced by Anoka Municipal Utility (AMU). 

14. Anoka Municipal Utility (AMU) is my electric service provider.*

    1. Yes
    2. No, sorry this rebate is for AMU customers only.
16. Customer Name*
17. Customer Last Name*
19. Service Address*
21. City*
22. State
23. Zip*
25. Phone Number*
26. Email Address
30. Required Documentation
32. Electrical Permit*
34. Electrical Inspection*
38. Disclaimer & Signature
40. Customer should submit payment for:

    A. $300 meter fee (calculated at 75% of the meter cost at today's rate and updated as prices change), and

    B. $100 grid fee. 

     

    Make fees payable to the City of Anoka and reference the customer’s name and installation address. Pay one of two ways: 

     

    1. Mail to the address of:

    Anoka City Hall

    Attn:  EV TOU Program

    2015 First Avenue

    Anoka, MN 55303

     

    2. Call the city's Finance Receptionist at 763-576-2700 to make an "EV TOU Program Payment" with your name and reference to the installation address.  Please note, that making a payment over the phone will be subject to a $3.25 credit card convenience fee. 

    
    

    Once the application and fees have been approved and paid, then you may schedule a time to disconnect power at the project site to install the new EV Time-Of-Use (TOU) meter.  To schedule, use our website www.anokamunicipalutility.com or call 763-576-2903. 

42. Check this box to agree to the following:*

    1. I certify Payment of $400 has been paid to the City of Anoka
44. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
46. Customer Electronic Signature*
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field