Eastern Iowa Light & Power Cooperative - Commercial Level II EV & Forklift Charger Rebate Application

Complete all sections and accept terms and conditions to ensure proper and prompt payment of rebate. If you need assistance completing the online rebate form, call Easter Iowa and ask to speak to an Energy Advisor.

This offer is only for C&I members ≥ 75 kW and is limited to (4) Level II EV Chargers and (4) Level II Forklift Chargers per service address. Requires 240/208 volt input supply. 
Member Information (Service/Equipment Location)
















Rebate Check Mailing Address






Equipment Installer





Equipment Information 
General Facility Information 






 EV Level II Charger







 Forklift Charger






Rebate and Installed Cost 
Rebate $1,000 per charger, not to exceed 50% of installation cost. Max Rebate $4,000 (EV Level II Charger) and $4,000 (Forklift Charger) per service address. If self-installed, labor cannot be applied
to installed cost.


Attach Invoice Here
Commercial Level II Charger Program Requirements: 

• The rebate offering is for commercial customer only.
• Rebate is for Level II chargers requiring a 240/208 volt input supply. 
• New purchased chargers only.
• Chargers must be installed at the address provided on this form and served by the Utility.

No more than five Level II chargers for each location. 

Electric Forklift Program Eligibility: 

• Non-residential
• Proper documentation is required: Invoice, Lease Agreement, Make, Model, and Year. 

Rebate Amount:  
$1000 -  rebate cannot exceed 50% of installed cost
Maximum of 4 chargers per facility. 

General Terms & Conditions

Rebates shall be pro-rated based on the percent of power supplied by the utility if the customer has distributed generation.

Application Information: Missing or incorrect information on the application may delay processing and delivery of the rebate. An invoice is required and should include specific product information, including the brand, model, serial number and date of purchase of the energy efficient measures. Other information including manufacturer's equipment performance sheets may be required upon request.

The Utility reserves the right to verify sales transactions and to have reasonable access to the Customer's facility to inspect pre-existing equipment (if applicable) and energy efficient measures installed under this program.

Warranty Information: The Utility makes no warranties, expressed or implied, with respect to equipment operation, material, workmanship or manufacturing. The Utility does not guarantee that a certain level of energy or cost savings will result from the use of products covered by this program.

Limitation of Liability: The Utility's liability in connection with this program is limited to paying the rebate specified when all terms and conditions have been satisfied. Under no circumstances shall the Utility be liable for any consequential or incidental damages or tax liability resulting from participation in this program.

Participant Certification: Participating Customer certifies that he/she purchased and installed the equipment listed on their application at the defined location served by the Utility. The Customer agrees that all information provided is true and that he/she has conformed to all program requirements. If the equipment and application does not comply with the Utility's rules and qualifications, the rebate amount may be denied or adjusted.

Program Changes/Termination: The Utility reserves the right to extend, modify (including incentive levels) or terminate this Program at any time without prior or further notice. The Customer is responsible for checking with the Utility to determine whether the program has been changed or is still in effect.

Customers must apply for rebates within six (6) months of the purchase date (as shown on the Customer's invoice) and are subject to the current year program offer if received after January 31st. Past eligibility, however, does not guarantee that equipment will meet criteria for current programs in effect.