Branch 1 – EV Vehicle / Fleet Name * Name First First Last Last Email * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Organization Name * Enter the name of the entity that has completed the project and will be planning to file for elective pay. What is your project name? * Please provide the specific name of a specific clean energy project. If you have more than one project to evaluate, you will have the opportunity at the end of this form to answer these questions for another project. If you are human, leave this field blank. Next